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 employees may gather information about your medical history and your current health. This notice explains how that information may be used and shared with others. It also explains your privacy rights regarding this kind of information. The terms of this notice apply to health information created or received by Core Men’s Health and is effective as of 02/13/2026.

We are committed to protecting patient privacy. We are required by the Health Insurance Portability and Accountability Act (HIPAA) to provide you with this notice and to make sure that: your identifiable medical information is kept private; you understand our legal duties and privacy practices with respect to medical information about you; the terms of the notice that are currently in effect are followed; and you are notified in the event of a breach of any unsecured protected health information about you. You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Uses and Disclosures

We typically use or share your health information in the following ways:

• Treatment – we can use your health information and share it with other professionals who are treating you.
• Payment – we can use and share your health information to bill and get payment from health plans or other entities.
• Healthcare Operations – we can use and share your health information to run our practice, improve your care, and contact you when necessary.
• Legal Requirements – if required by law, such as reporting abuse, public health risks, workers’ compensation claims, or responding to a court order.

Other Uses and Disclosures

We are allowed or required to share your information in other ways that contribute to the public good, such as public health and research.

• Public Health and Safety – preventing disease, product recalls, or reporting adverse medication reactions.
• Support Research – use or share information for health research.
• Organ and Tissue Donation – share information with procurement organizations.
• Medical Examiner or Funeral Director – share information when an individual dies.

All other uses and disclosures require prior authorization. You have the right to receive a copy of the authorization and revoke it at any time.

Notice Regarding the Use of Technology

We may use electronic software, services, and equipment including email, video conferencing, cloud storage, electronic health records, and related technology to share Protected Health Information (PHI). While we take measures to safeguard data, rare security failures could result in a privacy breach.

Special Protections for Substance Use Disorder (SUD) Treatment Information

Certain health information related to substance use disorder diagnosis, treatment, or referral receives heightened protection under 42 CFR Part 2.

We may not disclose SUD treatment information without written consent unless:

• A specific Part 2 exception applies (medical emergency, research, mandated reporting, or court order); or
• Disclosure is permitted under both Part 2 and HIPAA.

Any consent must meet federal requirements, including description of information, recipient, purpose, and right to revoke.

Your Rights

You have certain rights regarding your health information:

• Access to Records – Request electronic or paper copies (provided within 60 days).
• Request Restrictions – Ask us not to share certain information (may be denied if it affects care).
• Confidential Communications – Request specific communication methods or addresses.
• Amend Records – Request corrections (written response within 60 days).
• Receive a Record of Disclosures – Request accounting of disclosures for six years prior.

Your Choices

You may direct us regarding:

• Sharing information with family or individuals involved in your care.
• Medical power of attorney or legal guardianship decisions.
• Sharing information in your best interest if you cannot communicate.
• Reducing serious and imminent health or safety threats.

Complaints or Questions

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer, Ali Wafford, at

731-220-7031
,
or with the U.S. Department of Health and Human Services Office for Civil Rights at

https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf
.