OUTLIER ABA LLC

NOTICE OF PRIVACY PRACTICES

Notice of Privacy Practices

Effective: September 5, 2025

THIS NOTICE DESCRIBES HOW PATIENT

INFORMATION ABOUT YOU MAY BE USED AND

DISCLOSED AND HOW YOU CAN GET ACCESS TO

THIS INFORMATION. PLEASE REVIEW IT

CAREFULLY.

If you have any questions about this Notice of Privacy

Practices, please contact our HIPAA Privacy and Security

Officer, Michelle Vinay at michell@outlieraba.com.

This Notice of Privacy Practices describes how we may use

and disclose your protected health information to carry out

treatment, payment or health care operations and for other

purposes that are permitted or required by law. It also

describes your rights to access and control your protected

health information. “Protected health information” is

information about you, including demographic information,

that may identify you and that relates to your past, present or

future medical, physical or mental health or conditions and

related medical and health care services.

We are required to abide by the terms of this Notice of

Privacy Practices. We may change the terms of this

Notice at any time. Any revised Notice of Privacy

Practices would be effective for all protected health

information that we maintain at that time. Upon your

request, we will provide you with any revised Notice of

Privacy Practices by calling the office and requesting

that a revised copy be sent to you in the mail. A copy of

the current Notice of Privacy Practices will be

prominently displayed in our office at all times and

posted on our website.

1. USES AND DISCLOSURES OF PROTECTED

HEALTH INFORMATION

Uses and Disclosures of Protected Health Information

We may use or disclose your protected health information to

third parties without your written authorization for

treatment, payment or operational purposes as further

described below, and as permitted under the law.

Treatment: We will use and disclose your protected health

information to provide, coordinate or manage your health

care and any related treatment. This includes the

coordination or management of your medical care and

related care with a third party that already has obtained your

permission to have access to your protected health

information. For example, we would disclose your protected

health information, as necessary, to your primary care

physician or other providers or specialists that provide

treatment to you.

Payment: Your protected health information will be used,

as needed, to obtain payment for your health care services

(as applicable). This may include certain activities that your

health insurance plan may undertake before it approves or

pays for the health care services we provide for you,

determining your eligibility or coverage for insurance

benefits, reviewing services provided to you for necessity

and undertaking utilization review activities.

Health Care Operations: We may use or disclose, as

needed, your protected health information in order to support

the business activities of our practice. These activities

include, but are not limited to, quality assessment activities,

employee review activities, licensing, and conducting or

arranging for other business activities. For example, we may

disclose your protected health information to an insurer or

accreditation agency which performs chart audits. In

addition, we may use a sign-in sheet at the registration desk

where you will be asked to sign your name. We may use or

disclose your protected health information, as necessary, to

contact you to remind you of your scheduled appointment.

We will share your protected health information with third

party “business associates” that perform various activities

for our practice (e.g., computer consulting company, law

firm or other consultants). Whenever an arrangement

between our office and a business associate involves the use

or disclosure of your protected health information, we will

have a written contract that contains terms that will protect

the privacy of your protected health information.

We may use or disclose your protected health information,

as necessary, to provide you with information about

treatment alternatives or other health-related benefits and

services that may be of interest to you. You may contact our

HIPAA Privacy and Security Officer to request that these

materials not be sent to you.

Uses and Disclosures of Protected Health Information

Based upon Your Written Authorization

Other uses and disclosures of your protected health

information will be made only with your written

authorization, unless otherwise permitted or required by law

as described below. You may revoke your authorization at

any time, in writing, except to the extent that we have taken

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an action in reliance on the use or disclosure indicated in the

authorization.

The following uses and disclosures will be made only with

your authorization:

 Uses and disclosures for marketing purposes;

 Uses and disclosures that constitute the sale of PHI;

 Most uses and disclosures of psychotherapy notes

(if the practice maintains psychotherapy notes); and

 Other uses and disclosures not described in the

notice.

Other Permitted and Required Uses and Disclosures

That May Be Made With Your Permission or

Opportunity to Object

Others Involved in Your Health Care: Unless you object,

we may disclose to a member of your family, a relative, a

close friend or any other person you identify, your protected

health information that directly relates to that person’s

involvement in your health care. If you are unable to agree

or object to such a disclosure, we may disclose such

information as necessary if we determine that it is in your

best interest based upon our professional judgment.

Information to your family members: Unless prior

preference is expressed to our practice, a deceased patient’s

health information may be disclosed to a family or other

persons who were involved in the individual’s care or

payment for care prior to the individual’s death if such

protected health information is relevant to person’s

involvement.

Immunization Disclosure to Schools: Upon your

agreement, which may be oral or in writing, the practice may

disclose proof of immunization to a school where a state or

other law requires the school to have such information prior

to admitting the student.

Other Permitted and Required Uses and Disclosures that

may be made without your Consent or Authorization

Required by Law: We may use or disclose your protected

health information to the extent that the use or disclosure is

required by law. The use or disclosure will be made in

compliance with the law.

Public Health: We may disclose your protected health

information for public health activities to a public health

authority that is permitted by law to collect or receive the

information. The disclosure will be made for the purpose of

controlling disease, injury or disability. We also may

disclose your protected health information, if directed by the

public health authority, to a foreign government agency that

is collaborating with the public health authority.

Communicable Diseases: We may disclose your protected

health information, if authorized by law, to a person who

may have been exposed to a communicable disease or may

otherwise be at risk of contracting or spreading the disease

or condition.

Health Oversight: We may disclose your protected health

information to a governmental agency for activities

authorized by law, such as audits, investigations, and

inspections.

Abuse or Neglect: We may disclose your protected health

information to a public health authority that is authorized by

law to receive reports of abuse or neglect. In addition, we

may disclose your protected health information if we believe

that you have been a victim of abuse, neglect or domestic

violence to the governmental entity or agency authorized to

receive such information.

Product Monitoring and Recalls: We may disclose your

protected health information to a person or company

required by the Food and Drug Administration to report

adverse events, product defects or problems, and biologic

product deviations; to track products; to enable product

recalls; to make repairs or replacements, or in connection

with post-marketing surveillance, as required by law.

Legal Proceedings: We may disclose protected health

information in the course of any judicial or administrative

proceeding, in response to an order of a court or

administrative tribunal (to the extent such disclosure is

expressly authorized), in certain conditions in response to a

subpoena, discovery request or other lawful process.

Law Enforcement: We may also disclose protected health

information, so long as applicable legal requirements are

met, for law enforcement purposes. These law enforcement

purposes included (1) legal processes, (2) limited

information requests for identification and location purposes,

(3) pertaining to victims of a crime, (4) suspicion that death

has occurred as a result of criminal conduct, (5) in the event

that a crime occurs on the premises of the practice, and

(6) medical emergency (not on practice’s premises) and it is

likely that a crime has occurred.

Decedents: Health information may be disclosed to funeral

directors or coroners to enable them to carry out their lawful

duties. Protected health information does not include health

information of a person who has been deceased for more

than 50 years.

Organ/Tissue Donation: Your health information may be

used or disclosed for cadaver organ, eye or tissue donation

purposes.

Criminal Activity: We may disclose your protected health

information if we believe that the use or disclosure is

necessary to prevent or lessen a serious and imminent threat

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to the health or safety or a person or the public. We also

may disclose protected health information if it is necessary

for law enforcement authorities to identify or apprehend an

individual.

Military Activity and National Security: When the

appropriate conditions apply, we may use or disclose

protected health information of individuals who are Armed

Forces personnel for authorized military purposes, as

required by law.

Workers’ Compensation: Your protected health

information may be disclosed by us as authorized to comply

with workers’ compensation laws and other similar legally-

established programs.

Inmates: We may use or disclose your protected health

information if you are an inmate of a correctional facility

and your provider created or received your protected health

information in the course of providing care to you.

Required Uses and Disclosures: Under the law, we must

make disclosures to you and when required by the Secretary

of the Department of Health and Human Services to

investigate or determine our compliance with the

requirements of the federal privacy regulations.

2. YOUR RIGHTS

You have the right to inspect and copy your protected

health information. This means you may inspect and

obtain a copy of protected health information about you that

is contained in a patient record maintained by the practice

for as long as we maintain the protected health information.

We may charge you our standard fee for the costs of

copying, mailing or other supplies we use to fulfill your

request.

You have the right to request a restriction of your

protected health information. This means you may ask us

not to use or disclose any part of your protected health

information for the purposes of treatment, payment or health

care operations. You also may request that any part of your

protected health information not be disclosed to family

members or friends who may be involved in your care or for

notification purposes as described in this Notice of Privacy

Practices. Your request must state the specific restriction

requested and to whom you want the restriction to apply.

In most circumstances, your provider is not required to agree

to a restriction that you may request. If your provider

believes it is in your best interest to permit use and

disclosure of your protected health information, your

protected health information will not be restricted.

However, if you request us to restrict disclosures to health

plans that we would normally make as part of payment or

health care operations, we must agree to that restriction if

the protected health information relates to health care which

you have paid out of pocket in full.

If your provider does agree to the requested restriction, we

may not use or disclose your protected health information in

violation of that restriction unless it is needed to provide

emergency treatment. With this in mind, please discuss any

restriction you wish to request with your provider. You may

request a restriction using the form for requests for

restrictions on protected health information from the HIPAA

Privacy and Security Officer, or you may provide us your

request, in writing. Your request must include (a) the

information you wish restricted; (b) whether you are

requesting to limit the practice’s use, disclosure, or both; and

(c) to whom you want the limits to apply.

You have the right to electronic copies of your protected

health information when requested. Where information

is not readily producible in the form and format requested,

the information must be provided in an alternative readable

electronic format as agreed to by you and the practice may

charge a reasonable cost based fee for labor in copying

protected health information and postage where you request

that information be transmitted via mail or courier.

You have the right to request to receive confidential

communications from us by alternative means or at an

alternative location. For example, you may ask us to

contact you by mail, rather than by phone at home. You do

not have to provide us a reason for this request. We will

accommodate reasonable requests. We also may condition

this accommodation by asking you for information as to how

payment will be handled or specification of an alternative

address or other method of contact. Please make this request

in writing to our HIPAA Privacy and Security Officer.

You may have the right to have your provider amend

your protected health information. This means you may

request an amendment of protected health information about

you that we maintain. In certain cases, we may deny your

request for an amendment. If we deny your request for

amendment, you have the right to file a statement of

disagreement with us and we may prepare a rebuttal to your

statement and will provide you with a copy of any such

rebuttal. Please contact our HIPAA Privacy and Security

Officer if you have questions about amending your patient

record.

You have the right to receive an accounting of certain

disclosures we have made, if any, of your protected

health information. This right applies generally to

disclosures for purposes other than treatment, payment or

health care operations as described in this Notice of Privacy

Practices. However, you do have the right to an accounting

of disclosures for treatment, payment or health care

operations if the disclosures were made from an electronic

health record.

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Your right to an accounting of disclosures excludes

disclosures we may have made to you, or to family members

or friends involved in your care, or for notification purposes.

You have the right to receive specific information regarding

other disclosures that occurred up to six years from the date

of your request (three years in the case of disclosures from

an electronic health record made for treatment, payment or

health care operations). You may request a shorter

timeframe. The first list you request within a 12-month

period is free of charge, but there is a charge involved with

any additional lists within the same 12-month period. We

will inform you of any costs involved with additional

requests, and you may withdraw your request before you

incur any costs.

You have the right to obtain a paper copy of this Notice

from us.

You have the right to opt out of fundraising

communications (to the extent the practice conducts

fundraising).

You have the right to receive notice in the event of a

breach of unsecured protected health information. This

means that you will receive notice if a breach of your

protected health information is discovered within 60 days of

discovery.

3. COMPLAINTS

You may complain to us or to the Secretary of Health and

Human Services if you believe your privacy rights have been

violated by us. You may file a complaint with us by

notifying our HIPAA Privacy and Security Officer of your

complaint. We will not retaliate against you for filing a

complaint.

You may contact our HIPAA Privacy and Security Officer,

Michelle Vinay at michelle@outlieraba.com for further information.