NOTICE OF PRIVACY PRACTICES

Pioneer Healthcare PLLC

Effective Date: 07/15/2026

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.

Our Responsibilities

Pioneer Healthcare PLLC (“Pioneer Healthcare,” “the Practice,” “we,” “us,” or “our”) is required by law to maintain the privacy and security of your Protected Health Information (“PHI”), provide you with this Notice explaining our legal duties and privacy practices, notify you following a breach of unsecured PHI when required by law, and follow the terms of the Notice currently in effect.

PHI is information that identifies you, or could reasonably be used to identify you, and relates to your past, present, or future physical or mental health condition, healthcare services, or payment for healthcare.

Your Rights

You have certain rights regarding your health information. This section explains those rights and some of our responsibilities.

Get an Electronic or Paper Copy of Your Medical Record

You may request to inspect 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 receiving your request, as required by law. We may charge a reasonable, cost-based fee when permitted by law.

In certain limited circumstances, we may deny your request. If we deny your request, you may have the right to request a review of that decision.

Ask Us to Correct Your Medical Record

You may ask us to correct health information that you believe is incorrect or incomplete.

We may deny your request, but we will provide a written explanation, generally within 60 days, as required by law.

Request Confidential Communications

You may ask us to contact you about your health information in a specific way, such as only 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 disclose certain health information for treatment, payment, or healthcare operations.

We are generally not required to agree to your request, except in certain circumstances required by law.

If you pay for a healthcare service or item out-of-pocket in full and request that we not disclose information about that service or item to your health plan for payment or healthcare operations purposes, we will comply with your request unless disclosure is otherwise required by law.

Get a List of Certain Disclosures

You may request a list, known as an “accounting of disclosures,” of certain disclosures of your health information made during the six years before the date of your request.

The accounting will not include certain disclosures, such as disclosures made for treatment, payment, and healthcare operations or disclosures you authorized.

We will provide one accounting in a 12-month period at no charge. We may charge a reasonable, cost-based fee for additional requests during the same 12-month period after notifying you of the cost and giving you an opportunity to withdraw or modify your request.

Get a Copy of This Notice

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

You may also obtain a copy from our website when available.

Choose Someone to Act for You

If you have given someone medical power of attorney or if someone is your legal guardian or other legally authorized personal representative, that person may exercise your rights and make choices about your health information as permitted by law.

We may verify that the person has legal authority to act on your behalf before taking action.

File a Complaint

You may file a complaint with Pioneer Healthcare PLLC 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.

You will not be retaliated against or denied care for filing a complaint.

Your Choices

For certain health information, you may tell us your preferences regarding what we disclose.

Family Members, Friends, and Others Involved in Your Care

You may tell us whether we may disclose relevant health information to family members, close friends, caregivers, or other individuals involved in your healthcare or payment for your healthcare.

If you are unable to communicate your preference, such as during a medical emergency, we may disclose information when we determine that doing so is in your best interest and is permitted by law.

Disaster Relief

We may disclose information about you to an organization assisting with disaster relief efforts when permitted by law and appropriate under the circumstances.

Fundraising

If we contact you for fundraising purposes, you may tell us not to contact you again.

Marketing

We must obtain your written authorization before using or disclosing your PHI for marketing purposes when HIPAA requires authorization.

Sale of Protected Health Information

We will not sell your PHI without your written authorization when authorization is required by law.

Psychotherapy Notes

Most uses and disclosures of psychotherapy notes require your written authorization, subject to limited exceptions permitted by law.

How We May Use and Disclose Your Health Information

We may use and disclose your PHI for the following purposes without your written authorization when permitted by law.

Treatment

We may use and disclose your health information to provide, coordinate, or manage your healthcare and related services.

For example, we may disclose relevant health information to another healthcare provider involved in your treatment.

Payment

We may use and disclose your health information to bill and receive payment for healthcare services provided to you.

For example, we may disclose information to your health plan to determine eligibility, obtain prior authorization, submit claims, or receive payment.

Healthcare Operations

We may use and disclose your health information for activities necessary to operate our Practice and improve the quality of care.

Healthcare operations may include quality assessment, patient safety activities, staff training, credentialing, auditing, compliance, legal services, business management, and other permitted operational activities.

Business Associates

We may disclose PHI to third-party service providers known as business associates that perform services on our behalf involving PHI.

When required by law, we require business associates to appropriately safeguard your health information.

Appointment Reminders and Communications About Care

We may use and disclose your health information to contact you regarding appointments, follow-up care, treatment alternatives, health-related benefits, or services that may be of interest to you.

Public Health and Safety Activities

We may disclose health information for certain public health and safety activities, including:

• Preventing or controlling disease, injury, or disability.
• Reporting births and deaths when required by law.
• Reporting adverse reactions to medications or problems with products.
• Reporting suspected abuse, neglect, or domestic violence as permitted or required by law.
• Preventing or reducing a serious and imminent threat to the health or safety of a person or the public.

Health Oversight Activities

We may disclose health information to health oversight agencies for activities authorized by law, including audits, investigations, inspections, licensing, disciplinary proceedings, and other oversight activities.

Legal Proceedings

We may disclose health information in response to a court order, administrative order, subpoena, discovery request, or other lawful legal process when permitted or required by law.

Law Enforcement

We may disclose health information for certain law enforcement purposes when permitted or required by law.

Coroners, Medical Examiners, and Funeral Directors

We may disclose health information to coroners, medical examiners, and funeral directors when permitted or required by law.

Organ and Tissue Donation

We may disclose health information to organizations involved in organ procurement, transplantation, and tissue donation when applicable and permitted by law.

Workers’ Compensation

We may disclose health information as authorized by and necessary to comply with workers’ compensation laws and similar programs.

Research

We may use or disclose health information for research purposes when applicable legal requirements are satisfied.

Government Functions

We may disclose health information for specialized government functions, including military and veterans’ activities, national security, protective services, and correctional institutions, when permitted by law.

Required by Law

We may use or disclose your health information when required to do so by federal, state, or local law.

Uses and Disclosures Requiring Your Written Authorization

Uses and disclosures of your PHI that are not described in this Notice and are not otherwise permitted or required by law will be made only with your written authorization.

If you provide authorization, you may revoke it in writing at any time.

Revoking your authorization will not affect uses or disclosures already made in reliance on your authorization.

Special Protections for Certain Health Information

Certain types of health information may receive additional protection under federal or New York State law.

This may include, when applicable, information concerning:

• HIV/AIDS-related information.
• Substance use disorder treatment records.
• Mental health information.
• Genetic information.
• Reproductive healthcare information.
• Sexually transmitted infections.
• Other specially protected health information.

When laws provide greater privacy protection than HIPAA, Pioneer Healthcare PLLC will comply with applicable requirements.

Substance Use Disorder Records

If Pioneer Healthcare PLLC creates, receives, or maintains substance use disorder treatment records protected by 42 C.F.R. Part 2, those records will be used and disclosed in accordance with applicable federal requirements.

Reproductive Healthcare Privacy

Pioneer Healthcare PLLC will comply with applicable federal requirements governing the use and disclosure of PHI potentially related to reproductive healthcare.

When required by law, we may obtain a signed attestation before disclosing PHI for certain health oversight activities, judicial or administrative proceedings, law enforcement purposes, or disclosures to coroners and medical examiners.

Electronic Health Information and Health Information Exchange

We may create, receive, maintain, and transmit your health information electronically.

When applicable, we may participate in electronic health information exchange activities to facilitate treatment, payment, healthcare operations, care coordination, or other legally permitted purposes.

Your rights regarding participation, consent, or withdrawal from a health information exchange will be governed by applicable law and the policies of the relevant health information exchange.

Telehealth Services

Pioneer Healthcare PLLC provides healthcare services through telehealth.

Telehealth may involve electronic communication and transmission of health information, including audio, video, medical records, laboratory results, prescriptions, patient messages, and other healthcare information.

We use reasonable safeguards and appropriate technology to protect the privacy and security of health information transmitted during telehealth services.

Data Breach Notification

We are required to notify affected individuals following a breach of unsecured PHI when notification is required by law.

We will provide notifications within the timeframes and in the manner required by applicable law.

Changes to This Notice

We reserve the right to change the terms of this Notice and our privacy practices.

Changes may apply to all PHI we maintain, including information created or received before the revised Notice becomes effective.

The current Notice will be available upon request and posted on our website when applicable.

Questions or Complaints

If you have questions about this Notice, want to exercise your privacy rights, or believe your privacy rights have been violated, contact:

Pioneer Healthcare PLLC

Privacy Officer: Dr. Patrice Fraser, DNP, FNP-BC

Mailing Address:YONKERS, NY 10704-2902 United States

Telephone: (917) 201-8545

Email: pfrase12@gmail.com

You may also file a complaint with:

U.S. Department of Health and Human Services
Office for Civil Rights

Information about filing a complaint is available through the U.S. Department of Health and Human Services Office for Civil Rights.

Pioneer Healthcare PLLC will not retaliate against you for filing a privacy complaint or exercising your privacy rights.

Effective Date: 07/15/2026

Pioneer Healthcare PLLC — Pioneering Better Health.