Notice of Privacy Practices

Effective Date: March 7, 2026

Last Updated: March 7, 2026

This Notice of Privacy Practices (“Notice”) describes how AlviPsych-affiliated professional entities and their providers and workforce members may use and disclose your protected health information or medical information (“medical information”), and describes your rights regarding that information.

For purposes of this Notice, “we,” “us,” and “our” refer to the AlviPsych-affiliated professional entity and treating clinicians that create, receive, maintain, or transmit your medical information in connection with clinical services.

1. Our Duties

We are required by applicable law to:

• maintain the privacy of your medical information;
• provide you with this Notice of our legal duties and privacy practices;
• abide by the terms of the Notice currently in effect; and
• notify you following a breach of unsecured medical information when required by law.

2. How We May Use and Disclose Medical Information

The categories below describe the ways we commonly use and disclose medical information. In many of these situations, applicable law permits us to use or disclose medical information without first obtaining your written authorization.

3. Treatment

We may use and disclose medical information to provide, coordinate, or manage your health care and related services. For example, we may share information with clinicians, pharmacies, laboratories, facilities, or other health care professionals involved in your evaluation, treatment, or care coordination.

4. Payment

We may use and disclose medical information to bill and collect payment from you, an insurance company, or another third party for services provided to you, where applicable. This may include submitting claims, obtaining prior authorization, or responding to payer requests.

If you pay in full out of pocket for a particular item or service and request that we not disclose medical information about that item or service to your health plan for payment or health care operations, we will honor that request when required by law unless disclosure is otherwise required by law.

5. Health Care Operations

We may use and disclose medical information for our health care operations, including quality assessment, credentialing, peer review, training, auditing, legal compliance, business management, administrative activities, quality improvement, and utilization review.

6. Communications and Reminders

We may use and disclose medical information to contact you about appointments, scheduling, follow-up, care coordination, treatment alternatives, refill reminders, administrative issues, and health-related benefits or services that may be relevant to your care, to the extent permitted by law.

Communications may occur by phone, voicemail, email, text message, secure portal, app notification, mail, or other communication channels you authorize or use.

7. Business Associates and Vendors

We may disclose medical information to third parties that perform services on our behalf, such as technology, billing, legal, communications, storage, compliance, and administrative support vendors. When required by law, we require such business associates to appropriately safeguard your medical information.

8. People Involved in Your Care

We may disclose medical information to a family member, friend, caregiver, or other person involved in your care or payment for your care when permitted by law, when you agree, when you do not object after being given an opportunity to object, or when the circumstances otherwise allow the disclosure.

9. Uses and Disclosures Required or Permitted by Law

We may use or disclose medical information when required or permitted by law, including for:

• public health activities;
• health oversight activities;
• judicial and administrative proceedings;
• law enforcement purposes;
• averting a serious threat to health or safety;
• workers’ compensation and similar programs;
• military, national security, or correctional institution purposes where applicable;
• organ and tissue donation;
• coroners, medical examiners, and funeral directors; and
• other situations authorized or required by state or federal law.

10. Uses Requiring Authorization

Certain uses and disclosures require your written authorization, including most uses and disclosures of psychotherapy notes, most uses and disclosures for marketing purposes, and disclosures that constitute a sale of medical information where applicable law requires authorization.

If you authorize us to use or disclose your medical information, you may revoke that authorization in writing at any time, except to the extent we have already acted in reliance on it.

11. Your Rights

Subject to applicable law, you may have the right to:

• inspect and obtain a copy of certain medical information;
• request an amendment or correction to certain medical information;
• request restrictions on certain uses or disclosures;
• request confidential communications by alternative means or at alternative locations;
• receive an accounting of certain disclosures;
• obtain a paper or electronic copy of this Notice; and
• revoke an authorization you previously gave us, as permitted by law.

Requests to exercise your rights should be submitted using the contact information listed below.

12. Breach Notification

We will notify affected individuals following a breach of unsecured medical information when required by applicable law and will provide information required by law regarding the breach and available protective steps.

13. Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for medical information we already maintain, as well as information we receive in the future. The current version of the Notice will be made available through the Platform and will include the updated Effective Date or Last Updated date above.

14. Complaints and Contact Information

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. We will not retaliate against you for filing a complaint.

For questions about this Notice, to request access or copies, or to submit a privacy complaint, contact:
AlviPsych
Website: alvipsych.com
Email: info@alvipsych.com

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