Notice of Privacy Practices (HIPAA)

Avec Moi Medical Center LLC DBA eWeight Medical Center

Effective Date: May 2021

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.

Avec Moi Medical Center LLC ("Practice," "we," "us," or "our") is dedicated to protecting your Protected Health Information (PHI) across all clinical operations.

• Virtual Care Jurisdictions: We provide telehealth and remote medical services strictly to patients located in: Arizona, Colorado, Delaware, Iowa, Maine, Maryland, Massachusetts, Montana, New Mexico, North Dakota, Pennsylvania, South Dakota, Utah, Virginia, West Virginia, and Wyoming.
• In-Person Clinic Locations: In-person consultations and medical weight loss services are provided at our physical practice locations in Virginia (Vienna) and Maryland.

Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), its implementing regulations, and applicable state privacy laws in all jurisdictions served, we are legally required to:

• Maintain the privacy, security, and confidentiality of your PHI.
• Provide you with this formal Notice detailing our legal duties and privacy practices regarding your PHI.
• Abide by the terms of this Notice currently in effect.
• Notify you promptly following a breach of your unsecured PHI.

We use and disclose your PHI for treatment, payment, and healthcare operations:

• Treatment: We use your health information to deliver medical evaluation, diagnosis, telehealth consultations, and weight management therapies. We may disclose PHI to treating clinicians, consulting specialists, laboratory service providers, and state-licensed 503A compounding pharmacies involved in compounding and fulfilling your specific prescription.
• Payment: We use and disclose your PHI to process payments, verify billing details, issue receipts, and collect payment for medical services rendered.
• Healthcare Operations: We use your PHI to conduct internal quality assessments, improve clinical protocols, maintain state medical licensing standards, facilitate audits, and ensure website/platform compliance (including regulatory and certification reviews).

• Business Associates: We partner with HIPAA-compliant third-party service providers (such as Electronic Health Record platforms, e-prescribing systems, secure video software, and payment processors). All Business Associates are bound by executed Business Associate Agreements (BAAs) requiring them to safeguard your PHI.
• As Required by Law: We may disclose your PHI when required by federal, state, or local laws, judicial proceedings, administrative orders, or lawful subpoenas.
• Public Health & Safety: We may disclose PHI to public health authorities or regulatory agencies to prevent or lessen a serious, imminent threat to your health and safety or the safety of the public.

Under HIPAA and state data protection regulations, you have the following rights regarding your medical records:

1. Right to Inspect and Copy: You have the right to inspect and obtain an electronic or paper copy of your medical and billing records contained in your Designated Record Set.
2. Right to Request Restrictions: You may ask us not to use or share certain PHI for treatment, payment, or healthcare operations. While we will consider all requests, we are not legally required to agree unless the disclosure is for payment/operations and involves a service paid entirely out-of-pocket.
3. Right to Confidential Communications: You may request that we communicate with you via specific phone numbers, alternate email addresses, or secure patient portal channels.
4. Right to Amend: If you feel your health record is incomplete or inaccurate, you may submit a written request to amend your record.
5. Right to an Accounting of Disclosures: You may request a list (accounting) of certain non-routine disclosures of your PHI made by our practice over the past six years.
6. Right to a Paper Copy: You have the right to request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

Where state laws in AZ, CO, DE, IA, ME, MD, MA, MT, NM, ND, PA, SD, UT, VA, WV, or WY provide greater privacy protections or stricter disclosure limits regarding medical or telehealth records than federal HIPAA guidelines, our practice adheres to the most stringent applicable standard.

If you believe your privacy rights have been violated, you may file a complaint directly with our practice  You will not be penalized or retaliated against for filing a complaint.

Privacy Officer Contact Information:  Jannatul Shan Hoque MSN, FNP-C

Phone: 2405405585 email: support@eweightmedical.com

Avec Moi Medical Center LLC

Attn: Privacy Officer

3720 Farragut Ave. Suite 103 Kensington, Maryland 20895

Contact Form / Patient Portal Support Available Online