HIPAA Notice of Privacy Practices

Effective Date: June 1, 2026  |  Last Updated: June 12, 2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Who This Notice Applies To

This Notice of Privacy Practices applies to Revelry Wellness and the licensed physicians who provide care through our platform (collectively, “we,” “our,” or “us”). We are required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations to maintain the privacy of your Protected Health Information (PHI) and to provide you with notice of our legal duties and privacy practices.

What Is Protected Health Information (PHI)?

PHI includes any information that identifies you and relates to your past, present, or future health condition, the care you receive, or the payment for that care. This includes information shared during telehealth consultations, intake forms, lab results, prescription records, and clinical communications.

How We May Use and Disclose Your PHI

For Treatment

We use and share your PHI to provide, coordinate, and manage your healthcare. This includes sharing information with the licensed physicians who evaluate and treat you, laboratories that process your tests, and pharmacies that fulfill your prescriptions.

For Payment

We may use and disclose your PHI to process and collect payment for services, including sharing information with billing services and payment processors.

For Health Care Operations

We may use and disclose your PHI for internal operations including quality assessment, clinical training, and compliance activities necessary to operate our platform.

As Required by Law

We will disclose your PHI when required to do so by federal, state, or local law, including disclosures to public health authorities, law enforcement, or in response to court orders or subpoenas.

Other Permitted Uses

We may also use or disclose PHI for serious threats to health or safety, research subject to required protections, and other uses permitted or required by HIPAA.

Uses and Disclosures Requiring Your Authorization

For uses or disclosures not described above — including most marketing communications, sale of your PHI, or sharing of psychotherapy notes — we will obtain your written authorization. You may revoke any authorization in writing at any time, except where we have already acted in reliance on it.

Your Rights Regarding Your PHI

Right to Access

You have the right to inspect and obtain a copy of your medical records and other PHI we maintain. Requests should be made in writing to [email protected]. We may charge a reasonable fee for copies.

Right to Amend

If you believe your PHI is inaccurate or incomplete, you may request an amendment. We may deny your request in certain circumstances and will explain our reason in writing.

Right to an Accounting of Disclosures

You may request a list of disclosures of your PHI we have made — other than for treatment, payment, and operations — during the prior six years.

Right to Restrict

You may request that we restrict how we use or disclose your PHI. We are not required to agree to all requested restrictions, but we will consider your request.

Right to Confidential Communications

You may request that we communicate with you by alternative means or at an alternative location, such as a different email address or phone number.

Right to a Paper Copy of This Notice

You have the right to receive a paper copy of this Notice at any time, even if you agreed to receive it electronically. Contact us at [email protected] to request one.

Our Duties

We are required by law to maintain the privacy of your PHI, to provide you with this Notice, and to abide by the terms of the Notice currently in effect. We reserve the right to change our privacy practices and to make the new practices effective for all PHI we maintain. We will post the revised Notice on our website and make it available upon request.

Breach Notification

We will notify you in accordance with HIPAA requirements if we discover that your unsecured PHI has been breached.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

Contact Us

Revelry Wellness — Privacy Officer
Email: [email protected]
Website: revelrywellness.com/contact

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