Effective Date: September 25, 2026

This notice describes how medical information about you may be used and disclosed, how Bliss Healthcare Solutions protects your health information, and how you can access and exercise your rights regarding that information. Please review it carefully.

Your Health Information and Your Rights

Bliss Healthcare Solutions is committed to protecting the privacy and security of your protected health information. Protected health information, or PHI, generally includes information that identifies you and relates to your health, healthcare, or payment for healthcare.

You have certain rights regarding the health information we maintain about you. Some of these rights may be subject to limitations permitted by law.

Access Your Health Information

You may request access to or a copy of your medical record and other health information we maintain about you. You may request an electronic or paper copy when available.

We will respond within the time required by applicable law. When permitted, we may charge a reasonable, cost-based fee for providing copies.

Request a Correction

If you believe information in your medical record is incorrect or incomplete, you may ask us to amend it. We may deny your request in certain circumstances permitted by law. If we deny the request, we will provide an explanation in writing.

Request Confidential Communications

You may ask us to communicate with you in a particular way or at a particular location. For example, you may ask that we contact you only at a specific phone number or send correspondence to a particular address.

We will accommodate reasonable requests as required by law.

Request Restrictions

You may ask us not to use or disclose certain health information for treatment, payment, or healthcare operations. We are generally not required to agree to every requested restriction.

If you pay in full out of pocket for a healthcare service or item, you may ask us not to disclose information about that service or item to a health plan for payment or healthcare operations purposes. We will honor such a request when required by law unless another law requires the disclosure.

Request an Accounting of Disclosures

You may request an accounting of certain disclosures of your health information made during the period permitted by law.

The accounting generally does not include disclosures made for treatment, payment, healthcare operations, disclosures you specifically authorized, or certain other disclosures excluded by law.

Receive a Copy of This Notice

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

Choose Someone to Act on Your Behalf

If you have given another person legal authority to act for you, such as through a healthcare power of attorney or legal guardianship, that person may exercise your privacy rights as permitted by law.

We may verify that person’s authority before responding to a request.

File a Privacy Complaint

If you believe your privacy rights have been violated, you may submit a complaint to Bliss Healthcare Solutions using the contact information provided at the end of this Notice.

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

Bliss Healthcare Solutions will not retaliate against you for filing a privacy complaint.

Your Choices About Your Health Information

In certain situations, you may tell us how you would like your health information to be shared.

Family Members, Friends, and Caregivers

You may tell us whether we may share relevant health information with a family member, friend, caregiver, or another person involved in your care or payment for your care.

If you are unable to communicate your preference, we may use professional judgment and applicable law to determine whether a limited disclosure is in your best interest.

Disaster Relief and Emergency Situations

We may share limited information with organizations assisting with disaster relief or emergency response when permitted by law and appropriate under the circumstances.

Marketing and Sale of Health Information

We will obtain your written authorization before using or disclosing your protected health information for marketing activities that require authorization under HIPAA.

We will not sell your protected health information without your written authorization when authorization is required by law.

Psychotherapy Notes

If Bliss Healthcare Solutions maintains psychotherapy notes that receive special protection under HIPAA, most uses and disclosures of those notes will require your written authorization unless an exception under applicable law applies.

Written Authorization

For uses and disclosures not otherwise permitted by law or described in this Notice, we will request your written authorization.

If you provide authorization, you may revoke it in writing at any time. Revocation will not affect actions already taken in reliance on your authorization.

How We May Use and Disclose Your Health Information

HIPAA allows us to use and disclose your health information for certain purposes without obtaining a separate authorization each time. The following are common examples.

Treatment

We may use your health information to provide, coordinate, and manage your healthcare.

We may share relevant information with physicians, pharmacies, laboratories, specialists, healthcare facilities, and other healthcare professionals involved in your treatment when permitted by law.

Healthcare Operations

We may use and disclose health information as necessary to operate Bliss Healthcare Solutions and support the quality of care we provide.

These activities may include care coordination, quality assessment, administrative activities, compliance activities, professional review, staff training, record management, and other operations permitted by law.

Payment

We may use and disclose health information as necessary to obtain and process payment for healthcare services.

Bliss Healthcare Solutions currently provides services on a self-pay basis. Payment-related uses and disclosures may include processing patient payments, resolving billing questions, maintaining payment records, and working with payment-processing or other service providers as permitted by law.

Business Associates

We may work with outside companies or professionals that perform services on our behalf and that may need access to protected health information.

When HIPAA requires it, these business associates must agree to appropriately safeguard protected health information and use it only as permitted by law and their agreements with Bliss Health Solutions.

Public Health and Safety

We may use or disclose health information for certain public health and safety purposes when permitted or required by law, including:

• Preventing or controlling disease, injury, or disability;
• Reporting certain diseases or health conditions;
• Reporting adverse events involving medications or medical products;
• Assisting with product recalls;
• Reporting suspected abuse, neglect, or domestic violence when permitted or required by law; and
• Preventing or reducing a serious threat to health or safety.

Health Oversight Activities

We may disclose health information to authorized government or regulatory agencies for audits, investigations, inspections, licensing activities, or other legally authorized health oversight functions.

Compliance With the Law

We may use or disclose your health information when federal, state, or local law requires or permits us to do so.

Legal Proceedings and Law Enforcement

We may disclose health information in response to certain court orders, subpoenas, administrative proceedings, law enforcement requests, or other legal processes when the requirements of applicable law have been met.

Workers’ Compensation

We may disclose health information when authorized or required by workers’ compensation laws or similar programs.

Coroners, Medical Examiners, and Funeral Directors

We may disclose health information to coroners, medical examiners, or funeral directors when permitted or required by law.

Organ and Tissue Donation

When applicable, we may disclose health information to organizations involved in organ, eye, or tissue donation and transplantation.

Research

Health information may be used or disclosed for research only when the requirements of applicable privacy laws have been satisfied.

Special Government Functions

We may disclose health information for certain legally authorized government functions, including military activities, national security, protective services, correctional activities, or other functions permitted by law.

Substance Use Disorder Records

Certain records relating to substance use disorder treatment may receive additional confidentiality protections under federal law, including 42 CFR Part 2.

If Bliss Healthcare Solutions creates, receives, or maintains records protected by 42 CFR Part 2, we will use and disclose those records only as permitted by applicable law.

Protected substance use disorder records generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you unless you provide the required consent or another applicable legal authorization permits the use or disclosure.

Telehealth and Secure Patient Communications

Bliss Healthcare Solutions provides healthcare through virtual and telehealth services. Health information created, received, maintained, or transmitted as part of your care is handled in accordance with applicable privacy and security requirements.

Bliss Healthcare Solutions may use secure healthcare technology providers, including AdvancedMD, for functions such as appointment scheduling, patient intake, medical records, patient forms, secure messaging, billing, and other patient-care activities.

Patients should use the secure patient portal or other communication methods designated by Bliss Healthcare Solutions when sending medical records, symptoms, medication requests, treatment questions, or other sensitive health information.

Please do not send sensitive medical information through unsecured public website forms or other communication channels that Bliss Healthcare Solutions has not designated for patient-care communications.

Our Responsibilities

Bliss Healthcare Solutions is required by law to protect the privacy and security of protected health information entrusted to us.

We are responsible for:

• Maintaining appropriate privacy and security protections for your protected health information;
• Following the privacy practices described in the current version of this Notice;
• Providing you with a copy of this Notice upon request;
• Notifying affected individuals when required by law if a breach compromises the privacy or security of protected health information; and
• Using or disclosing protected health information only as permitted by law, described in this Notice, or authorized by you in writing.

State Privacy Protections

Bliss Healthcare Solutions provides care to eligible patients in Georgia, Maryland, New Mexico, Iowa, and Washington State.

Some state laws provide privacy protections that are more restrictive than federal HIPAA requirements, particularly for certain categories of health information. When a state or other applicable law imposes a stricter privacy requirement, Bliss Healthcare Solutions will comply with that requirement.

Changes to This Notice

Bliss Healthcare Solutions may revise this Notice and its privacy practices as permitted by law.

A revised Notice may apply to health information we already maintain as well as information we receive in the future. The current version will be made available on our website and upon request.

Questions, Requests, or Complaints

If you have questions about this Notice, wish to exercise a privacy right, or would like to file a privacy complaint, please contact:

Privacy Officer
Bliss Healthcare Solutions LLC
Hasset Sandler
Phone: (404) 490-2258
Email: hasset@blisshealthsolutions.com
Mailing Address: Atlanta, GA 30319

You may also submit a complaint to the U.S. Department of Health and Human Services Office for Civil Rights.

U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775

Bliss Healthcare Solutions will not retaliate against you for exercising your privacy rights or filing a complaint.