Your Information. Your Rights. Our Responsibilities.

This combined Notice describes how your health information may be used and shared, how you can get access to this information, your rights under HIPAA and, when applicable, 42 CFR Part 2, our duties to protect your information, how to file a complaint if you believe your privacy rights were violated, and how to get a paper or electronic copy of this Notice. Please review it carefully.

Some of the information we maintain may be subject to 42 CFR Part 2, a federal law that provides additional protections for certain substance use disorder patient records. When this Notice refers to "Part 2 records," those additional requirements apply only to records protected by Part 2, not to all health information we maintain.

You may contact the CareMind Privacy Officer at the contact information above if you have questions or want to discuss this Notice.

Your Rights

You have the right to:

• Get a paper or electronic copy of your medical record;
• Ask us to correct your medical record;
• Ask for confidential communication;
• Ask us to limit what we use or share;
• Get a list of certain disclosures of your information;
• Get a paper or electronic copy of this Notice;
• Discuss this Notice with someone at CareMind;
• Choose someone to act for you;
• File a complaint if you believe your privacy rights were violated;
• For Part 2 records, give consent for most uses and disclosures;
• For Part 2 records, revoke consent as allowed by law;
• For Part 2 records, choose in advance whether to receive fundraising communications that use your Part 2 information.

Your Choices

For some health information, you can tell us what you want us to do. This may include:

• Sharing information with family, close friends, or others involved in your care or payment for your care;
• Providing disaster relief;
• Providing mental health care;
• Marketing or sale of your information, only with your written permission, and fundraising communications, where applicable.

For Part 2 records, we generally need your written consent to use or share your information for treatment, payment, and health care operations, unless Part 2 allows or requires us to share it without consent.

Our Uses and Disclosures

We may use and share your information as we:

• Treat you;
• Run our organization;
• Bill for your services;
• Help with medical emergencies, public health, and safety issues;
• Aid research;
• Comply with the law;
• Respond to organ and tissue donation requests;
• Work with a medical examiner or funeral director;
• Address workers' compensation, law enforcement, and other government requests;
• Respond to lawsuits and legal actions.

To the extent that we have your Part 2 records, we will not share that information for investigations or legal proceedings against you without (1) your written consent or (2) a court order and a subpoena.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record

• You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

• You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
• We may say "no" to your request, but we'll tell you why in writing within 60 days.

Request confidential communications

• You can ask us to contact you in a specific way (for example, home, office, or cell phone) or to send mail to a different address.
• We will say "yes" to all reasonable requests.

Ask us to limit what we use or share

• You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say "no," for example, if it could affect your care. If we agree to your request, we may still share this information in the event that you need emergency treatment.
• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say "yes" unless a law requires us to share that information.

Get a list of those with whom we've shared information

• You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why.
• We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We'll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
• For Part 2 records, you may also ask for an accounting of disclosures of your electronic Part 2 records for the past three years and, where applicable, a list of disclosures made by an intermediary for the past three years, as provided by Part 2.

Choose someone to act for you

• If someone has authority to act as your personal representative, such as if someone has your medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
• We will make sure the person has this authority and can act for you before we take any action.

Get a copy of this privacy Notice

• You can ask for a paper copy of this Notice at any time, even if you have agreed to receive the Notice electronically. We will provide you with a paper copy promptly.

Discuss this Notice with someone at CareMind

• You can ask questions or obtain more information about this Notice and our privacy practices by calling or emailing the contact person at the top of this Notice.

For Part 2 records, provide consent when we use or share your information for most purposes

• You may provide a single consent for all future uses or disclosures for treatment, payment, and health care operations purposes.
• You may provide consent for more limited purposes (for example, to only disclose information to another health care provider for your treatment); however, doing so may affect the services we can provide you or how you pay for services.
• You may provide a general consent to share your information through certain third parties, such as a health information network or a research institution, where your treating health care providers can access it.
• You may revoke a Part 2 consent in writing at any time, except to the extent we have already acted in reliance on it or as otherwise permitted by Part 2.

File a complaint if you feel your rights are violated

• You can complain if you feel we have violated your rights by using the contact information at the beginning of this Notice.
• You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting https://www.hhs.gov/hipaa/filing-a-complaint/index.html.
• We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

• Share information with your family, close friends, or others involved in your care or payment for your care
• Share information in a disaster relief situation
• If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases we never share your information unless you give us written permission:

• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes

In the case of fundraising:

• If we ever contact you for fundraising efforts, you can tell us not to contact you again.
• If we have your Part 2 records, we will give you clear and obvious notice in advance and a choice about whether to receive fundraising communications that use your Part 2 information.

Our Uses and Disclosures

How do we typically use or share your health information?

We typically use or share your health information in the following ways.

Treat you

We can use your health information and share it with other professionals who are treating you.

Example: A doctor treating you for an injury asks another doctor about your overall health condition.

Run our organization

We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Example: We use health information about you to manage your treatment and services.

AI-Assisted Documentation and Care Support

To treat you and run our organization, we may use artificial intelligence, speech-to-text, and other automated tools. For example, these tools may help CareMind care team members transcribe telephone or video interactions in real time, prepare draft clinical notes, summarize information shared during care interactions, suggest possible care needs and resources for care team review, and support quality improvement activities.

AI-assisted tools are used to support, not replace, the professional judgment of CareMind care team members. These tools do not make final care decisions, deny, reduce, or withhold care, determine your eligibility for services or benefits, or replace review by a CareMind care team member. A CareMind care team member reviews care-impacting AI-assisted output before it is used in your care and reviews and approves AI-assisted draft documentation before it becomes part of your health record.

AI-assisted documentation tools process your interactions in real time but do not create a recording of your interactions. Temporary transcription data is used to prepare draft documentation and is not retained after clinical notes are approved.

If a technology vendor creates, receives, maintains, or transmits protected health information on our behalf, we require the vendor to protect that information under a written Business Associate Agreement and other applicable safeguards. If the vendor receives Part 2 records, we also require protections required by Part 2, as applicable. We do not allow technology vendors to use your identifiable protected health information to train, fine-tune, validate, benchmark, or otherwise improve models for their own purposes, sell your protected health information, use it for their own marketing, or use it for independent commercial purposes.

We monitor our AI-assisted tools on an ongoing basis to help ensure they support equitable care across the populations we serve. This includes evaluating whether these tools produce consistent and fair results regardless of a patient's race, ethnicity, age, sex, disability status, or other protected characteristics, and taking corrective action when we identify concerns.

You may ask us not to use AI-assisted documentation tools during a particular care interaction. We will accommodate reasonable requests when feasible and consistent with your care and our ability to document services accurately. You may make this request by telling your care team member at the beginning of the interaction or by using the contact information at the beginning of this Notice.

Bill for your services

We can use and share your health information to bill and get payment from health plans or other entities.

Example: We give information about you to your health insurance plan so it will pay for your services.

How else can we use or share your health information?

We are allowed or required to share your information in certain ways without your consent – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.

For Part 2 records, we will use or share information without your consent only to the extent Part 2 permits or requires the use or disclosure. If Part 2 is more protective than HIPAA or another law, we will follow the more protective Part 2 requirement.

More Protective Laws

Some federal or state laws may give extra protection to certain types of health information. This may include information about mental health, substance use disorder treatment, HIV/AIDS, genetic information, reproductive health, or health information about minors.

When another law gives your information more protection than HIPAA, Part 2, or this Notice, we will follow the law that gives your information the most protection.

For Part 2 records, we will use or share your information only as allowed or required by Part 2, unless another law gives your information greater protection.

Legal Proceedings and Court Orders for Part 2 Records

If we have your Part 2 records, we must follow special rules before using or sharing those records in investigations or legal proceedings.

We will not use or share your Part 2 records, or provide testimony about the content of those records, in any civil, criminal, administrative, or legislative proceeding against you unless:

• You give written consent; or
• There is a court order that meets Part 2 requirements and is accompanied by a subpoena or similar legal requirement.

We will only use or share your Part 2 records in a proceeding against you after we have received notice and an opportunity to be heard, or after you tell us that you have received notice.

We may use or share your Part 2 records to respond to legal proceedings against CareMind or our program based on a court order. In that situation, you may not be notified in advance. You have the right to ask a court to overturn or change the order after you learn about it.

Help with public health and safety issues

We can share health information about you for certain situations such as:

• Preventing disease
• Helping with product recalls
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect, or domestic violence
• Preventing or reducing a serious threat to anyone's health or safety

For Part 2 records, these disclosures are limited to those permitted or required by Part 2, such as disclosures for bona fide medical emergencies, certain non-identifying public health disclosures, reports of suspected child abuse or neglect as required by law, and reports of crimes or threats on our premises or against our personnel.

Do research

We can use or share your information to conduct or help with health research. Researchers cannot include any patient identifying information in their reports about the research.

Comply with the law

We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we're complying with federal privacy law.

Respond to management and financial audits and program evaluations

We can use or share your information to improve the quality of our services, obtain needed credentials, and cooperate with oversight agencies for activities authorized by law, as long as those who view or receive the information agree to destroy or return the information when they are finished and agree not to use it against you.

Respond to organ and tissue donation requests

We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

We can share health information with a coroner, medical examiner, or funeral director when an individual dies. For Part 2 records, we will share information for cause-of-death inquiries only as permitted or required by Part 2 and other applicable law.

Address workers' compensation, law enforcement, and other government requests

We can use or share health information about you:

• For workers' compensation claims
• For law enforcement purposes or with a law enforcement official
• With health oversight agencies for activities authorized by law
• For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions

For health information that is not subject to Part 2, we can share health information about you in response to a court or administrative order, or in response to a subpoena. Part 2 records are handled under the "Legal Proceedings and Court Orders for Part 2 Records" section above.

Redisclosure According to HIPAA

If we have your Part 2 records, when you consent to uses and disclosures for all future treatment and payment purposes and to run our business, we may share your information with other substance use disorder treatment programs, doctors' offices, and health care businesses for those activities. If the person who receives it is subject to HIPAA, then they are allowed to use and share your information again without your consent for the purposes that HIPAA allows. Your information still cannot be used in legal proceedings against you unless (1) you consent or (2) based on a Part 2 court order and a subpoena (or similar legal requirement).

Our Responsibilities

• We are required by law to protect the privacy and security of your protected health information.
• For Part 2 records, we are required to obtain your consent for most uses and disclosures, except where Part 2 permits or requires disclosure without consent. For other protected health information, HIPAA permits us to use and disclose information for treatment, payment, health care operations, and other purposes described in this Notice, unless another applicable law requires otherwise.
• We must let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this Notice and give you a copy of it.
• We are required to follow the terms of this Notice that are currently in effect.
• We will not use or share your information other than as described in this Notice unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see: https://www.hhs.gov/hipaa/for-individuals/notice-privacy-practices/index.html.

Changes to the Terms of this Notice

We are required to follow the terms of the Notice currently in effect. We may change the terms of this Notice, and the changes will apply to all information we maintain, including information created or received before we changed the Notice. The new Notice will be available upon request, in our member portal, in our office, and on our website.

Effective Date

This Notice is effective as of May 26, 2026.