Notice of Privacy Practices

Revive Men’s Hair Clinic LLC

Effective Date: September 24, 2025 Last Updated: July 27, 2026

2865 Siena Heights Dr., Suite 101, Henderson, NV 89052 Phone: (888) 460-6005 Email: info@revivemyhair.com Website: www.revivemyhair.com

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, HOW YOU CAN ACCESS THIS INFORMATION, AND YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION. PLEASE READ IT CAREFULLY.

1. Our Legal Duties

Revive Men’s Hair Clinic LLC (“Revive,” “we,” “our,” or “us”) is required by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and other applicable federal and Nevada laws to maintain the privacy and security of your Protected Health Information (“PHI”).

We are required to:

Maintain the privacy and security of your PHI;
Provide you with this Notice of our legal duties and privacy practices;
Follow the terms of the Notice currently in effect;
Notify you if a breach of your unsecured PHI occurs as required by law.

Protected Health Information (PHI) is information that identifies you—or could reasonably identify you—and relates to your past, present, or future physical or mental health, the healthcare we provide, or payment for that care.

Examples include:

Name
Address
Telephone number
Email address
Medical history
Hair restoration consultation records
Scalp photographs
Treatment records
Billing information
Payment records

This Notice applies only to Protected Health Information (PHI) maintained by Revive Men’s Hair Clinic in connection with healthcare services. Information collected solely through our public website before a patient relationship is established is governed by our Privacy Policy rather than this Notice of Privacy Practices.

2. How We May Use and Disclose Your PHI Without Your Written Authorization

HIPAA permits us to use and disclose your PHI for the following purposes without obtaining your written authorization.

Treatment

We may use and disclose your PHI to provide, coordinate, and manage your healthcare.

Examples include:

Reviewing your medical history
Evaluating scalp photographs
Coordinating treatment among physicians, clinicians, and staff
Consulting outside providers or specialists involved in your care
Ordering laboratory services when appropriate

Payment

We may use and disclose PHI to obtain payment for services provided.

Examples include:

Processing payments
Collecting balances
Processing financing applications that you voluntarily submit through providers such as CareCredit®, Cherry®, or other financing partners
Billing a health plan when applicable

Health Care Operations

We may use PHI to operate and improve our practice.

Examples include:

Quality assessment
Staff education and training
Licensing and credentialing
Scheduling
Compliance reviews
Internal audits
Business planning
Risk management

Appointment Reminders & Care Communications

We may contact you by:

Telephone
Text message
Email
Patient portal
Postal mail

for purposes including:

Appointment reminders
Follow-up care
Treatment recommendations
Procedure preparation
Post-operative instructions
Billing matters

You may request that we communicate using a different method or at a different location whenever reasonably possible.

Text messages include an opt-out option by replying STOP.

Electronic Communications

At your request or with your consent, we may communicate with you by email or text message regarding appointments, treatment, billing, or other healthcare matters.

While we take reasonable precautions to protect your information, standard email and text messaging may not always be encrypted or fully secure.

By choosing these communication methods, you acknowledge and accept the associated privacy risks. You may request an alternative communication method at any time. Revive Men’s Hair Clinic will use reasonable safeguards when transmitting electronic communications but cannot guarantee the security of third-party email or mobile networks.

Individuals Involved in Your Care

With your agreement—or when you are present and do not object—or in an emergency using professional judgment, we may disclose PHI to:

Family members
Caregivers
Individuals involved in payment for your care
Persons you specifically identify

only to the extent relevant to their involvement.

Business Associates

We may disclose PHI to trusted contractors or vendors that assist us in operating our practice.

Examples include:

Electronic Health Record (EHR) providers
Scheduling software
Billing companies
Secure communication platforms
Information technology providers
Payment processors

Business Associates are required by federal law and written agreements to safeguard your PHI.

Business Associates may access only the minimum necessary PHI required to perform their contracted services, except where applicable law permits or requires otherwise.

Electronic Health Records

Revive Men’s Hair Clinic may maintain medical records electronically.

Electronic records are protected using administrative, technical, and physical safeguards designed to meet or exceed applicable HIPAA Privacy, Security, and Breach Notification Rule requirements, with applicable HIPAA Privacy, Security, and Breach Notification Rules.

As Required or Permitted by Law

We may disclose PHI without authorization when required or permitted by law, including:

Public health reporting
FDA reporting
Abuse, neglect, or domestic violence reporting
Health oversight activities
Judicial or administrative proceedings
Law enforcement requests
Coroners and medical examiners
Organ and tissue donation
Approved research
Serious threats to health or safety
Specialized government functions
Workers’ compensation programs

Where Nevada law provides additional protections, we follow the more protective law.

3. Uses and Disclosures Requiring Your Written Authorization

Except as described above, we will obtain your written authorization before using or disclosing your PHI.

This includes:

Marketing communications requiring authorization under HIPAA
Any sale of PHI (Revive does not sell PHI)
Before-and-after photographs
Patient testimonials
Social media posts
Website photographs
Promotional videos
Any identifiable treatment images
Most uses or disclosures of psychotherapy notes, if any are ever created
Any other use not specifically permitted by law

Providing authorization for marketing or photographs is completely voluntary and is never required to receive treatment.

You may revoke an authorization at any time by submitting a written request.

Revocation does not affect actions already taken in reliance upon your authorization.

4. Your Rights Regarding Your PHI

You have the following rights.

Right to Inspect and Obtain Copies

You may inspect or receive copies of your medical or billing records in paper or electronic form when readily producible.

Reasonable cost-based copying fees permitted by law may apply.

Right to Request an Amendment

If you believe your record is inaccurate or incomplete, you may request an amendment.

If we deny your request, we will explain the reason in writing and inform you of your right to submit a statement of disagreement.

Right to an Accounting of Disclosures

You may request a list of certain disclosures made during the previous six years.

The first accounting within any twelve-month period is provided at no charge.

Right to Request Restrictions

You may request restrictions on our use or disclosure of your PHI.

Although we are not required to agree to every request, we must honor requests restricting disclosure to a health plan if:

You paid in full out-of-pocket; and
The disclosure relates solely to that service; and
Disclosure is not otherwise required by law.

Right to Confidential Communications

You may request communications through:

A different telephone number
A different mailing address
A different email address
Another reasonable communication method

We will accommodate reasonable requests whenever possible.

Right to Designate a Personal Representative

Subject to applicable law, you may authorize another individual to act on your behalf regarding your Protected Health Information.

We may require documentation verifying that person’s authority before releasing information, unless prohibited by applicable law.

Right to Breach Notification

You have the right to receive notification if a breach involving your unsecured PHI occurs.

Right to Receive a Paper Copy

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

The current Notice is always available at our clinic and on our website.

To exercise any of these rights, contact our HIPAA Compliance Officer using the contact information below.

5. Changes to This Notice

We reserve the right to revise this Notice at any time.

Revisions may apply to all PHI we maintain, including information created before the revision.

Updated versions will be posted at our clinic and on our website together with the revised Effective Date.

Availability of This Notice

A current copy of this Notice is available upon request at our clinic and is posted on our website. Patients may request a printed copy at any time without charge.

6. Complaints

If you believe your privacy rights have been violated, you may file a complaint with Revive Men’s Hair Clinic or with the U.S. Department of Health and Human Services, Office for Civil Rights.

Revive Men’s Hair Clinic LLC Attn: HIPAA Compliance Officer 2865 Siena Heights Dr., Suite 101 Henderson, NV 89052 Phone: (888) 460-6005 Email: info@revivemyhair.com

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Current complaint filing information is available at:

https://www.hhs.gov/hipaa/filing-a-complaint/index.html

You will not be retaliated against or penalized in any way for filing a complaint.

7. Contact Information

Questions regarding this Notice or our privacy practices should be directed to:

Revive Men’s Hair Clinic LLC Attn: HIPAA Compliance Officer 2865 Siena Heights Dr., Suite 101 Henderson, NV 89052

Phone: (888) 460-6005

Email: info@revivemyhair.com

Website: www.revivemyhair.com

This Notice of Privacy Practices is provided in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), including the HIPAA Privacy Rule (45 C.F.R. Parts 160 and 164), the HIPAA Security Rule, the HIPAA Breach Notification Rule, and applicable Nevada law.

Last Updated: July 27, 2026