HIPAA Notice of Privacy Practices

Effective Date: January 19, 2025

Last Updated: January 19, 2026

This Notice of Privacy Practices 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 Duty

Axiom Healthspan is required by law to maintain the privacy of your protected health information (PHI), provide you with this Notice of Privacy Practices, and follow the terms described in this Notice.

2. Uses and Disclosures of Protected Health Information

We may use and disclose your protected health information for the following purposes:

Treatment, including providing medical care, telehealth services, consultations, care coordination, and communication with pharmacies or laboratories

Payment, including billing, payment processing, and insurance related activities

Healthcare operations, including quality assessment, internal audits, training, compliance, and administrative activities

Legal and regulatory requirements, including disclosures required by law, public health reporting, and law enforcement requests

Health and safety, to prevent or reduce a serious threat to health or safety

Authorization, for any other purpose with your written consent

3. Telehealth Communications

Your protected health information may be transmitted electronically during telehealth visits. While reasonable safeguards are used to protect your information, electronic communications may involve inherent risks.

4. Your Rights

You have the right to:

Inspect and obtain a copy of your medical records

Request corrections or amendments to your medical records

Request restrictions on certain uses or disclosures

Request confidential communications

Receive an accounting of certain disclosures

File a complaint if you believe your privacy rights have been violated

5. Complaints

You may file a complaint with Axiom Healthspan or with the U.S. Department of Health and Human Services. Filing a complaint will not result in retaliation.

6. Privacy Officer Contact Information

Email Address: [email protected]

Phone Number: (484) 393-1588

Address: 21 Gay Street, Suite 902, Phoenixville, PA 19460

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