Notice of Privacy Practices

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record

• You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

• You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
• We may say "no" to your request, but we'll tell you why in writing within 60 days.

Request confidential communications

• You can ask us to contact you in a specific way (for example, home, office, or cell phone) or to send mail to a different address.
• We will say "yes" to all reasonable requests.

Ask us to limit what we use or share

• You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say "no" if it would affect your care.
• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say "yes" unless a law requires us to share that information.

Get a list of those with whom we've shared information

• You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why.
• We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We'll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this Notice

You can ask for a paper copy of this Notice at any time, even if you have agreed to receive the Notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

• If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
• We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

• You can complain if you feel we have violated your rights by contacting us in writing: HealthOS Healthcare, P.C. Attn: Privacy Officer 287 Park Ave S, #204, New York, NY 10010
• You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting https://www.hhs.gov/hipaa/filing-a-complaint/index.html.
• We will not retaliate against you for filing a complaint.

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, contact us at concierge@sonata.health and let us know what you want us to do, and we will follow your instructions.

You have both the right and choice to tell us whether to share information with your family, close friends, or others involved in your care.

If you are not able to tell us your preference, for example if you are unreachable, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases, we never share your information unless you give us written permission:

• Marketing purposes
• Sale of your information

If we have your substance use disorder patient records, subject to 42 CFR part 2, we will give you clear and obvious notice in advance.

How do we typically use or share your health information?

We typically use or share your health information in the following ways.

To treat you

We can use your health information and share it with other professionals who are treating you.

Example: A doctor treating you for a health condition asks us about other health conditions that may affect treatment.

To run our organization

We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Example: We use health information about you to manage your treatment and services.

To bill for our services

We can use and share your health information to bill and get payment from health plans or other entities.

Example: We give information about you to your health insurance plan so it will pay for the services we provided to you.

Artificial Intelligence

We use artificial intelligence and other automated tools to assist in treatment, payment, and healthcare operations, such as analyzing health information, supporting clinical documentation, or improving administrative processes. When we use these tools with your health information, we do so only for purposes that are permitted by this Notice and applicable law.

Health Information Exchange (HIE) Participation and Data Sharing

We participate with one or more Health Information Exchanges (each, an "HIE"), which makes it possible for us to access and share your protected health information electronically through the HIEs in accordance with applicable law. This allows us to retrieve your medical records from other healthcare providers, hospitals, laboratories, and health systems that participate in the same HIE networks to support your care.

Other health care providers that are also connected to the same HIE network as us can exchange your protected health information for treatment, care coordination, and other authorized purposes, to the extent permitted by law.

You have the right to opt out of having us access or share your protected health information through HIEs. If you choose to opt out, we will no longer access or share your protected health information through an HIE network; however, this will not prevent your information from being accessed and released to authorized individuals through other means in accordance with the law. Opting out may limit our ability to provide you with fully coordinated, personalized care based on your complete medical history.

To opt out of HIE data sharing, please contact us at concierge@sonata.health or notify your Provider.

We are allowed or required to share your information in other ways — usually in ways that contribute to the public good, such as public health and research. We must meet many conditions in the law before we can share your information for these purposes. For more information visit: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

In all cases, including those listed below, if we have substance use disorder patient records about you, subject to 42 CFR part 2, we cannot use or share information in those records in civil, criminal, administrative, or legislative investigations or proceedings against you without (1) your consent or (2) a court order and a subpoena.

Help with public health and safety issues

We can share health information about you, limited to the minimum necessary amount of information that is reasonably necessary, for certain situations such as:

• Preventing disease
• Helping with product recalls
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect or domestic violence
• Preventing or reducing a serious threat to anyone's health or safety

Do research

We can use or share your information, for health research, in aggregate (your personal information will not be separately identifiable).

Comply with the law

We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we're complying with federal privacy law.

Work with a medical examiner or funeral director

We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers' compensation, law enforcement, and other government requests

We can use or share health information about you:

• For workers' compensation claims
• For law enforcement purposes or with a law enforcement official
• For example: We may share your health information with the police or other law enforcement officials if you commit a crime on the premises or against program personnel or threaten to commit such a crime.
• With health oversight agencies for activities authorized by law
• For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions

We can share health information about you in response to a court or administrative order, or in response to a subpoena.

We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.

Health information that we permissibly disclose to a recipient may be redisclosed by the recipient and no longer protected by HIPAA.

Conflict of Laws

Certain state laws may afford you greater privacy protections than HIPAA and, in such cases, we will comply with such legal obligations.

For example, some states have strict requirements regarding disclosure of information related to substance use disorder treatment, HIV status, and genetic information. Depending upon where you reside, we will adhere to your state's requirements.

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this Notice and give you a copy of it.
• We will not use or share your protected health information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information visit: https://www.hhs.gov/hipaa/for-individuals/notice-privacy-practices/index.html.

We can change the terms of this Notice, and the changes will apply to all information we have about you. The revised Notice will be available upon request and posted on our website (app.sonata.health/legal/npp) and the date of the last update will be indicated at the top of the Notice.