Notice of Privacy Practices

Effective Date: December 16, 2024

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.

Vesica Health is required by law to maintain the privacy of your protected health information (“PHI”), to provide you with this Notice of Privacy Practices describing our legal duties and privacy practices, and to notify you in the event of a breach of unsecured PHI.

Protected health information is individually identifiable health information that is maintained or transmitted in any form.

Vesica Health is required to:

• Maintain the privacy of your PHI

• Provide you with notice of our legal duties and privacy practices

• Follow the terms of this notice currently in effect

How We May Use and Disclose Your Protected Health Information

We may use and disclose your PHI for the following purposes:

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your health care and related services. This includes sharing information with physicians, laboratories, and other healthcare providers involved in your care, including providing laboratory test results.

Payment

We may use and disclose your PHI to obtain payment for services we provide. This may include disclosures to health plans, insurance companies, or other third parties responsible for payment.

Health Care Operations

We may use and disclose your PHI for health care operations, including quality assessment and improvement activities, accreditation, training, performance evaluation, and administrative functions necessary to operate our laboratory.

Other Uses and Disclosures Permitted or Required by Law

We may use or disclose your PHI in the following circumstances, as permitted or required by applicable law:

• As required by federal, state, or local law

• For public health activities, including disease prevention, reporting, and safety monitoring

• For health oversight activities, including audits, inspections, and licensure

• To prevent or lessen a serious threat to health or safety

• For research purposes, subject to applicable approval and privacy protections

• In response to court orders, subpoenas, or other lawful processes

• For law enforcement purposes, as permitted by law

• To coroners, medical examiners, or funeral directors

• For specialized government functions, including military, national security, and correctional institution purposes

We may also use or disclose your PHI, as permitted by law, to individuals directly involved in your care or payment for your care, or to a person authorized to act on your behalf.

We may use your PHI to contact you regarding your care, including appointment reminders and service-related communications.

We may disclose PHI to business associates that perform services on our behalf. These parties are required by law and contract to safeguard your information.

Uses and Disclosures Requiring Authorization

Uses and disclosures not described in this notice will be made only with your written authorization. You may revoke your authorization at any time in writing, except to the extent that we have already relied on it.

Your Rights Regarding Your Protected Health Information

You have the following rights with respect to your PHI:

Right to Access

You have the right to inspect and obtain a copy of your PHI that is used to make decisions about your care. Requests must be submitted in writing.

Right to Amend

You have the right to request an amendment to your PHI if you believe it is incomplete or incorrect. Requests must be in writing and include a reason supporting the request.

Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures of your PHI made by Vesica Health. This request must be submitted in writing and may be limited to a specified time period in accordance with applicable law.

Right to Request Restrictions

You have the right to request restrictions on certain uses and disclosures of your PHI. We are not required to agree to all requested restrictions. If we agree, we will comply with the restriction except as required for emergency treatment or as otherwise required by law.

Right to Request Confidential Communications

You have the right to request that we communicate with you about medical matters in a particular way or at a particular location.

Right to Receive Notice of a Breach

You have the right to be notified in the event of a breach involving your unsecured PHI. Notification will be made in accordance with applicable law.

Right to a Copy of This Notice

You have the right to obtain a paper or electronic copy of this notice at any time.

Changes to This Notice

Vesica Health reserves the right to change this Notice of Privacy Practices at any time. Any changes will apply to all PHI we maintain. The current version of this notice will be made available on our website and upon request.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Vesica Health by contacting our Privacy Officer using the information below, or with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.

Contact Information

If you have questions about this notice or wish to exercise your rights, please contact:

Vesica Health
Privacy Officer
5 Mason, Suite #180
Irvine, California 92618
Email: privacy.compliance@vesicahealth.com