Fitness RX LLC — Notice of Privacy Practices

Effective Date: 05/19/2025

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.

Our Commitment to Your Privacy

At Fitness RX LLC (“we,” “us,” or “our”), we are committed to protecting the privacy of your Protected Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and related regulations. This Notice explains how we may use and share your PHI, and your rights regarding that information.

What Is Protected Health Information (PHI)?

PHI includes any health information that can identify you and that relates to:

Your past, present, or future physical or mental health condition,
The provision of healthcare to you, or
Payment for your healthcare services.

How We May Use and Disclose Your PHI

We may use or disclose your PHI without your written authorization in the following ways:

1. Treatment

We may use your PHI to provide, coordinate, or manage your healthcare services, including sharing information with:

Healthcare providers (e.g., physicians, nurse practitioners),
Third-party licensed pharmacies for prescription fulfillment.

2. Payment

We may use your PHI to bill and collect payment for the healthcare services we provide.

3. Healthcare Operations

We may use your PHI for business activities that support the delivery of healthcare services, such as:

Quality assessment,
Licensing,
Customer service,
Audits and compliance activities.

Other Uses and Disclosures Permitted or Required by Law

We may also use or disclose your PHI in the following circumstances:

When required by law (e.g., court orders, public health reporting),
To prevent a serious threat to health or safety,
For law enforcement or national security purposes,
To comply with health oversight activities (e.g., audits, investigations),
In connection with organ donation, workers’ compensation, or coroners/medical examiners.

Uses and Disclosures That Require Your Authorization

We will obtain your written authorization before:

Using your PHI for marketing purposes,
Selling your PHI,
Disclosing psychotherapy notes (if applicable),
Any other use not explicitly allowed by HIPAA.

You may revoke your authorization in writing at any time, except where we’ve already acted based on it.

Your Rights Regarding Your PHI

You have the right to:

1. Access Your PHI

Request copies of your medical records or other PHI maintained by Fitness RX. Requests must be made in writing.

2. Request an Amendment

If you believe information we have is incorrect or incomplete, you may request a correction. We may deny your request if we believe the record is accurate.

3. Receive an Accounting of Disclosures

Request a list of certain disclosures of your PHI made in the last 6 years, excluding disclosures for treatment, payment, and healthcare operations.

4. Request Restrictions

Ask us to limit how we use or disclose your PHI. We are not required to agree, except in cases involving self-paid services.

5. Request Confidential Communications

Ask us to contact you in a specific way (e.g., only via email, not phone).

6. Receive a Paper or Electronic Copy of This Notice

You may request a copy at any time.

Our Responsibilities

We are required by law to maintain the privacy of your PHI.
We must provide you with this Notice of our legal duties and privacy practices.
We must notify you if a breach occurs that may have compromised the privacy of your PHI.
We will not use or share your information other than as described in this Notice without your written authorization.

Changes to This Notice

We reserve the right to change this Notice and make the new terms effective for all PHI we maintain. The updated Notice will be posted on our website and available upon request.

Complaints and Contact Information

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.