HIPAA NOTICE OF PRIVACY PRACTICES

Effective Date: January 1, 2025

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

Who Will Follow This Notice

This notice applies to Vitality Restoration Medical LLC (“we,” “us,” or “our”) and all members of our clinical and administrative team, including physicians, nurses, medical assistants, nutritionists, wellness consultants, and administrative staff who handle your medical information at our facility in Miami, Florida.

Our Pledge Regarding Your Protected Health Information (PHI)

We are committed to safeguarding your Protected Health Information (PHI)—any information that identifies you and relates to your past, present, or future physical or mental health, the provision of healthcare, or payment for healthcare services.

We maintain detailed records to provide effective wellness and medical care while ensuring your privacy. This notice explains how we may use and disclose your PHI, your rights concerning that information, and our obligations under the Health Insurance Portability and Accountability Act (HIPAA).

Uses and Disclosures for Treatment, Payment, and Healthcare Operations (TPO)

By becoming a patient at Vitality Restoration Medical LLC, you consent to our use and disclosure of your PHI for the following purposes:

1-Treatment.

We may use your PHI to design and deliver personalized treatment plans, including wellness programs, hormone therapy, or follow-up care. For example, we may share relevant information with another physician, lab, or specialist involved in your care.

2-Payment

We may disclose your PHI to insurance providers or other payers to obtain payment for services rendered, such as consultations, laboratory tests, or diagnostic procedures.

3-Healthcare Operations

We may use PHI internally for quality assessment, staff training, administrative review, or program evaluation to ensure our care meets high standards of safety and compliance.

4-Other Uses and Disclosures Allowed by Law

We may use or disclose your PHI without additional written authorization in specific cases permitted by HIPAA and other laws, including:

5-Appointment Reminders: We may contact you by SMS, email, or phone with reminders or scheduling information. You can request confidential communications in writing.

6-Care Coordination: We may share PHI with family members or caregivers directly involved in your care if, in our professional judgment, it is in your best interest.

7-Emergencies: We may use or disclose PHI to provide emergency medical treatment.

8-Health-Related Services: We may inform you about alternative treatments, health programs, or services that may benefit you.

9-Required by Law: We may disclose PHI to comply with applicable federal, state, or local laws.

10-Communicable Diseases: We may disclose PHI to prevent or control disease, injury, or disability if authorized by law.

11-Health Oversight: We may share PHI with oversight agencies for audits, inspections, or investigations.

12-Abuse or Neglect: We may report PHI to appropriate authorities if we believe you are a victim of abuse, neglect, or domestic violence.

13-FDA and Public Safety Reporting: We may disclose PHI related to product safety, defects, or recalls.

14-Legal Proceedings: We may disclose PHI in response to valid court orders or subpoenas, with efforts to notify you when required.

15-Law Enforcement: We may share PHI when legally required, such as for investigations or locating missing persons.

16-Coroners, Funeral Directors, or Organ Donation: We may disclose PHI to help identify a deceased person, determine cause of death, or facilitate organ donation.

17-Research: We may use de-identified PHI for approved medical research under privacy safeguards.

18-Public Safety: We may disclose PHI to prevent a serious threat to someone’s health or safety.

19-Workers’ Compensation: We may release PHI to comply with workers’ compensation or similar laws.

Your Rights Regarding Your PHI

You have several rights concerning your protected health information:

Inspect and Copy:
You may request to view or obtain copies of your medical and billing records. Requests must be submitted in writing. Reasonable copying fees may apply.

Request Restrictions:
You may ask us to limit how your PHI is used or shared for treatment, payment, or operations. We are not always required to agree but will comply when possible.

Confidential Communications:
You may request that we contact you through a specific method (e.g., by email or at a different address). We will honor all reasonable requests.

Amend PHI:
If you believe your records are incorrect or incomplete, you may request an amendment in writing.

Accounting of Disclosures:
You may request a list of disclosures we have made outside of treatment, payment, or operations for up to six years prior to your request.

Paper Copy of This Notice:
You may request a printed copy of this notice at any time, even if you access it electronically.

Changes to This Notice

We reserve the right to revise this notice at any time. Updated versions will apply to all existing and future PHI.
The most current version will always be available at:
👉 https://contact.vitalityrestorationmedical.com/hipaa-compliance

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or directly with the U.S. Department of Health and Human Services (HHS).
You will not face retaliation or penalties for filing a complaint.

All complaints must be submitted in writing to our Privacy Officer using the contact details below.

Other Uses of PHI

Any use or disclosure of PHI not covered in this notice or not otherwise permitted by law requires your written authorization.
You may revoke authorization at any time in writing, though prior disclosures cannot be undone.
We retain all records as required by applicable law.

Contact Us

HIPAA Privacy Officer
Authorized Representative: Daniel Krause

📧 Email: [email protected]
📞 Phone: +1 866-811-9414

🏢 Address:
Vitality Restoration Medical LLC
2915 Biscayne Blvd
Miami, FL 33137

DISCLAIMER

The information provided by Vitality Restoration Medical LLC is for educational and wellness purposes only and should not replace professional medical advice. Please consult our licensed medical team for individualized treatment recommendations.

© Copyright 2025 Vitality Restoration Medical LLC. All Rights Reserved.

Our team of experts is available to you at anytime you feel you need support.

*$198/month introductory offer is available exclusively for first-time participants.

Following your intake review, our care team will confirm your eligibility for the program.

If you are not eligible, a full refund will be promptly issued.