Notice of Privacy Practices

Frontline Wellness 1630 W Prosper Trail, Suite 210, Prosper, TX 75078 Phone: (469) 739-1714

Effective date: October 12, 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.

Frontline Wellness is an outpatient clinic that serves adults (18 and older). Our care is led by a nurse practitioner. In this notice, "we," "us," and "our" mean Frontline Wellness and our care team. "Health information" means information that identifies you and relates to your past, present, or future physical or mental health, the care you receive, or payment for that care.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get a copy of your health and billing records - You can ask to see or get a copy of your health and billing records and other health information we have about you, on paper or electronically. Ask us how to do this. - We will provide a copy or a summary, usually within 30 days of your request. If we keep your records electronically and you ask for an electronic copy, Texas law requires us to provide it within 15 business days. We may charge a reasonable, cost-based fee. - In limited cases we may deny your request. If we do, we will tell you why in writing, and in some cases you can ask for the denial to be reviewed.

Ask us to correct your health and billing records - You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this. - We may say "no" to your request, but we will tell you why in writing within 60 days. If we say no, you can send us a statement of disagreement to add to your record.

Request confidential communications - You can ask us to contact you in a specific way (for example, by cell phone instead of home phone) or to send mail to a different address. - We will say "yes" to all reasonable requests. You do not have to tell us why.

Ask us to limit what we use or share - You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree, and we may say "no" if it would affect your care. If we agree, we will follow the restriction except in an emergency. - If you pay for a service or health care item out of pocket in full, you can ask us not to share information about it with your health insurer for payment or operations. We will say "yes" unless a law requires us to share it.

Get a list of those with whom we've shared information - You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why. - The list will include all disclosures except those for treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We will provide one list a year for free but may charge a reasonable, cost-based fee if you ask for another within 12 months.

Get a copy of this privacy notice - You can ask for a paper copy of this notice at any time, even if you agreed to receive it electronically. We will give it to you promptly. This notice is also posted on our website at www.frontlinewellnesstx.com/notice-of-privacy-practices.

Choose someone to act for you - If you have given someone medical power of attorney, or someone is your legal guardian, that person can exercise your rights and make choices about your health information. - We will make sure the person has this authority and can act for you before we take any action.

Get notified of a breach - You have the right to be notified if there is a breach of your unsecured health information.

File a complaint if you feel your rights are violated - You can complain to us by contacting our Privacy Officer (see "Contact Us" below). - You can file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. - You may also file a complaint with the Texas Attorney General's Consumer Protection Division at www.texasattorneygeneral.gov. - We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to: - share information with your family, close friends, or others involved in your care or in paying for your care; and - share information in a disaster relief situation.

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases, we never share your information unless you give us written permission: - marketing purposes; - sale of your information; and - most sharing of psychotherapy notes.

Our Uses and Disclosures

How do we typically use or share your health information?

Treat you. We can use your health information and share it with other professionals who are treating you. Example: Your provider orders lab work from a laboratory, sends a prescription to a pharmacy, or shares information with a specialist you are referred to.

Run our organization. We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: We use your health information to manage your treatment and services, send appointment reminders, and review the quality of our care.

Bill for your services. We can use and share your health information to bill and get payment from you or others responsible for payment, including health plans if applicable. Example: We give information about you to a payment processor so your payment can be completed.

Business associates. We work with outside companies that help us provide and manage care, such as labs, pharmacies, and our electronic records, scheduling, payment, and delivery systems. These companies must sign a written agreement to protect your information.

Health-related services. We may use your information to tell you about treatment options or other health-related products and services that may interest you. You can ask us to stop sending these messages.

How else can we use or share your health information?

We are allowed or required to share your information in other ways, usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information, see www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

• Help with public health and safety issues: preventing disease; helping with product recalls; reporting adverse reactions to medications; reporting suspected abuse, neglect, or domestic violence; and preventing or reducing a serious threat to anyone's health or safety.
• Do research: under conditions set by law, such as approval by a review board that protects your privacy.
• Comply with the law: we will share information if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we are complying with federal privacy law.
• Respond to organ and tissue donation requests: we can share health information with organ procurement organizations.
• Work with a medical examiner or funeral director: when an individual dies.
• Address workers' compensation, law enforcement, and other government requests: for workers' compensation claims; for law enforcement purposes or with a law enforcement official; with health oversight agencies for activities authorized by law; and for special government functions such as military, national security, and presidential protective services.
• Respond to lawsuits and legal actions: in response to a court or administrative order, or in response to a subpoena.
• Inmates: if you are an inmate of a correctional institution or in the custody of law enforcement, as allowed by law.

Genetic information. We will not use or share genetic information for health insurance underwriting purposes, which federal law prohibits.

Other uses require your written permission. Uses and disclosures not described in this notice will be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.

Electronic Disclosure of Your Health Information (Texas Law)

Texas law requires us to tell you that your health information may be shared electronically. We keep your records in an electronic health record system and may electronically share your information, for example, with laboratories, pharmacies, other health care providers, and payment processors, for treatment, payment, health care operations, and as otherwise allowed or required by law.

Except for those purposes, or as otherwise authorized or required by law, we will not electronically disclose your health information to anyone without your authorization. We protect your information as required by the Texas Medical Records Privacy Act (Texas Health and Safety Code, Chapter 181), and we will never sell your health information. Where state law gives you more protection than federal law, we follow the stricter law.

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know 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 give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information, see www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

Contact Us

If you have questions about this notice, want to exercise any of your rights, or want to file a complaint with us, contact our Privacy Officer:

Nicole Grasso Rehman, NP, Privacy Officer Frontline Wellness 1630 W Prosper Trail, Suite 210, Prosper, TX 75078 Phone: (469) 739-1714 Email: nicole@frontlinewellnesstx.com

Please do not send detailed health information by regular email.