Notice of Privacy Practices

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Effective Date: September 10, 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.

Kore Mental Health LLC is committed to protecting the privacy of your health information. We are required by law to maintain the privacy and security of your protected health information (“PHI”), provide you with this Notice of our legal duties and privacy practices, and follow the terms of the Notice currently in effect.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

Treatment
We may use and disclose your protected health information to provide, coordinate, or manage your healthcare and related services. This may include sharing information with other healthcare professionals involved in your care when permitted by law.

Payment
We may use and disclose your health information as necessary to obtain payment for healthcare services provided to you, including billing, claims processing, eligibility or coverage determinations, and other payment-related activities.

Healthcare Operations
We may use and disclose your health information for healthcare operations, including quality assessment, care coordination, business management, compliance activities, and other activities necessary to operate Kore Mental Health LLC.

Other Uses and Disclosures Permitted or Required by Law
We may use or disclose your health information without your written authorization when permitted or required by law. This may include disclosures for public health and safety activities, health oversight activities, judicial or administrative proceedings, law enforcement purposes when legally permitted, workers’ compensation, and other purposes authorized by applicable law.

Business Associates
We may disclose health information to business associates that perform services on our behalf when necessary. Business associates are required to appropriately safeguard protected health information as required by applicable law.

YOUR RIGHTS

You have certain rights regarding your health information. You may exercise these rights by contacting Kore Mental Health LLC.

Get an Electronic or Paper Copy of Your Medical Record
You may ask to see or obtain an electronic or paper copy of your medical record and other health information we maintain about you. We will provide a copy or summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee as permitted by law.

Ask Us to Correct Your Medical Record
You may ask us to correct health information about you that you believe is incorrect or incomplete. We may deny your request in certain circumstances, but we will explain the reason in writing, usually within 60 days.

Request Confidential Communications
You may ask us to contact you in a specific way, such as at a particular telephone number, or to send communications to a different address. We will accommodate reasonable requests.

Ask Us to Limit What We Use or Share
You may ask us not to use or share certain health information for treatment, payment, or healthcare operations. We are generally not required to agree to your request. However, if you pay for a healthcare service or item in full out of pocket and ask us not to disclose information about that service to your health plan for payment or healthcare operations, we will honor that request unless disclosure is required by law.

Get a List of Certain Disclosures
You may ask for a list (accounting) of certain times we have disclosed your health information for the six years prior to the date you ask, including who we shared it with and why. The accounting will not include certain disclosures, such as those made for treatment, payment, or healthcare operations, or disclosures you specifically authorized. We will provide one accounting per year at no charge, but may charge a reasonable, cost-based fee if you request another within 12 months.

Get a Copy of This Notice
You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically. We will provide you with a paper copy promptly.

Choose Someone to Act for You
If you have given someone medical power of attorney or if someone is your legal guardian or otherwise legally authorized to act for you, that person may exercise your rights and make choices about your health information as permitted by law. We will verify that the person has appropriate authority before taking action.

File a Complaint if You Believe Your Rights Were Violated
You may complain to Kore Mental Health LLC if you believe your privacy rights have been violated. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. Kore Mental Health LLC will not retaliate against you for filing a complaint.

YOUR CHOICES

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

Family, Friends, and Others Involved in Your Care
You may tell us whether we may share relevant health information with your family, close friends, or others involved in your care or payment for your care. If you are unable to tell us your preference, such as during an emergency, we may share information when we determine that doing so is in your best interest and is permitted by law.

Uses and Disclosures Requiring Your Written Authorization
We will obtain your written authorization for uses and disclosures of your health information when required by law. In most circumstances, this includes most uses and disclosures of psychotherapy notes, uses and disclosures for marketing purposes, and disclosures that constitute a sale of protected health information. If you authorize us to use or disclose your health information, you may revoke that authorization in writing at any time, except to the extent that we have already acted in reliance on it.

Substance Use Disorder Records
Certain records relating to substance use disorder treatment may receive additional protection under federal law, including 42 CFR Part 2. When applicable, uses and disclosures of these records will be made only as permitted by law. Part 2 records, or testimony describing the information contained in those records, generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you unless you provide specific written consent or a court order is issued after notice and an opportunity to be heard, as required by applicable law.

Fundraising
If we contact you for fundraising activities as permitted by law, you may tell us not to contact you again for fundraising purposes.

OUR RESPONSIBILITIES

We are required by law to maintain the privacy and security of your protected health information.

We will let you know promptly if a breach occurs that may have compromised the privacy or security of your health information.

We must follow the duties and privacy practices described in this Notice and provide you with a copy of it.

We will not use or share your health information other than as described in this Notice unless you tell us we can in writing. If you give us written permission, you may change your mind at any time by notifying us in writing. Your revocation will not affect actions already taken in reliance on your authorization.

CHANGES TO THIS NOTICE

We may change the terms of this Notice, and the changes will apply to all health information we maintain about you. If we make material changes, the revised Notice will be available upon request and will be posted on our website.