HIPAA Notice of Privacy Practices

HIPAA Notice of Privacy Practices MeliOra Elite Wellness LLC Effective Date: 2/21/2026 Last Updated: 2/21/2026

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

1. OUR LEGAL DUTIES

MeliOra Elite Wellness (“MeliOra,” “we,” “us,” or “our”) is required by federal law, including the Health Insurance Portability and Accountability Act (HIPAA), to:

• Maintain the privacy of your Protected Health Information (PHI) • Provide you with this Notice of our legal duties and privacy practices • Follow the terms of this Notice currently in effect • Notify you following a breach of unsecured PHI when required by law

We are committed to protecting your medical information with the highest level of discretion and security.

2. WHAT IS PROTECTED HEALTH INFORMATION (PHI)

Protected Health Information (PHI) includes individually identifiable health information that relates to:

• Your physical or mental health condition • The provision of healthcare services • Payment for healthcare services

PHI includes information in electronic, written, and oral form.

3. HOW WE MAY USE AND DISCLOSE YOUR PHI

We may use and disclose your PHI without written authorization for the following purposes:

A. Treatment

We may use and disclose PHI to provide, coordinate, or manage your healthcare services, including communication with other healthcare professionals involved in your care.

B. Payment

We may use PHI to:

• Bill and collect payment • Verify insurance benefits (if applicable) • Obtain payment authorizations

C. Healthcare Operations

We may use PHI for operational purposes such as:

• Quality assessment and improvement • Licensing and compliance activities • Credentialing • Training and supervision • Business management and administration

D. As Required or Permitted by Law

We may disclose PHI:

• For public health reporting • For health oversight activities • In response to court orders or lawful subpoenas • For law enforcement purposes (as permitted by law) • To prevent or reduce a serious threat to health or safety • For workers’ compensation purposes

4. USES AND DISCLOSURES REQUIRING WRITTEN AUTHORIZATION

We will obtain your written authorization for:

• Most marketing communications involving PHI • Any sale of PHI • Uses and disclosures not described in this Notice

You may revoke your authorization at any time in writing, except to the extent we have already relied on it.

5. ELECTRONIC COMMUNICATIONS

We may communicate with you electronically, including via:

• Email • Text message (SMS) • Patient portals • Telehealth platforms

While we use reasonable safeguards, electronic communications may involve some privacy risk. By providing contact information and engaging in electronic communication, you acknowledge and accept those risks.

You may request alternative communication methods at any time.

6. TELEHEALTH SERVICES

If you participate in telehealth services:

• Sessions are conducted through secure platforms • Sessions are not recorded unless explicitly authorized • Documentation is maintained in your medical record • You are responsible for ensuring privacy in your physical location

Separate informed consent may be required.

7. BUSINESS ASSOCIATES

We may share PHI with trusted third-party service providers who assist in:

• Practice management • Secure telehealth services • Payment processing • Cloud storage • IT and cybersecurity

Where required by law, these providers are bound by Business Associate Agreements (BAAs) requiring them

to safeguard PHI.

8. YOUR RIGHTS REGARDING YOUR PHI

You have the right to:

A. Access Your Records

Request a copy of your medical record in electronic or paper format.

B. Request an Amendment

Request corrections to your medical record if you believe information is inaccurate or incomplete.

C. Request Confidential Communications

Request that we contact you at a specific phone number, address, or email.

D. Request Restrictions

Request limits on how we use or disclose your PHI. We are not required to agree to all requests but will comply where legally required.

E. Request an Accounting of Disclosures

Receive a list of certain disclosures made outside of treatment, payment, and operations.

F. Obtain a Copy of This Notice

You may request a paper or electronic copy at any time.

G. File a Complaint

If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.

9. BREACH NOTIFICATION

In the event of a breach of unsecured PHI, we will notify affected individuals in accordance with HIPAA and applicable state law.

10. COMPLAINTS

If you have questions or concerns about this Notice or your privacy rights, please contact:

MeliOra Elite Wellness Privacy Officer: Dr. Espinet Email: mespinet@melioraelitewellness.com Phone: 813-726-5808 Mail: PO Box, Tampa, FL

You may also file a complaint with:

U.S. Department of Health & Human Services Office for Civil Rights https://www.hhs.gov/hipaa/index.html

We will not retaliate against you for filing a complaint.

11. CHANGES TO THIS NOTICE

We reserve the right to revise this Notice. Any revised Notice will apply to all PHI we maintain and will be posted on our website with an updated effective date.

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