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OndaRx
Notice of Privacy Practices
Last updated: June 16, 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.
Effective Date: June 16, 2026
This Notice of Privacy Practices ("NPP") is issued by the following professional entities (collectively, the "Provider Groups"):
Example Doctor Network, LLC, and its affiliated professional entities operating in applicable jurisdictions.
These entities may designate themselves as a single affiliated covered entity for purposes of the Health Insurance Portability and Accountability Act of 1996 ("HIPAA").
This NPP applies to the healthcare services provided by the Provider Groups to individuals through this website and telehealth platform.
This Notice describes:
- How the Provider Groups collect your health information
- How the Provider Groups use and share that information
- Your rights regarding your health information
1. Confidentiality of Health Information
The Provider Groups understand that health information about you is personal and are committed to protecting your privacy.
The Provider Groups comply with:
- The Health Insurance Portability and Accountability Act of 1996 ("HIPAA")
- The Health Information Technology for Economic and Clinical Health Act ("HITECH Act")
- Applicable state laws
Protected Health Information ("PHI") includes information that:
- Identifies you
- Relates to your physical or mental health
- Relates to the provision of healthcare
- Relates to payment for healthcare services
The Provider Groups are required by law to:
- Maintain the privacy and security of your PHI
- Provide you with this Notice
- Notify you following a breach of unsecured PHI
2. Uses and Disclosures of PHI
The Provider Groups may use and disclose your PHI in the following ways:
Treatment, Payment, and Healthcare Operations
- Treatment: Sharing PHI with providers involved in your care
- Payment: Billing and payment processing
- Healthcare Operations: Quality review, customer service, and internal operations
Authorization
The Provider Groups may use or disclose your PHI with your written authorization. You may revoke this authorization at any time.
Authorization is required for:
- Marketing uses of PHI
- Sale of PHI
- Use of psychotherapy notes
As Required by Law
PHI may be disclosed when required by federal, state, or local law.
Special Circumstances
PHI may be disclosed in situations including:
- Public health activities
- Reporting abuse or neglect
- FDA-related reporting
- Organ donation and transplantation
- Research purposes
- Threats to health or safety
- Government and national security functions
Redisclosure Notice
PHI disclosed to third parties may be subject to redisclosure and may no longer be protected by HIPAA in certain circumstances.
3. Your Rights Regarding Your PHI
You have the following rights:
Confidential Communications
You may request communications via alternative methods or locations.
Restrictions
You may request limits on:
- Use or disclosure of PHI
- Disclosure to family members or others involved in your care
The Provider Groups are not required to agree, except in certain circumstances.
Access and Copies
You may:
- Inspect your PHI
- Request copies
A reasonable fee may apply.
Amendments
You may request corrections to your PHI if it is inaccurate or incomplete.
Accounting of Disclosures
You may request a record of certain disclosures of your PHI.
Breach Notification
You have the right to be notified if your PHI is compromised in a breach.
Paper Copy
You may request a paper copy of this Notice at any time.
4. Responsibilities of the Provider Groups
The Provider Groups are required to:
- Maintain the privacy of your PHI
- Abide by the terms of this Notice
- Notify you of any material changes
5. Changes to This Notice
The Provider Groups reserve the right to change this Notice at any time.
Any revised Notice will apply to all PHI maintained by the Provider Groups and will be made available upon request.
6. Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
- The Provider Groups
- The U.S. Department of Health and Human Services
You will not be penalized for filing a complaint.
7. Contact Information
Medical Services Provider
Example Doctor Network, LLC
[INSERT PROVIDER ADDRESS]
[INSERT PROVIDER PHONE]
Email: info@ondarx.com
Platform Support (Non-Clinical)
OndaRx, LLC
Phone: 555-555-5555
Email: compliance@ondarx.com