HIPAA Notice of Privacy Practices

ELee Performance PT · Miami, Florida · Effective Date: 10/21/2026

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

ELee Performance PT respects and protects your personal health information. We are required by law to:

• Maintain the privacy and security of your protected health information ("PHI").
• Give you this notice of our legal duties and privacy practices.
• Notify you if a breach of your unsecured PHI occurs.
• Follow the terms of this notice while it is in effect.

We reserve the right to change this notice and to make the new terms apply to all PHI we maintain, including information we created or received before the change. The current notice will always be available on request, at your visits, and on our website.

How We May Use and Disclose Your Information Without Your Written Permission

Treatment. We use and share your PHI to provide and coordinate your care. For example, we may share evaluation findings or progress updates with your physician, surgeon, or another provider involved in your care.

Payment. We use and share your PHI to obtain payment for services. For example, we may prepare a superbill you can submit to your insurer for out-of-network reimbursement, or process your payment for services.

Health care operations. We use your PHI to run our practice, such as quality review, training, scheduling, record keeping, and working with vendors that support us ("business associates") under written agreements that require them to protect your information.

Communications about your care. We may contact you about appointments, services, and follow-up by phone, text, or email. Tell us how you prefer to be contacted and we will honor reasonable requests.

People involved in your care. We may share relevant information with a family member or friend involved in your care or payment, if you agree or do not object, or if we reasonably believe it is in your best interest when you cannot decide for yourself.

Other uses and disclosures the law permits or requires without your authorization:

• When required by federal, state, or local law
• Public health activities, such as preventing disease or injury and reporting adverse events
• Reporting suspected abuse, neglect, or domestic violence
• Health oversight activities, such as audits and investigations by government agencies
• Judicial and administrative proceedings, such as in response to a court order or lawful subpoena
• Law enforcement purposes permitted by law
• Coroners, medical examiners, and funeral directors
• Organ and tissue donation
• Research, when approved through the process the law requires
• Preventing a serious and imminent threat to health or safety
• Workers' compensation programs, as permitted by law
• Specialized government functions, such as military and national security activities
• Disaster relief efforts

Uses and Disclosures That Require Your Written Authorization

We will get your written authorization before we:

• Use or disclose your PHI for marketing, except face-to-face communications or promotional gifts of nominal value
• Share your information with third parties outside your treatment, such as employers, teams, coaches, trainers, concierge or property managers, or other performance providers
• Make any other use or disclosure not described in this notice

You may revoke an authorization at any time by telling us in writing. Revoking it will not undo anything we already did in reliance on it.

More Protective Laws

Some information, such as certain mental health, substance use disorder, or HIV-related records, may have stronger protections under federal or Florida law. Where a law gives you greater protection than described here, we will follow it.

Your Rights

Access. You may inspect and obtain a copy of your records, including an electronic copy where we maintain them electronically. We will respond within 30 days (one 30-day extension is allowed). We may charge a reasonable, cost-based fee.

Amendment. You may ask us to correct information you believe is wrong or incomplete. We may deny the request in certain cases, and will explain why in writing.

Accounting of disclosures. You may request a list of certain disclosures we made of your PHI during the six years before your request.

Request restrictions. You may ask us to limit how we use or share your PHI. We are not required to agree, with one exception: if you pay for a service in full out of pocket and ask us not to share information about it with your health plan, we must honor that request unless the law requires otherwise.

Confidential communications. You may ask that we contact you in a particular way or at a particular place, and we will accommodate reasonable requests.

Paper copy of this notice. You may ask for a paper copy at any time, even if you agreed to receive it electronically.

Breach notification. You have the right to be notified if your unsecured PHI is involved in a breach.

Personal representative. If someone holds legal authority to act for you, such as a healthcare surrogate, that person may exercise your rights on your behalf.

To use any of these rights, contact our Privacy Officer below.

Questions and Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the federal government. We will not retaliate against you for filing a complaint.

Privacy Officer: Eric Lee, PT, DPT Phone: (916)220-7826 Email: eric@eleept.com Mailing address: 500 Brickell Ave Apt 3506, Miami, FL 33131

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 Website: https://www.hhs.gov/ocr/complaints/index.html