THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Kai Ola Hydration is committed to protecting the privacy of your health information.

This Notice describes how we may use and disclose your Protected Health Information (PHI) and your rights regarding that information.

Our Responsibilities

We are required by law to:

• Maintain the privacy and security of your health information

• Provide you with this Notice of Privacy Practices

• Follow the terms of this Notice currently in effect

• Notify affected individuals if a breach of unsecured protected health information occurs

How We May Use and Disclose Your Health Information

Treatment

We may use and disclose your health information to provide treatment and healthcare services.

Examples:

• Reviewing health history forms

• Assessing treatment eligibility

• Coordinating care with authorized healthcare providers

Payment

We may use and disclose information to obtain payment for services rendered.

Examples:

• Processing payments

• Verifying transactions

• Managing billing records

Healthcare Operations

We may use health information for business operations such as:

• Quality improvement

• Staff training

• Compliance activities

• Risk management

• Administrative functions

As Required by Law

We may disclose information when required by federal, state, or local law.

Public Health and Safety

We may disclose information for public health activities, reporting obligations, or to prevent serious threats to health or safety when legally permitted.

Uses Requiring Authorization

We will obtain your written authorization before using or disclosing your health information for purposes not otherwise permitted by law.

You may revoke an authorization at any time in writing, except where action has already been taken.

Your Rights

Right to Access

You may request access to your health records.

Right to Request Amendments

You may request corrections to inaccurate information.

Right to Request Restrictions

You may request limits on certain uses and disclosures of your information.

Right to Confidential Communications

You may request communications through alternative methods or locations.

Right to Receive a Copy of This Notice

You may request a paper or electronic copy of this Notice at any time.

Electronic Health Records

Kai Ola Hydration utilizes electronic systems, including Jane App, for scheduling, charting, patient intake, communication, and record management.

Reasonable safeguards are used to protect electronically stored health information.

Questions or Complaints

If you believe your privacy rights have been violated, you may contact:

Email: kaiolahydration@gmail.com

Phone: 808-481-3744

You may also file a complaint with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

Changes to This Notice

Kai Ola Hydration reserves the right to revise this Notice. Updated versions will be posted on our website and made available upon request.