NOTICE OF PRIVACY PRACTICES Effective September 24, 2026
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.
WHO WILL FOLLOW THIS NOTICE This notice describes the practices of NeogevityMD and will be followed by all of NeogevityMD’s workforce members who handle your medical information.
OUR PLEDGE REGARDING YOUR PROTECTED HEALTH INFORMATION
NeogevityMD understands that medical information about you and your health is personal. We are committed to protecting medical information about you. We maintain our records and conduct our treatment environment with a goal of providing the highest level of protection for your medical information, while still providing you with the highest level of medical care. This notice applies to all records of your medical care that are received or created by NeogevityMD.
Your other medical treatment providers (e.g., doctors, hospitals, home health agencies, etc.) may have different policies or notices regarding the use and disclosure of your medical information.
Your medical information, also referred to as “protected health information” (PHI), is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health and related health care services.
We are required by law to: – Make sure that medical and other information that identifies you (protected health information) is kept private. – Give you this notice of our legal duties and privacy practices with respect to protected health information about us. – Follow the terms of the notice that is currently in effect.
USES AND DISCLOSURES FOR TREATMENT, PAYMENT AND HEALTH CARE OPERATIONS
By becoming a patient at NeogevityMD, you are giving consent for NeogevityMD to use your protected health information for treatment, payment, and other health care operations (“TPO”).
Treatment: We may use and disclose protected health information about you so that NeogevityMD and its medical professionals can treat you. For example, we may use your past medical information to diagnose your present condition, or we may provide information regarding your medical condition to another doctor to whom we refer you for additional care.
Payment: We may use and disclose protected health information about you so that we may be paid for the medical treatment we provide. For example, we will submit protected health information about you to your insurance company to receive payment for services provided.
Health Care Operations: We may use and disclose protected health information about you for NeogevityMD’s health care operations — tasks we need to perform to make sure you are provided the highest quality of medical care. For example, we may use your protected health information to evaluate how we can better meet your needs, or we may provide protected health information to an auditor who reviews our books so that we can keep our license to provide medical services in the State of California.
OTHER USES AND DISCLOSURES THAT DO NOT REQUIRE YOUR ADDITIONAL AUTHORIZATION
The following uses and disclosures of your protected health information may be made without additional authorization from you. Not every use or disclosure is listed, but all uses and disclosures made by NeogevityMD are only those permitted under the law.
Appointment reminders: We may contact you as a reminder that you have an appointment. If you request that such communications be made confidentially, please contact our office; we will accommodate all reasonable requests.
Others involved in your health care: We may disclose to a family member, relative, close friend, or any other person you identify, protected health information directly relevant to that person’s involvement in your care. If you are unable to agree or object, we may disclose such information if we determine it is in your best interest based on our professional judgment. We may also disclose information to notify or assist in notifying a family member, personal representative, or other person responsible for your care of your location, general condition, or death, and to assist in disaster relief efforts.
Emergency situations: We may use or disclose your protected health information in an emergency treatment situation. Your physician will attempt to obtain your acknowledgment of this Notice as soon as reasonably practicable after treatment.
Health-related benefits or services: We may use and disclose protected health information to tell you about health-related benefits or services that may be of interest to you.
Required by law: We will use or disclose protected health information when required to do so by federal, state, or local law, limited to the relevant requirements of that law.
Communicable diseases: We may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or is otherwise at risk.
Health oversight activities: We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections.
Abuse or neglect: We may disclose your protected health information to a public health authority authorized by law to receive reports of abuse or neglect, or if we believe you have been a victim of abuse, neglect, or domestic violence, to an authorized governmental entity.
Food and Drug Administration: We may disclose protected health information to a person or company required by the FDA to report adverse events, product defects, or biologic product deviations; to track products; enable recalls; make repairs or replacements; or conduct post-market surveillance.
Workers’ compensation, law enforcement, and government requests: We may disclose protected health information for workers’ compensation claims, to law enforcement officials as authorized by law, and for special government functions.
Organ and tissue donation, medical examiners, and funeral directors: We may share health information with organ procurement organizations, coroners, medical examiners, or funeral directors as necessary.
Research: We may use or disclose your information for health research under the conditions required by law.
Lawsuits and disputes: We may disclose protected health information about you in response to a court order, administrative order, subpoena, or other lawful process, provided efforts have been made to notify you or obtain a protective order where required.
USES AND DISCLOSURES THAT REQUIRE YOUR WRITTEN AUTHORIZATION
Except as described above, we will not use or share your protected health information for any other purpose unless you give us specific written authorization. This includes: – Marketing purposes – Sale of your protected health information – Most sharing of psychotherapy notes
If you provide authorization, you may revoke it in writing at any time, except to the extent we have already relied on it.
CALIFORNIA LAW — ADDITIONAL PROTECTIONS
Because NeogevityMD operates in Los Angeles County, California, certain categories of your health information receive additional protection under the California Confidentiality of Medical Information Act (CMIA) and other state law, including information related to mental health treatment, HIV/AIDS status, and genetic testing. Where California law is more protective than HIPAA, we will follow the stricter standard and obtain your specific written authorization before disclosing these categories of information beyond what is described in this notice.
YOUR RIGHTS REGARDING YOUR PROTECTED HEALTH INFORMATION
You have the right to: Get a copy of your medical record: You may ask to see or receive an electronic or paper copy of your medical record. We will respond, usually within 30 days, and may charge a reasonable, cost-based fee.
Request a correction: You may ask us to correct information you believe is incorrect or incomplete. We may decline, but we will explain why in writing within 60 days. Request confidential communications: You may ask us to contact you in a specific way or at a different address. We will accommodate all reasonable requests.
Request restrictions: You may ask us not to use or share certain health information for treatment, payment, or operations. We are not required to agree, except that if you pay in full out-of-pocket for a service, we will honor a request not to share that information with your health insurer, unless required by law.
Get a list of disclosures: You may request an accounting of certain disclosures made in the six years prior to your request. The first accounting each year is free; additional requests within 12 months may incur a reasonable fee.
Get a paper copy of this notice: You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
Choose a personal representative: If someone has legal authority to act on your behalf (such as a medical power of attorney or legal guardianship), that person may exercise these rights for you.
File a complaint: If you believe your privacy rights have been violated, you may file a complaint with our office using the contact information below, or with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue, S.W., Washington, D.C. 20201, by calling 1-877-696-6775, or online at www.hhs.gov/hipaa/filing-a-complaint/index.html. We will not retaliate against you in any way for filing a complaint.
OUR RESPONSIBILITIES – We are required by law to maintain the privacy and security of your protected health information. – We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information. – We must follow the duties and privacy practices described in this notice and provide you with a copy of it. – We will not use or share your information other than as described in this notice unless you authorize us to do so in writing, and you may revoke that authorization in writing at any time.
CHANGES TO THIS NOTICE We reserve the right to change the terms of this notice. Any revised notice will apply to all protected health information we maintain and will be made available upon request, at our office, and on our website.
CONTACT INFORMATION If you have questions, concerns, or wish to exercise any of the rights described in this notice, please contact: Dr. Dimitra Papaspyridi, Privacy Officer NeogevityMD 1444 Aviation Boulevard, Suite 101, Redondo Beach, CA 90278 Phone: (213) 698-7788 Email: office@neogevitymd.com
End of Notice of Privacy Practices
