HIPAA NOTICE OF PRIVACY PRACTICES
Effective Date: August 6, 2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
CellForge Wellness (“CellForge,” “we,” “us,” or “our”) is committed to protecting the privacy and security of health information associated with healthcare services provided through CellForge.
This Notice of Privacy Practices (“Notice”) describes how Protected Health Information (“PHI”) may be used and disclosed and explains certain rights you may have regarding your health information under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and other applicable laws.
This Notice applies to healthcare services subject to HIPAA. CellForge's general website and commercial privacy practices are addressed separately in our Privacy Policy.
1. OUR RESPONSIBILITIES
When HIPAA applies to PHI maintained by or on behalf of CellForge or participating healthcare providers, we are required to:
We take the confidentiality of medical information seriously.
2. WHAT IS PROTECTED HEALTH INFORMATION?
Protected Health Information generally includes individually identifiable health information created, received, maintained, or transmitted by a HIPAA-covered healthcare provider, health plan, or healthcare clearinghouse.
Depending on the services you receive, PHI may include information concerning your:
Not every piece of information collected through CellForgeWellness.com necessarily constitutes PHI under HIPAA.
3. HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
HIPAA permits certain uses and disclosures of PHI without obtaining a separate written authorization from you.
Treatment
We may use and disclose your PHI to provide, coordinate, or manage your healthcare.
For example, your healthcare provider may review your medical history and laboratory results when evaluating your health or developing a treatment plan.
Information may also be shared with other healthcare professionals, laboratories, pharmacies, or specialists involved in your care where permitted by law.
Payment
We may use and disclose PHI as necessary to obtain or facilitate payment for healthcare services.
This may include billing, payment processing, eligibility determinations, and related financial activities.
Healthcare Operations
We may use and disclose PHI for legitimate healthcare operations, including:
4. TELEHEALTH
CellForge may facilitate certain healthcare services through telehealth.
Telehealth communications may involve medical histories, symptoms, laboratory results, treatment recommendations, prescriptions, and other health information.
We use reasonable administrative, technical, and physical safeguards designed to protect PHI transmitted or maintained through telehealth systems.
CellForge's current in-house Nurse Practitioner provides clinical services only to eligible patients physically located in New York at the time healthcare services are rendered.
Additional providers may become available in other jurisdictions in the future.
5. PHARMACIES
When a healthcare professional issues a prescription, relevant PHI may be disclosed to a pharmacy as necessary to fill the prescription, coordinate care, communicate concerning the medication, or otherwise provide pharmacy services.
Independent pharmacies are responsible for maintaining their own privacy practices and complying with applicable privacy laws.
6. LABORATORIES
PHI may be shared with laboratories when laboratory testing is ordered or coordinated as part of your healthcare.
This may include information necessary to:
Independent laboratories may maintain their own HIPAA policies and Notices of Privacy Practices.
7. BUSINESS ASSOCIATES
We may use outside companies or service providers that perform functions involving PHI on behalf of a HIPAA-covered entity.
Where required by HIPAA, appropriate Business Associate Agreements are maintained with these organizations requiring them to appropriately safeguard PHI.
Business associates may include certain technology providers, electronic health record providers, billing companies, cloud-service providers, and other organizations supporting healthcare operations.
8. OTHER USES AND DISCLOSURES PERMITTED BY LAW
We may use or disclose PHI without your written authorization when permitted or required by law.
Depending upon the circumstances, this may include disclosures:
Only the information permitted or required by applicable law will be disclosed.
9. USES REQUIRING YOUR AUTHORIZATION
Certain uses or disclosures of PHI require your written authorization.
Where required by HIPAA, CellForge will obtain authorization before using or disclosing PHI for purposes such as certain marketing activities or other uses not otherwise permitted by law.
You may generally revoke an authorization in writing, except to the extent action has already been taken in reliance upon it or as otherwise provided by law.
10. MARKETING AND HEALTH INFORMATION
CellForge maintains a distinction between clinical health information and general commercial marketing.
We will not use or disclose PHI for marketing purposes when HIPAA requires your authorization unless an applicable exception applies.
Purchasing products, visiting CellForgeWellness.com, or receiving clinical care does not automatically authorize unrestricted use of your medical information for advertising.
11. RESEARCH-USE-ONLY PRODUCTS
CellForge may separately offer products identified as For Research Use Only (“RUO”).
RUO products are not medical treatments and are not intended for human or veterinary administration.
CellForge does not use a patient's PHI to prescribe CellForge RUO products for personal administration.
The commercial sale of an RUO product does not establish a healthcare provider-patient relationship and should not be confused with clinical services provided through CellForge.
12. YOUR RIGHT TO ACCESS YOUR HEALTH INFORMATION
You generally have the right to inspect or obtain a copy of PHI maintained in a designated record set, subject to certain exceptions permitted by law.
You may request electronic or paper copies where applicable.
A reasonable, cost-based fee may be charged when permitted by law.
Requests may be submitted using the contact information below.
13. YOUR RIGHT TO REQUEST CORRECTIONS
If you believe information in your medical record is incorrect or incomplete, you may request that it be amended.
We may deny certain requests when permitted by law, but you may have the right to submit a statement of disagreement.
14. YOUR RIGHT TO REQUEST RESTRICTIONS
You may request restrictions on certain uses or disclosures of your PHI.
We are generally not required to agree to every requested restriction.
However, HIPAA requires covered providers to honor certain requests restricting disclosures to a health plan when you have paid the provider in full out-of-pocket for the healthcare item or service and other applicable requirements are satisfied.
15. YOUR RIGHT TO CONFIDENTIAL COMMUNICATIONS
You may request that we communicate with you about medical matters in a particular manner or at a particular location.
For example, you may request that communications be sent to a particular telephone number or email address.
Reasonable requests will be accommodated as required by law.
16. YOUR RIGHT TO AN ACCOUNTING OF DISCLOSURES
You may request a list of certain disclosures of your PHI made during the period permitted by law.
The accounting does not necessarily include every disclosure, such as many disclosures made for treatment, payment, or healthcare operations.
17. YOUR RIGHT TO A COPY OF THIS NOTICE
You have the right to obtain a paper or electronic copy of this Notice.
A current version may also be available on CellForgeWellness.com.
18. YOUR RIGHT TO CHOOSE SOMEONE TO ACT FOR YOU
If you have given another individual medical power of attorney or if someone is otherwise legally authorized to act on your behalf, that person may exercise applicable privacy rights for you.
We may verify the person's authority before taking action.
19. SECURITY OF HEALTH INFORMATION
We maintain administrative, technical, and physical safeguards designed to protect PHI from unauthorized access, use, alteration, loss, or disclosure.
These safeguards may include:
No electronic system can be guaranteed to be completely secure, but we take reasonable measures required by applicable law to protect PHI.
20. BREACH NOTIFICATION
If a breach of unsecured PHI occurs, affected individuals will be notified when required by applicable law.
Notifications will contain information required by applicable breach-notification requirements.
21. ELECTRONIC COMMUNICATIONS
Email, text messaging, and other electronic communications may carry privacy and security risks.
Where healthcare communications are involved, CellForge may provide or use secure communication methods.
Patients should avoid sending highly sensitive medical information through ordinary unsecured email unless specifically instructed that the method is appropriate.
22. STATE PRIVACY LAWS
Some states provide health-information privacy protections that are more stringent than federal HIPAA requirements.
When applicable state law provides greater privacy protections or additional patient rights, we will comply with those requirements.
Because CellForge's current clinical services are provided to eligible New York patients, applicable New York confidentiality and healthcare laws may also apply.
23. CHANGES TO THIS NOTICE
We reserve the right to modify this Notice and our privacy practices as permitted by law.
Changes may apply to PHI already maintained as well as information received in the future, to the extent permitted by law.
The current Notice will be available through CellForgeWellness.com and will identify its effective date.
24. QUESTIONS OR PRIVACY COMPLAINTS
If you have questions about this Notice, believe your privacy rights have been violated, or wish to exercise one of your rights, you may contact:
CellForge Wellness
Privacy Officer
Email: info@cellforgewellness.com
Telephone: 201-555-1212
Website: CellForgeWellness.com
You will not be retaliated against for filing a privacy complaint.
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
25. ACKNOWLEDGMENT
Where required, patients may be asked to acknowledge receipt of this Notice of Privacy Practices.
Acknowledgment of receipt does not mean that you waive any privacy rights.
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