Effective Date: March 2, 2026

This Notice of Privacy Practices describes how Boca Revive (“we,” “our,” or “us”) may use and disclose your protected health information (PHI), as well as your rights regarding that information. Protected health information includes medical information, personal identifiers, and other information related to your healthcare services.

We are committed to protecting your health information in accordance with applicable privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA) and other relevant regulations. Please review this notice carefully.

Our Responsibilities

We are required by law to:

• Maintain the privacy and security of your protected health information (PHI)
• Provide you with this Notice of Privacy Practices describing our legal duties and privacy practices
• Follow the terms of this notice currently in effect
• Notify you if a breach occurs that may compromise the privacy or security of your health information

We reserve the right to update this notice and make the updated terms applicable to all information we maintain.

How We Use and Disclose Your Health Information

We may use and disclose your health information for the following purposes without requiring additional authorization.

Treatment

We may use or share your health information to provide, coordinate, or manage your healthcare services.

Examples include:

• Communicating with other healthcare providers involved in your care
• Referring you to specialists or diagnostic services
• Reviewing test results to coordinate treatment

Payment

We may use or disclose your health information to bill and collect payment for healthcare services.

Examples include:

• Submitting claims to insurance companies
• Verifying insurance coverage
• Processing billing and payment for services rendered

Healthcare Operations

We may use and share health information to support healthcare operations and improve the quality of care.

Examples include:

• Quality assessment and improvement activities
• Staff training and credentialing
• Internal auditing and compliance monitoring
• Business management and administrative activities

Additional Uses and Disclosures Permitted by Law

We may disclose health information when permitted or required by law, including:

Public Health Activities

We may disclose health information to public health authorities for purposes such as:

• preventing or controlling disease
• reporting injuries or adverse events
• monitoring public health risks

Health Oversight Activities

We may disclose information to government agencies responsible for:

• healthcare system oversight
• licensing or regulatory compliance
• healthcare fraud investigations

Legal and Law Enforcement Purposes

Health information may be disclosed in response to:

• court orders
• subpoenas
• legal proceedings
• law enforcement requests permitted by law

Serious Threat to Health or Safety

We may disclose health information when necessary to prevent or reduce a serious threat to the health or safety of a patient or the public.

Business Associates

We may share health information with third-party service providers who assist with healthcare operations. These providers are known as Business Associates and are required to protect your information through contractual agreements.

Examples may include:

• billing services
• electronic health record providers
• secure communication platforms
• healthcare technology vendors

Uses and Disclosures Requiring Authorization

Certain uses of your health information require your written authorization.

These may include:

• marketing communications that promote third-party products or services
• certain research activities
• disclosure of psychotherapy notes (if applicable)

You may revoke an authorization at any time in writing, except where information has already been used or disclosed.

Appointment Reminders and Communications

We may contact you regarding:

• appointment reminders
• treatment follow-ups
• healthcare-related services or benefits

Communication methods may include:

• phone calls
• emails
• text messages

Standard messaging or data rates may apply depending on your mobile provider.

Your Rights Regarding Your Health Information

You have important rights regarding your health information.

Right to Access

You may request access to copies of your medical records and health information maintained by our practice.

Right to Request Corrections

If you believe information in your medical record is incorrect or incomplete, you may request a correction.

We may deny requests in certain circumstances but will provide an explanation if that occurs.

Right to Request Restrictions

You may request restrictions on how your health information is used or disclosed.

While we will consider all requests, we may not be able to agree to all restrictions.

Right to Request Confidential Communications

You may request that we communicate with you using alternative methods or locations.

Examples include:

• contacting you at a different phone number
• sending mail to a different address

Right to Receive an Accounting of Disclosures

You may request a list of certain disclosures of your health information made during a specified time period.

Right to Receive a Copy of This Notice

You have the right to receive a paper or electronic copy of this Notice of Privacy Practices at any time.

Safeguarding Your Health Information

We implement administrative, technical, and physical safeguards designed to protect health information from unauthorized access, misuse, or disclosure.

Security measures may include:

• secure electronic health record systems
• encrypted communications where appropriate
• controlled access to medical records
• internal privacy training and monitoring

While we strive to maintain strong security protections, no system can guarantee absolute protection from all potential risks.

Breach Notification

If a breach occurs that compromises the privacy or security of your protected health information, we will notify affected individuals as required by applicable law.

Changes to This Notice

We may revise this Notice of Privacy Practices periodically. Updated versions will be posted on our website and available upon request.

The revised notice will apply to all health information we maintain.

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.

Contact Information

If you have questions about this Notice of Privacy Practices or your privacy rights, please contact:

Boca Revive
7815 NW Beacon Square Blvd, Suite 301
Boca Raton, FL 33487
Email: bocarevive@gmail.com
Phone: 561-455-4650

Final Note

Protecting patient privacy is an important part of delivering safe and responsible healthcare. We are committed to handling health information in accordance with applicable laws, ethical standards, and professional responsibilities.