Effective Date: May 1, 2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Our Commitment to Your Privacy
Genesis4Life, PLLC (“Genesis4Life,” “we,” “us,” or “our”) is a Professional Limited Liability Company organized under the laws of the State of North Carolina, providing functional and regenerative medicine services to patients through telemedicine. We are committed to protecting the privacy and confidentiality of your protected health information (“PHI”) in accordance with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), as amended, and the regulations promulgated thereunder, as well as applicable North Carolina state law.
This Notice describes how we may use and disclose your PHI to carry out treatment, payment, and healthcare operations, and for other purposes permitted or required by law. It also describes your rights regarding your PHI and how you can exercise them.
How We May Use and Disclose Your Protected Health Information
Genesis4Life may use and disclose your PHI in the following ways without your specific written authorization, subject to the limits set by law.
For Treatment. We may use and disclose your PHI to provide, coordinate, or manage your healthcare and any related services. This includes communication between Genesis4Life clinicians and other practitioners, laboratories, pharmacies, supplement dispensaries, peptide compounding pharmacies, and similar service providers involved in your care.
For Payment. We may use and disclose your PHI to obtain payment or process billing for the services provided to you. Because Genesis4Life operates as a direct care practice, this use is generally limited to the processing of payments you submit directly, but may also include verification of HSA or FSA eligibility when applicable.
For Healthcare Operations. We may use and disclose your PHI for activities necessary to operate Genesis4Life, including quality improvement, clinical case review, training, accreditation, credentialing, and similar internal operations.
Appointment Reminders, Educational Communications, and Newsletters. We may use your contact information to remind you of upcoming appointments, share educational resources related to your care, and provide updates about our services. You may opt out of non-essential communications at any time.
Required by Law. We will use and disclose your PHI when required to do so by federal, state, or local law, including in response to court orders, subpoenas, mandatory reporting laws, and similar legal obligations.
Public Health Activities. We may disclose your PHI to public health authorities for activities such as preventing or controlling disease, reporting adverse events related to medications or therapies, and other public health activities authorized by law.
Health Oversight Activities. We may disclose your PHI to health oversight agencies for activities authorized by law, such as audits, investigations, and licensure inspections.
Judicial and Administrative Proceedings. We may disclose your PHI in response to a court or administrative order, or in response to a subpoena or discovery request that satisfies HIPAA requirements.
Law Enforcement. We may disclose your PHI to law enforcement officials in limited circumstances permitted by law.
Coroners, Medical Examiners, and Funeral Directors. We may disclose your PHI to coroners, medical examiners, and funeral directors as authorized by law.
Avert a Serious Threat to Health or Safety. We may disclose your PHI when necessary to prevent a serious and imminent threat to your health or safety, or the health or safety of another person or the public.
Workers’ Compensation. We may disclose your PHI as authorized by, and to the extent necessary to comply with, workers’ compensation laws.
Business Associates. We may disclose your PHI to third party “business associates” who perform services on our behalf, such as our electronic health record provider, telehealth platform, secure messaging provider, lab partners, and similar vendors. Each business associate is contractually obligated to protect your PHI in accordance with HIPAA.
Uses and Disclosures That Require Your Written Authorization
Other uses and disclosures of your PHI not described in this Notice will be made only with your written authorization. Specifically, we will obtain your written authorization before, using or disclosing PHI for marketing purposes, selling your PHI, or using or disclosing psychotherapy notes (where applicable). You may revoke your authorization at any time, in writing, except to the extent that we have already taken action in reliance on it.
Your Rights Regarding Your Protected Health Information
You have the following rights regarding your PHI maintained by Genesis4Life.
Right to Inspect and Copy. You have the right to inspect and obtain a copy of your PHI maintained in our records, subject to limited exceptions. To exercise this right, please submit a written request to the contact information at the end of this Notice. We may charge a reasonable, cost-based fee for copies and postage as permitted by law.
Right to Request Amendment. You have the right to request that we amend PHI you believe to be incorrect or incomplete. To request an amendment, please submit a written request that explains the requested amendment and the reason. We may deny your request in certain circumstances permitted by law, in which case we will provide you with a written explanation.
Right to an Accounting of Disclosures. You have the right to request an accounting of certain disclosures we have made of your PHI. The accounting will not include disclosures made for treatment, payment, or healthcare operations, disclosures made to you, disclosures incidental to permitted uses, and certain other categories excluded by law.
Right to Request Restrictions. You have the right to request that we restrict certain uses and disclosures of your PHI for treatment, payment, or healthcare operations. We are not required to agree to your request, except in the case of a disclosure to a health plan for purposes of payment or healthcare operations where you have paid for the service in full out of pocket.
Right to Request Confidential Communications. You have the right to request that we communicate with you about your PHI in a specific way or at a specific location. We will accommodate reasonable requests.
Right to Be Notified of a Breach. You have the right to be notified in the event of a breach of your unsecured PHI, in accordance with HIPAA breach notification requirements.
Right to a Paper Copy of This Notice. You have the right to obtain a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
To exercise any of these rights, please contact us using the contact information at the end of this Notice.
Our Responsibilities
We are required by law to maintain the privacy of your PHI, 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 in the event of a breach of your unsecured PHI.
Changes to This Notice
We reserve the right to change this Notice and to make the revised Notice effective for all PHI we maintain, including PHI created or received before the change. The current version of this Notice will be available on the Website at all times. The Effective Date appears at the top of this Notice.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below, or with the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
To file a complaint with the federal government, you may contact:
Office for Civil Rights, U.S. Department of Health and Human Services, 200 Independence Avenue, S.W., Washington, D.C. 20201, telephone 1-800-368-1019, online at http://www.hhs.gov/ocr/privacy/hipaa/complaints/
Contact for Privacy Matters
If you have questions about this Notice, wish to exercise your rights, or wish to file a complaint with us, please contact our Privacy Officer at:
Genesis4Life, PLLC
Attn: Privacy Officer
Email: info@genesis4life.com
Website: http://www.genesis4life.com
North Carolina, United States