Notice of
Privacy Practices.

Effective date: October 9, 2026

Who this notice applies to

This notice describes the privacy practices of Doxen Health Wellness Corp (Doxen Health), including all of our providers, staff and locations. It covers the health information we create or receive as part of your 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 records

You can ask to see or get an electronic or paper copy of your health record and other health information we have about you. Ask us how to do this. We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your health 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.

Request confidential communications

You can ask us to contact you in a specific way (for example, by home or office phone) or to send mail to a different address. We will say yes to all reasonable requests.

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 to your request, and we may say no if it would affect your care. If you pay for a service or health care item out of pocket in full, you can ask us not to share that information with your health insurer for payment or our operations. We will say yes unless a law requires us to share that information.

Get a list of those with whom we have shared information

You can ask for a list (accounting) of the times we have shared your health information for six years prior to the date you ask, who we shared it with, and why. We will include all disclosures except those about treatment, payment and health care operations, and certain other disclosures (such as any you asked us to make). We will provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one 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 have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

If you have given someone medical power of attorney or if 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.

File a complaint if you feel your rights are violated

You can complain if you feel we have violated your rights by contacting our Privacy Officer using the information at the end of this notice. You can also 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 SW, Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/complaints. 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 described 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 the choice to tell us to:

• Share information with your family, close friends or others involved in your care
• 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
• Most sharing of psychotherapy notes

We do not use your health information for fundraising.

Our uses and disclosures

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

Treat you

We can use your health information and share it with other professionals who are treating you. Example: your provider shares information with a specialist or a laboratory involved in your care.

Run our organization

We can use and share your health information to run our practice, improve your care, and contact you when necessary, for example with appointment reminders. Example: we use health information about you to manage your treatment and services.

Bill for your services

We can use and share your health information to bill and get payment from health plans or other entities. Example: we give information about you to your health insurance plan so it will pay for your services.

Business associates

We work with outside companies that help us operate, such as our electronic health record, billing and technology vendors. They may receive health information only as needed to do that work, and they are required by contract to protect it.

Health information exchange

Our electronic health record connects to secure health information exchanges and national record-sharing networks. These let us find and add relevant records to your chart and let your other providers see them when they care for you. You may have the right to opt out of having your information shared through a health information exchange. Ask us how to do this.

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.

• 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: we can use or share your information for health research when permitted by law
• Comply with the law: we will share information about you if state or federal laws require it, including with the U.S. 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 about you with organ procurement organizations
• Work with a medical examiner or funeral director: we can share health information with a coroner, 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: we can share health information about you in response to a court or administrative order, or in response to a subpoena

Information with additional protection

Some types of health information have extra protection under federal or Arizona law, such as certain information about communicable diseases including HIV, genetic testing, and mental health care. When those laws are more protective than this notice, we follow them.

If we receive records of substance use disorder treatment from a program covered by federal confidentiality rules (42 CFR Part 2), we will use and share those records only as those rules allow. Generally, these records cannot be used or shared in any civil, criminal, administrative or legislative proceeding against you without your written consent or a court order, and we will not share them for purposes other than treatment, payment and health care operations without your written consent, except as the law permits.

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, visit the U.S. Department of Health and Human Services at www.hhs.gov/hipaa.

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 our Privacy Officer

For questions about this notice, to exercise any of the rights described above, or to file a complaint, contact:

Thomas Falletta, Privacy Officer
Doxen Health Wellness Corp
3194 N. Windsong Drive
Prescott Valley, Arizona 86314
privacy@doxenhealth.com