Notice of Privacy Practices

Purpose

This notice explains how we use and share your health information. It also explains your rights under federal law (HIPAA).

Your Protected Health Information (PHI)

• PHI includes health records, treatment, diagnosis, test results, payment information.
• PHI is created or received by our clinicians, staff, and business partners.

How We Use and Share PHI

We may use PHI for:

• Treatment — clinical care, prescriptions, follow-ups.
• Payment — billing, claims, verification of benefits.
• Health care operations — quality review, training, audits.

We may share PHI with:

• Licensed providers in your care.
• Third-party service partners who agree to protect PHI.
• Law enforcement or regulators when required by law.

Uses and Disclosures That Require Your Written Authorization

We will obtain your permission before sharing PHI for:

• Marketing communications that involve payment to us.
• Sale of PHI.
• Uses not described in this notice.

Your Rights

You have rights with respect to your PHI:

• Access — request a copy of your records.
• Amend — request changes to your records.
• Restriction — ask for limits on uses or disclosures.
• Accounting — request a record of disclosures.
• Confidential contact — ask for alternative contact methods or locations.
• Paper copy — obtain a paper copy of this notice on request.

To exercise any right, send a written request to our Privacy Officer at the address below.

How We Protect PHI

We maintain administrative, technical, and physical safeguards to protect your health information. We limit staff access to PHI to what is necessary for their role.

Complaints

You may file a complaint if you believe your privacy rights were violated.

• Submit a complaint to our Privacy Officer at the address below.
• You may also file with the U.S. Department of Health and Human Services.

We will not retaliate against you for filing a complaint.

Contact Information

Cost Plus TRT LLC
Privacy Officer
Address: 1441 Wazee St #301 Denver, CO 80202
Phone: 720-291-8485
Email: Support@costplustrt.com