HIPPA NPP

NOTICE OF PRIVACY PRACTICES

VIRGIL HEALTH LLC

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 01, 2025

Virgil Health LLC (“Virgil Health,” “we,” “us,” or “our”) is required by law to maintain the privacy of your protected health information (“PHI”), to provide you with this Notice of Privacy Practices, and to follow the terms of this Notice.

We are also required to notify you without unreasonable delay if a breach occurs that may have compromised the privacy or security of your PHI.

1. Our Duties

Maintain the privacy and security of your PHI as required by HIPAA.
Provide you with this Notice of our legal duties and privacy practices.
Abide by the terms of this Notice currently in effect.
Notify you in the event of a breach of your unsecured PHI.
Reserve the right to change the terms of this Notice and make the new Notice effective for all PHI we maintain.

2. How We May Use and Disclose PHI Without Your Authorization

We may use and disclose your PHI for the following purposes without your written authorization, as permitted or required by law:

Treatment: To provide, coordinate, or manage your care, including delivering services via our telehealth platform, and sharing information with other health care providers involved in your care (for example, your referring or primary care clinician).
Payment: To bill and obtain reimbursement for services (e.g., sharing with your health plan).
Health Care Operations: For our administrative, legal, and quality improvement purposes (e.g., internal audits, compliance programs).
Business Associates: We may disclose PHI to contractors and service providers that perform functions on our behalf, for example, our electronic health records and telehealth platform (Healthie), subject to written agreements requiring them to safeguard PHI as our business associates.
To people involved in your care or payment and for disaster relief: We may share PHI with a family member, other relative, close personal friend, or another person you identify who is involved in your care or payment for your care, and with disaster relief organizations, unless you object or we determine it is not in your best interest.

We may also disclose PHI:

For public health activities (reporting diseases, adverse events).
To report abuse, neglect, or domestic violence.
For health oversight activities (audits, inspections, licensure).
In judicial and administrative proceedings (court orders, subpoenas).
For law enforcement purposes.
To avert a serious threat to health or safety.
For specialized government functions (military, national security).
For workers’ compensation claims.

3. Uses and Disclosures Requiring Your Written Authorization

We will not use or disclose your PHI without your written authorization except as described in this Notice. Written authorization is specifically required for:

Most uses and disclosures of psychotherapy notes.
Uses and disclosures of PHI for marketing purposes.
Disclosures that constitute a sale of PHI.

You may revoke an authorization in writing at any time, except to the extent we have already relied on it.

4. Your Rights Regarding PHI

You have the following rights regarding your PHI:

Right of Access (45 CFR § 164.524): You may inspect or obtain a copy of your PHI. We may charge a reasonable fee for copies.
Right to Amend (45 CFR § 164.526): You may request corrections if you believe your PHI is incorrect or incomplete.
Right to an Accounting of Disclosures (45 CFR § 164.528): You may request a list of certain disclosures we have made of your PHI.
Right to Request Restrictions (45 CFR § 164.522): You may request limits on how we use or disclose your PHI for treatment, payment, or operations. We are not required to agree, except we must agree if you request that we not disclose PHI to a health plan about an item or service you paid for out-of-pocket in full.
Right to Confidential Communications (45 CFR § 164.522(b)): You may request that we communicate with you in a certain way (e.g., only by secure email).
Right to a Paper Copy: You may request a paper copy of this Notice, even if you agreed to receive it electronically.
Right to File a Complaint: You may file a complaint with us or with the U.S. Department of Health and Human Services (HHS) if you believe your privacy rights have been violated. You will not face retaliation for filing a complaint.

5. Complaints and Contact Information

If you have questions about this Notice, or if you wish to exercise your rights, contact:

Privacy Officer
Virgil Health LLC
30 N Gould St Ste R
Sheridan, WY 82801, USA
Email: info@virgilhealth.care
Phone: +1 [Insert Number]

You may also file a complaint with:

U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR)
Website: https://www.hhs.gov/hipaa/filing-a-complaint
Phone: 1-800-368-1019

By Post: 200 Independence Avenue, S.W., Washington, D.C. 20201

6. Changes to This Notice

We reserve the right to change this Notice and to make the new Notice effective for all PHI we maintain, including PHI created or received before the change. When revised, the updated Notice will be posted on our website and available upon request.

Availability in Other Formats and Languages

This Notice is available in alternative formats and languages upon request, as required by law.