This notice describes how medical information about you may be used and disclosed and how you can get  access to this information. PLEASE REVIEW CAREFULLY. 

This Notice is effective February 16, 2026, and replaces all earlier versions. 

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1) Our organization is committed to protecting health information about you. We create a record of the  health care and service you receive at The UltraWellness Center for use in your care and treatment. We need  this record to provide you with quality care and to comply with certain legal requirements.

This notice applies to all the records of your care relating to services provided in the hospitals, outpatient  and ambulatory care centers and other facilities that comprise The UltraWellness Center as well as the  physicians and other health care professionals who provide services within those entities. If your personal  health care provider (provider) is not an employee of The UltraWellness Center, then your provider may  have different policies or Notices regarding how information maintained by the provider’s office or clinic is  used or disclosed about you. 

We are required by law to: 

• Make sure that your health information is protected; 
• Give you this Notice describing our legal duties to protect your privacy; 
• Follow the terms of the Notice that is currently in effect; and 
• Notify you in the event of a breach of your unsecured protected health information (PHI) as required by  law.

You have a right to receive a copy of and discuss this Notice with our Privacy Office at the number or address  listed at the end of this Notice.

2) HOW WE MAY USE AND DISCLOSE PROTECTED HEALTH INFORMATION ABOUT YOU 

The following sections describe ways that an entity may use and disclose your protected health information.  For each category of uses or disclosures, we will describe them and give some examples. Some information,  such as genetic information, certain drug and alcohol information, HIV information and mental health  information may be entitled to special restrictions by state and federal laws. We abide by all applicable state 

and federal laws related to the protection of this information. Not every use or disclosure will be listed; however,  all the ways we are permitted to use and disclose information will fall within one of the following categories.  

A. For Treatment: We may use protected health information about you to provide you with treatment or  services. We may disclose your health information with other professionals involved in your care, agencies, or  facilities not affiliated with The UltraWellness Center to provide or coordinate the different things you need,  such as prescriptions, lab work, and X-rays. We may disclose this information with people who are involved in  taking care of you. We may contact you to provide appointment reminders, obtain patient registration information, information about treatment alternatives or other health-related benefits and services that may  be of interest to you or to follow up on your care. 

B. For Payment: We may use and disclose your protected health information for billing and payment activities  of The UltraWellness Center and others involved in your care, such as a laboratory company. For example, we  may use and disclose information so that The UltraWellness Center or others involved in your care can obtain  payment from you. 

C. For Healthcare Operations: We may use and disclose your health information for our health care operations,  which are various activities necessary to run our business, provide quality health care services and contact you  when necessary. We may disclose your protected health information to medical or nursing students and other  trainees for review and learning purposes 

D. Business Associates and Service Providers: We may disclose your protected health information with third  parties referred to as “Business Associates”. Business Associates provide various services to or for The  UltraWellness Center. Examples include billing services, transcription services and legal services. We ensure  that all Business Associates and service providers, regardless of their location, are obligated to protect your PHI  in accordance with U.S. and international laws, including the Health Insurance Portability and Accountability Act  (HIPAA). These measures include implementing appropriate safeguards to protect the privacy and security of  your information. 

E. Required by Law: We will disclose protected health information about you when required to do so by federal,  state, and/or local law. This includes, however, is not limited to, disclosures to mandated patient registries,  including reporting adverse events with medical devices, food, or prescriptions drugs to the Food and Drug  Administration. We may also disclose protected health information to health oversight agencies for activities  authorized by law. This includes but is not limited to the U.S. Department of Health and Human Services,  accrediting agencies, auditors, and public health activities when preventing disease, helping with product recalls  and reporting adverse reactions to medications, reporting suspected abuse, neglect, or domestic violence. We  may also disclose health information for law enforcement purposes as required by law or in response to a valid  subpoena, summons, court order or similar purpose.  

F. Research: We may use and disclose your protected health information for certain research purposes in  compliance with the requirements of applicable. federal and state laws. All research projects, however, are  subject to a special approval process, which establishes protocols to ensure that your protected health information will continue to be protected, when required, we will obtain a written authorization from you prior  to using or disclosing your protected health information for research. 

G. Substance Use Disorder (SUD) Treatment Information: If we receive or maintain any information about you  form a SUD treatment program that is covered by 42 CFR Part 2 (a “Part 2 Program”) through a general written  consent you provide to the Part 2 Program to use and disclose the SUD record for purposes of treatment,  payment or health care operations, we may use and disclose your SUD records for treatment, payment or health 

care operations as described in this Notice. If we receive or maintain your SUD record through specific consent  you provide us or another third party, we will use and disclose your SUD record only as expressly permitted by  you in your written consent as provided to us.  

In no event will we use or disclose your SUD record, or testimony that describes the information contained in  your SUD record, in any civil, criminal, administrative or legislative proceedings by any Federal, State or local  authority against you, unless authorized by your consent or court order (after you are notified of the court  order). 

H. Individuals Involved in Your Care or Payment for your care: Unless you tell us not to, we will disclose your  health information with anyone involved in your health care, such as a friend, family member or any individual  you identify. If you are unable to agree or object, for example, if you are not present or are unconscious, we  may disclose protected health information as necessary if we determine that it is in your best interest based on  our professional judgment. Additionally, we may disclose information about you to your legal representative. 

I. Legal Proceedings, Lawsuits and Other Legal Actions: We may disclose protected health information about  you to courts, attorneys, court employees and others when we receive a court order, subpoena, discovery  request, warrant, summons or other lawful instructions. We may also disclose information about you to The  UltraWellness Center attorneys and/or attorneys working on The UltraWellness Center behalf to defend  ourselves against a lawsuit or action brought against us. We may disclose your protected health information to  the police or other law enforcement officials to report or prevent a crime as otherwise required or permitted  by law. 

J. Fundraising Activities: We may contact you to raise funds and provide information about The UltraWellness  Center activities, including fundraising programs and events. You may request to “opt-out” of fundraising  communications if you do not wish to be contacted. Please mail your request to The UltraWellness Center, 55  Pittsfield Road, Suite 9, Lenox, MA 01240 or call 413-637-9991 to leave a message identifying yourself and  stating that you wish to opt out. 

K. We may use and disclose your protected health information in the following special situations: 

• Disaster Relief: We may use or disclose your health information with an authorized public or private  entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other  individuals involved in your health care. 

• Coroners, Funeral Directors, and Organ Donation: We may disclose health information about you with  organ procurement organizations. We may also disclose health information with a coroner, medical  examiner, or funeral director when an individual dies. 

• Workers’ Compensation and Other Government requests: We may use or disclose health information  about you for workers’ compensation claims 

• National Security and Intelligence Activities 

• Military: If you are a member of the armed forces, domestic (United States) or foreign; we may disclose protected health information about you to the military authorities as authorized or required by law. 

• Protective Services for the President of the United States and Others: We may disclose protected  health information about you to authorized federal officials for intelligence, counterintelligence, and  other national security activities as required by law.

L. Artificial Intelligence or AI: We may utilize AI technology to support operational decisions and  recommendations about your treatment or care, including but not limited to documenting care, supporting  clinical assessments, treatment recommendations, creating a care plan, and billing. AI technology may use  your information to train and improve AI technology’s functionality. AI technology partners (Business  Associates) are required to keep your information confidential. 

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3) YOU HAVE THE RIGHT TO ACCESS YOUR PROTECTED HEALTH INFORMATION BY CONTACTING THE  LOCATION WHERE YOU RECEIVED YOUR CARE OR BY CALLING THIS NUMBER AT THE END OF THIS NOTICE.  

In addition to your rights as a patient, we also ask that you respect the rights of other patients by not  discussing any information you may see or hear while receiving services in our facilities. 

YOUR RIGHTS REGARDING PROTECTED HEALTH INFORMATION ABOUT YOU.  

You have the following rights regarding protected health information we maintain about you: 

A. Right to Inspect and obtain an Electronic or Paper Copy of your Protected health Information: With certain  exceptions, you have the right to inspect and/or receive an electronic or paper copy of your protected health and billing records and other health information used by us to make decisions about your care. You may  request that we send a copy of your protected health information to a third party. To inspect and/or receive  a copy of your protected health records we request you submit a request in writing to your The  UltraWellness Center provider or the appropriate health information department. If you request a copy of  your protected health records, we may charge you a reasonable cost-based fee for the cost of providing you  with the copies. Under certain circumstances, we may deny your request to inspect or copy your records.  If we deny your request, we will explain the reasons to you and in most cases, you may have the denial  reviewed.  

B. Right to Request an Amendment: You may request that we amend health information about you that you  think is incorrect or incomplete. You may ask us to correct the information if the information is kept by or  for The UltraWellness Center in your protected health and billing records. To request an amendment, your  request must be submitted in writing to The UltraWellness Center Privacy Office and provide the reasons  for the request. If we agree to your request, we will amend your record(s) and notify you of such. In certain  circumstances, we cannot remove what was in the record(s), however we may add supplemental  information to clarify. If we deny your request for an amendment, we will provide you with a written  explanation of why we denied it and explain your rights. 

C. Right to an Accounting of Disclosures: You have a right to receive a list of certain disclosures we have made  of your protected health information in the six (6) years prior to the date of your request. To request an  accounting of disclosures, you must submit your request in writing to The UltraWellness Center Privacy  Office. You must state the time period for which you want to receive the accounting, which may not date  back more than six years from the date of your request. The first accounting you receive in a 12-month  period will be free. We may charge you for responding to additional requests in that same time period.  

D. Right to Request Restriction: You have the right to request a restriction or limitation on the protected  health information we use or disclose about you for treatment, payment or health care operations. You  alone have the right to request a limit on the protected health information we disclose about you to  

someone who is involved in your care or the payment for your care, such as a family member or friend. If  we agree to your request, we will comply with your request unless the information is needed to provide  you with emergency treatment, or we are required by law to disclose it. We are not required to agree to  your request except in the case where the disclosure is to a health plan for purposes of carrying out payment  or health care operations of the health plan, and the information pertains solely to a protected health item  or service for which you have paid out-of-pocket in full. To request a restriction, you must make your  request to The UltraWellness Center Privacy Office and tell us (1) what information you want to limit, (2)  whether you want to limit our use, disclosure, or both and (3) to whom you want the limits to apply, i.e.  disclosures to your spouse. We are allowed to end the restriction if we tell you. If we end the restriction, it  will only affect the protected health information that was created or received after we notify you. 

E. Right to a Paper Copy of This Notice: You have the right to have a paper copy of this notice at any time,  even if you have previously agreed to receive a copy of this Notice electronically. Copies of this Notice are  available at The UltraWellness Center facilities, on our website, https://www.ultrawellnesscenter.com/ or  by contacting The UltraWellness Center Privacy Office as shown below.  

F. Right to Choose Someone to Act for You: If you have given someone healthcare power of attorney or if  someone is your legal guardian, that person may exercise your rights and make choices about your health  information. We will verify that the person has this authority and can act for you before we take action or  disclose information. 

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4) Uses of Medical Information Requiring Authorization 

A. Psychotherapy Notes: We must obtain your written permission to disclose psychotherapy notes except in  certain circumstances. For example, written permission is not required for use of those notes by the  author of the notes with respect to your treatment or use or disclosure by us for training of mental health  practitioners, or to defend The UltraWellness Center in a legal action brought by you. 

B. Marketing: We must obtain your written permission to use or disclose your medical information for  marketing purposes except in certain circumstances. For example, written permission is not required for  face-to-face encounters involving marketing, or where we are providing a gift of nominal value (example: a  coffee mug), or a communication about our own services or products (example: we may send you a  postcard announcing the arrival of a new surgeon or x-ray machine). 

C. Sale of Medical Information: We must obtain your written permission to disclose your medical information in exchange for remuneration. 

D. Other Uses and Disclosures: Other uses and disclosures of your medical information not covered by the  categories included in this Notice or applicable laws, rules or regulations will be made only with your  written permission or authorization. If you provide us with such written permission, you may revoke it at  any time. We are not able to take back any uses or disclosures that we already made with your authorization. We are required to retain your medical information regarding the care and treatment that  we provide to you.

5) V. CHANGES TO THIS NOTICE: We reserve the right to change this Notice and The UltraWellness Center  privacy practices. We reserve the right to make the revised or changed Notice effective for protected health information we already have about you as well as any information we receive in the future. The new notice  will be available upon request and on our web site. This Notice will specify the effective date of this Notice.  

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6) VI. QUESTIONS/COMPLAINTS: If you believe your privacy rights have been violated, you may file a  complaint with The UltraWellness Center or with The UltraWellness Center Privacy Officer. You will not be  retaliated against for filing a complaint.