HIPAA Notice of Privacy Practices

Effective Date: 6-3-2026

Our Commitment to Your Privacy

Weigh To Go (“Company,” “we,” “our,” or “us”) is committed to protecting the privacy and security of your Protected Health Information (“PHI”). This Notice describes how medical and health information about you may be used and disclosed and how you can access this information. Please review it carefully.

What Is Protected Health Information (PHI)?

Protected Health Information includes information that identifies you and relates to:

• Your past, present, or future physical or mental health condition;
• Healthcare services provided to you; or
• Payment for healthcare services.

How We May Use and Disclose Your Information

We may use and disclose your PHI without your written authorization for the following purposes:

Treatment

We may use and disclose your PHI to coordinate or manage your healthcare services, including communications with healthcare providers involved in your care.

Payment

We may use and disclose your PHI to obtain payment for healthcare services, verify insurance coverage, process claims, and conduct billing activities.

Healthcare Operations

We may use and disclose your PHI for business operations, including quality improvement, compliance monitoring, accreditation, and customer service activities.

Appointment Reminders and Communications

We may contact you regarding appointments, wellness programs, treatment options, health-related benefits, and services that may be of interest to you.

Required by Law

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

Public Health Activities

We may disclose PHI for public health purposes such as preventing disease, reporting adverse events, or responding to public health emergencies.

Health Oversight Activities

We may disclose PHI to government agencies authorized to oversee healthcare systems, audits, investigations, inspections, and licensure activities.

Law Enforcement

We may disclose PHI to law enforcement officials when permitted or required by law.

Serious Threat to Health or Safety

We may disclose PHI when necessary to prevent or lessen a serious threat to your health or safety or the health or safety of others.

USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION

Except as described in this Notice, we will obtain your written authorization before using or disclosing your PHI. You may revoke your authorization at any time in writing, except to the extent action has already been taken based on your authorization.

Examples include:

• Marketing communications not otherwise permitted by HIPAA;
• Sale of PHI;
• Certain uses and disclosures of psychotherapy notes.

YOUR RIGHTS

You have the following rights regarding your PHI:

Right to Access

You may request a copy of your health records and other information maintained by Weigh To Go.

Right to Amend

You may request corrections to your PHI if you believe information is inaccurate or incomplete.

Right to Request Restrictions

You may request restrictions on certain uses or disclosures of your PHI.

Right to Confidential Communications

You may request that we communicate with you through alternative means or at alternative locations.

Right to an Accounting of Disclosures

You may request a list of certain disclosures of your PHI made by Weigh To Go.

Right to a Paper Copy

You may obtain a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

OUR RESPONSIBILITIES

Weigh To Go is required by law to:

• Maintain the privacy and security of your PHI;
• Provide you with this Notice of Privacy Practices;
• Notify you following a breach of unsecured PHI when required by law;
• Abide by the terms of the Notice currently in effect.

ELECTRONIC COMMUNICATIONS

If you communicate with us through email, text message, mobile applications, telehealth platforms, or our website, we will take reasonable measures to protect your information. However, no electronic communication system can be guaranteed to be completely secure.

BUSINESS ASSOCIATES

We may share PHI with third-party service providers that perform functions on our behalf. These providers are required by law and contract to safeguard your PHI and comply with applicable HIPAA requirements.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice at any time. Any revised Notice will apply to all PHI maintained by Weigh To Go and will be made available upon request and through our website.

QUESTIONS OR COMPLAINTS

If you believe your privacy rights have been violated or if you have questions regarding this Notice, please contact:

Privacy Officer

Weigh To Go
6714 Central Avenue Pike
Suite F
865-219-8650
Mark@weighttogoweightloss.com

You may also file a complaint with the:

U.S. Department of Health and Human Services, Office for Civil Rights

You will not be retaliated against for filing a complaint.

ACKNOWLEDGMENT

By receiving services from Weigh To Go, you acknowledge that you have been provided access to this Notice of Privacy Practices.