Notice of Privacy Practices

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.

Effective date: October 22, 2026 · Privacy contact: Alison Malizzi, Vida Avanti Medicine PLLC, info@vidavantimed.com, (928) 247-3496

Our duties. We are required by law to keep your protected health information (PHI) private, to give you this notice of our legal duties and privacy practices, to follow the notice currently in effect, and to notify you if a breach of your unsecured PHI occurs. We may change this notice; changes apply to all PHI we hold, and the current notice will be posted on our website and available on request.

How we use and share your information without your written authorization

• Treatment: with labs, our pharmacy partner, and other providers involved in your care.

• Payment: to process your payments and collect fees. We do not bill insurance.

• Health care operations: to run our practice, review quality, and train staff, and with business associates (such as our electronic health record and payment vendors) who sign agreements to protect your information.

• Appointment reminders and service information by phone, text, email, or portal.

• As required or permitted by law, including: public health activities; reporting abuse, neglect, or domestic violence; health oversight; lawsuits and legal proceedings; law enforcement; preventing a serious threat to health or safety; coroners and funeral directors; organ donation; research under legal safeguards; workers' compensation; and specialized government functions. State law may give you greater protection, and we follow it where it does.

Uses that require your written authorization. Most uses for marketing, any sale of your PHI, and any other use not described in this notice. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.

Your rights

• Get a copy of your health records, in paper or electronic form, usually within 30 days. We may charge a reasonable cost-based fee.

• Ask us to correct records you believe are incorrect or incomplete.

• Ask us to contact you in a specific way or at a specific address.

• Ask us to limit what we use or share. We are not required to agree, except that we must agree not to share information with a health plan about services you paid for in full yourself.

• Get a list of certain disclosures we made in the past 6 years.

• Get a paper copy of this notice at any time.

• Choose someone, such as a legal guardian or health care power of attorney, to act for you.

Complaints. If you believe your privacy rights were violated, contact our privacy contact above, or file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at hhs.gov/ocr. We will not retaliate against you for filing a complaint.

Every patient also receives this notice in the Patient Consent and Acknowledgment signed in our patient portal. To request a paper copy, email info@vidavantimed.com or call (928) 247-3496.