AVIATI Healthcare, 6075 Winchester #136, Memphis, TN 38115 901-410-5350 HIPAA NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. I. MY PLEDGE REGARDING HEALTH INFORMATION: I understand that health information about you and your healthcare is personal. I am committed to protecting health information about you. I will create a record of the care and services you receive from me. I need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this practice. This notice explains how I may use and disclose health information about you. I also describe your rights to the health information I maintain about you and my obligations regarding the use and disclosure of that information. I am required by law to: • Make sure that protected health information (“PHI”) that identifies you is kept private. • Give you this notice of my legal duties and privacy practices concerning health information. • Follow the terms of the notice that is currently in effect. • I can change the terms of this Notice, which will apply to all information I have about you. The new Notice will be available upon request in my office and on my website. Since 1996 certain laws have been enforced regarding medical record privacy (Health Insurance Portability and Accountability Act) or HIPAA; under the law, we are now required to notify you of this, so here is a short version of these regulations for your convenience. This Notice of Privacy Practices describes the ways we are allowed by law to use your protected health information (medical records) or PHI to carry out treatment, payment, or other healthcare operations and for other purposes that are permitted or requested by law. It also describes our rights to access and control your PHI. We are required to abide by these privacy laws. According to the privacy laws, your physician will use your PHI as he has always done for treatment, payment, or other health care operations. In addition, we may also disclose your PHI from time to time to other physicians or healthcare providers who become involved in taking care of you. Your PHI will be used, as needed, for us to obtain payment for our services. At the front desk, you will be asked to complete the paperwork; we will call you by name when the provider is ready to see you. We may also use your PHI when necessary to contact you concerning your visit. We will share your PHI with business associates who perform services for us. There could include billing services or transcribing services. They are also required to maintain confidentiality. Your PHI could be used to provide you with information about treatment alternatives or other health-related benefits and services that may interest you. Other uses or disclosures will be made only with your written authorization unless otherwise allowed or required by law. You may revoke this authorization at any time in writing. Unless you object, we may reveal (with your signed consent) to a member of your family, close friend, or other person of your choice parts of your PHI that relate to that person’s involvement in your health care. If you cannot agree or object to this, as in an emergency, your physician will try to obtain your consent as soon as possible. Your PHI may be disclosed to public health agencies or law enforcement to protect you or others. We may disclose your PHI to comply with workman’s compensation laws. If you are an inmate, we may disclose necessary information to the institution's staff. You can inspect and copy your PHI except for certain legal limitations. You may ask us not to disclose your PHI for purposes of treatment, payment, or health care operations, as well as family members. This must be specific and in writing. However, your doctor must not agree to such restrictions if he believes it is not in your best interest. You may ask for your PHI to be amended. You also have the right to know to whom we have revealed your information if it is other than treatment, payment, or health care operations. SMS Terms of Service Information obtained as part of SMS consent will not be shared with third parties or affiliates. By opting into SMS from a web form or other medium, you are agreeing to receive SMS messages from AVIATI Healthcare & Clinical Research. This includes SMS messages for conversations (external). Message frequency varies. Message and data rates may apply. You may opt-out at any time by texting, STOP. For additional assistance, text HELP or review our privacy policy. EFFECTIVE DATE OF THIS NOTICE This notice went into effect on 15APR2021. Acknowledgment of Receipt of Privacy Notice Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights regarding the use and disclosure of your protected health information. You acknowledge that you have received a copy, downloaded, or will request a copy of the HIPAA Notice of Privacy Practices. AVIATI Healthcare SMS Privacy Policy Addendum This SMS Privacy Policy Addendum ("Addendum") specifically addresses the collection, use, and protection of information related to your participation in AVIATI Healthcare's SMS (Short Message Service) programs. This Addendum is incorporated into and is subject to the terms of AVIATI Healthcare's main Privacy Policy, which can be found at https://www.optimantra.com/optimus/om/public/getConsentForm?cnsntfrmId=85795&userId= &patientId=0&cnsntfrmfilledFormId=&isEdit=0&isPreview=0&isFormTemplate=0. 1. SMS Program Description AVIATI Healthcare offers various SMS programs to provide you with convenient and timely information related to our healthcare services, appointments, reminders, and relevant health updates. Our SMS services are designed to enhance your experience with AVIATI Healthcare by delivering important information directly to your mobile device. 2. Information We Collect via SMS When you opt-in to our SMS programs, we may collect information such as your mobile phone number, your opt-in consent, and details of the messages sent to and from you. This information is primarily used to deliver the requested SMS services. As a healthcare provider, we handle all personal health information (PHI) in accordance with HIPAA regulations, as detailed in our primary Privacy Policy. 3. Use of Information from SMS Programs The information collected through our SMS programs, including your mobile opt-in data, will be used solely for the purpose of providing the SMS services you have opted into. This may include: • Sending appointment reminders. • Delivering prescription refill notifications. • Providing important health-related alerts or information. • Facilitating secure communication related to your care. • Responding to your SMS inquiries. WE WILL NOT SHARE, SELL, OR RENT YOUR MOBILE OPT-IN DATA WITH ANY THIRD PARTIES FOR MARKETING, PROMOTIONAL, OR ANY OTHER PURPOSES. This includes not sharing your mobile number or any related opt-in data with affiliates or partners for their independent marketing or promotional use. Data will only be shared with third-party service providers who assist us in operating our SMS programs and are contractually bound to keep your information confidential and use it only for the purposes for which we disclose it to them. 4. Opt-In and Consent By providing your mobile number and opting into our SMS program, you are providing your express written consent to receive recurring text messages from AVIATI Healthcare at the mobile number you provided. You understand that consent is not a condition of purchase. Message and data rates may apply. You can typically opt-in to our SMS programs through: • Texting a keyword to a short code (e.g., "TEXT JOIN to 901-410-5350"). • Filling out a web form on our website and checking a box to receive SMS messages. • Verbally confirming consent with an AVIATI Healthcare representative. By opting in, you confirm that you are the subscriber and/or customary user of the mobile number provided. 5. Opt-Out/Stop You can cancel the SMS service at any time. To stop receiving SMS messages from a specific program, reply STOP to any message you receive from us. You will receive a one-time opt-out confirmation message. For help, reply HELP to any message or contact us at 901-410-5350. 6. Data Security AVIATI Healthcare maintains administrative, technical, and physical safeguards to protect the information collected through our SMS programs, consistent with our obligations under HIPAA and other applicable privacy laws. 7. Changes to this SMS Privacy Policy Addendum We may update this SMS Privacy Policy Addendum from time to time. We will notify you of any material changes by posting the new Addendum on our website and, if required by law, by sending you a notification via SMS or other appropriate means. Your continued participation in our SMS program after such modifications will constitute your acknowledgment of the modified Addendum and agreement to abide and be bound by the modified Addendum. 8. Contact Us If you have any questions or concerns about this SMS Privacy Policy Addendum or our data practices, please contact us at: AVIATI Healthcare 6075 Winchester #136, Memphis, TN 38115 Phone: 901-410-5350 Website: www.aviatihealth.com