Notice of Privacy Practices ( HIPPA)

Root + Revive Health Co., LLC
Last Updated: December 2025
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‍This Notice of Privacy Practices (“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.
Root & Revive Health Co, LLC, a Florida limited liability company, doing business as Root + Revive Health Co (“Practice”) is required by law to maintain the privacy of your protected health information (“PHI”) and to provide you with this Notice explaining our legal duties and privacy practices.

1. Our Responsibilities

We are required by law to:Maintain the privacy and security of your PHI
Provide you with this Notice of our legal duties and privacy practices
Follow the terms of this Notice currently in effect
Notify you if a breach occurs that may have compromised your PHI

2. How We May Use and Disclose Your Health Information

a. For Treatment
We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services.
This includes sharing information with other healthcare providers involved in your care.
b. For Payment
We may use and disclose your PHI to bill for services and collect payment, including disclosures to payment processors, health plans (if applicable), and billing services.
c. For Healthcare Operations
We may use and disclose your PHI for healthcare operations, including quality assessment, care coordination, licensing, credentialing, compliance, audits, and administrative functions.

3. Other Permitted Uses and Disclosures

We may use or disclose your PHI without your authorization in certain situations, including:
As required by law
For public health activities
For health oversight activities
For law enforcement purposes
To avert a serious threat to health or safety
For workers’ compensation claims

4. Uses and Disclosures Requiring Your Written Authorization

We will obtain your written authorization before using or disclosing your PHI for:
Marketing purposes
Sale of PHI
Any purpose not otherwise permitted by HIPAA
You may revoke your authorization at any time in writing.

5. Your Rights Regarding Your Health Information

a. Get a Copy of Your Medical Records
You may request access to or a copy of your medical records.
Requests must be made in writing.
We may charge a reasonable, cost-based fee as permitted by law.
b. Request Corrections
If you believe information in your record is incorrect or incomplete, you may request an amendment.
c. Request Confidential Communications
You may request that we contact you in a specific way (e.g., only by email or at a specific phone number).
d. Request Restrictions
You may request limits on how your PHI is used or disclosed.
We are not required to agree to all requests but will comply when required by law.
e. Get a List of Disclosures
You may request an accounting of certain disclosures of your PHI.
f. Get a Paper Copy of This Notice
You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

6. Telehealth-Specific Privacy Considerations

Telehealth services may involve electronic communications, including video, audio, messaging, and electronic records. We use HIPAA-compliant platforms and safeguards; however, electronic communications may carry inherent risks.

Telehealth sessions are not recorded unless medically necessary and with your consent.

7. Data Security

We implement administrative, physical, and technical safeguards to protect your PHI, including encryption, access controls, secure portals, and workforce training. Despite these safeguards, no system can guarantee absolute security.

8. Breach Notification

If a breach of unsecured PHI occurs, we will notify you as required by HIPAA and applicable state laws.

9. Changes to This Notice

We reserve the right to change this Notice at any time. Changes will apply to all PHI we maintain. The updated Notice will be posted on our website, and the effective date will be updated.

10. Complaints

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.
You will not be retaliated against for filing a complaint.

11. Provider Privacy Notices

Root + Revive Health Co., LLC clinicians may provide a separate Notice of Privacy Practices that describes how protected health information is used and disclosed in accordance with HIPAA.This Notice applies to medical services provided by licensed clinicians and is made available to patients during onboarding and upon request.

12. Contact Information / Privacy Officer

If you have questions about this Notice, wish to exercise your rights, or want to file a complaint, contact:

‍Root + Revive Health Co., LLC
Privacy Officer
34125 US HWY 19, Suite 110
Palm Harbor, FL 34683
‍Phone: 727-312-7502
Fax: 1-727-625-1035
Email: info@rootrevivehealth.com
Website: www.rootrevivehealth.com