Disclosure of Information — Terms & Conditions

1. Purpose

This document outlines the terms and conditions under which My Vitals may collect, use, and disclose your personal health information. By consenting to this disclosure agreement, you authorize the sharing of relevant medical and personal data necessary for the provision of healthcare services.

2. Scope of Disclosure

Your personal health information may be disclosed to the following parties for the purposes stated:

• Treating Physicians: Your assigned primary physician and any specialist involved in your care will have access to your medical history, current medications, allergies, and appointment details.
• Healthcare Administrators: Authorized administrative staff may access your appointment and contact information to manage scheduling and communications.
• Insurance Providers: Your insurance provider and policy information may be shared for the purposes of billing and claims processing.
• Emergency Contacts: Your designated emergency contact may be notified in situations deemed medically necessary by the treating physician.
• Legal Authorities: Information may be disclosed when required by law, regulation, or in response to a valid court order or subpoena.

3. Information Subject to Disclosure

The following categories of information may be disclosed under this agreement:

• Personal identification details (name, date of birth, contact information).
• Medical history including allergies, medications, past conditions, and family history.
• Appointment records, including reasons for visits and physician notes.
• Insurance and billing information.
• Identification documents provided during registration.

4. Patient Rights

As a patient, you retain the right to:

• Revoke Consent: You may withdraw your consent for disclosure at any time by contacting us in writing. Withdrawal does not affect the legality of disclosures made prior to revocation.
• Request Restrictions: You may request specific restrictions on how your information is used or disclosed. We will make reasonable efforts to honor such requests.
• Access Records: You have the right to access and obtain copies of your health information held by My Vitals.
• Request Amendments: You may request corrections to any inaccurate or incomplete health information.
• Receive Accounting: You may request a list of disclosures made regarding your health information.

5. Security Measures

My Vitals implements industry-standard security measures to protect your information during storage, processing, and transmission. These include encrypted data storage, role-based access controls, secure authentication, and regular security audits.

6. Minimum Necessary Standard

We adhere to the minimum necessary standard, meaning only the minimum amount of information required to accomplish the intended purpose will be disclosed. Staff and healthcare providers are granted access only to the information relevant to their specific role.

7. Duration

This consent for disclosure remains in effect for the duration of your relationship with My Vitals, unless revoked in writing. Certain disclosures required by law may continue irrespective of consent status.

8. Changes to These Terms

My Vitals reserves the right to update these terms. Any material changes will be communicated to you through the platform or via your registered contact information. Continued use of the platform after changes constitutes acceptance of the updated terms.

9. Contact

For questions regarding this disclosure policy or to exercise your rights, please contact us at privacy@eclipse-softworks.com.