notice-of-privacy-practices

NOTICE OF PRIVACY PRACTICES

Martin Bionics Innovations, LLC

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: May 5, 2026

How We May Use and Disclose Your Protected Health Information

We may use and disclose your protected health information (PHI) for treatment, payment, and healthcare operations without your written authorization. The categories below describe these uses with examples; not every permitted use is listed.

Treatment. We use and disclose your PHI to provide, coordinate, and manage your care, including sharing information with referring physicians and other providers involved in your treatment.

Payment. We use and disclose your PHI to obtain payment for services — for example, to verify eligibility, obtain prior authorization, or document medical necessity. If you pay in full out of pocket for a service and ask us not to bill your health plan, we will not disclose PHI to your health plan for that service.

Healthcare Operations. We use and disclose your PHI to support business activities such as quality assessment, employee review, licensing, accreditation, and arrangements with business associates. Whenever a business associate handles your PHI on our behalf, a written contract requires them to protect it. Healthcare operations also include activities related to the sale, transfer, or merger of all or part of this practice with another covered entity, who would be bound by the same privacy obligations.

Treatment Alternatives and Appointment Reminders. We may contact you about treatment alternatives, health-related benefits and services that may interest you, and appointment reminders.

Uses and Disclosures That Require Your Written Authorization

The following uses and disclosures will be made only with your written authorization:

• Most uses and disclosures of psychotherapy notes;

• Uses and disclosures of PHI for marketing purposes; and

• Disclosures that constitute a sale of PHI.

Any other use or disclosure not described in this Notice will also be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.

Uses and Disclosures You May Agree To or Object To

Unless you object, we may share PHI relevant to a person’s involvement in your care with family members, relatives, close friends, or others you identify. We may also use or disclose PHI to notify these individuals of your location or general condition. If you are not present or able to agree, we will use professional judgment to decide whether disclosure is in your best interest and will share only PHI relevant to your care.

Uses and Disclosures Permitted Without Your Authorization

We may use or disclose your PHI without your authorization in the following circumstances, in each case as permitted and limited by applicable law:

• When required by federal, state, or local law.

• For public health activities, including disease control, reporting to the FDA on product safety, and notifying persons who may have been exposed to a communicable disease.

• To report suspected abuse, neglect, or domestic violence to authorities authorized to receive such reports.

• To health oversight agencies for audits, investigations, inspections, and licensure activities.

• In the course of judicial or administrative proceedings, in response to a valid court order, subpoena, discovery request, or other lawful process.

• For law enforcement purposes, including identifying or locating a person, reporting victims of a crime, or addressing crimes occurring on our premises.

• To coroners, medical examiners, funeral directors, and organ-procurement organizations as authorized by law.

• For approved research, when an institutional review board has reviewed protocols to protect your privacy.

• To prevent or lessen a serious and imminent threat to the health or safety of a person or the public.

• For specialized government functions, including military and veterans activities, national security, intelligence activities, and protective services for the President.

• For workers’ compensation programs as authorized by law.

• To correctional institutions if you are an inmate, for purposes related to your care or institutional safety.

• To the U.S. Department of Health and Human Services to investigate or determine our compliance with HIPAA.

Your Rights Regarding Your PHI

Access. You may inspect and obtain a copy of your PHI in our designated record set. We will provide it in the form and format you request when readily producible, or in a readable electronic format we agree on. We may charge a reasonable cost-based fee. We may deny access in limited circumstances permitted by law (for example, psychotherapy notes or information compiled for legal proceedings); some denials are subject to review by a licensed professional who did not make the original decision.

Amendment. You may request, in writing, that we amend PHI in our records. Your request must state the reason. We may deny a request that is not in writing or does not state a reason, or that involves information we did not create, that is not part of your designated record set, that is not subject to your right to inspect, or that is already accurate and complete. If we deny your request, we will explain why and you may submit a written statement of disagreement, to which we may respond.

Restrictions. You may request restrictions on our use or disclosure of your PHI for treatment, payment, or healthcare operations, or to family members involved in your care. We are not required to agree to most restrictions, but we will agree to a request not to disclose PHI to a health plan when you have paid for the service in full out of pocket and the disclosure is not otherwise required by law.

Confidential Communications. You may request that we communicate with you by alternative means or at an alternate location (for example, by mail rather than phone, or at a work address). We will accommodate reasonable requests and will not require you to explain the reason.

Accounting of Disclosures. You may request an accounting of disclosures we have made of your PHI during the six years prior to the date of your request, other than disclosures for treatment, payment, or healthcare operations and certain other disclosures excluded by law. You are entitled to one free accounting in any 12-month period; we may charge a reasonable cost-based fee for additional requests in the same period and will notify you of the charges before incurring them.

Paper or Electronic Copy of This Notice. You have the right to obtain a paper copy of this Notice at any time, even if you have agreed to receive it electronically. An electronic copy is also available on our website.

To exercise any of these rights, submit a written request to our Privacy Officer at the address below.

Our Duties

We are required by law to maintain the privacy of your PHI, to provide you with this Notice of our legal duties and privacy practices, to notify you following a breach of your unsecured PHI as required by the HIPAA Breach Notification Rule (45 CFR §§ 164.400-414), and to abide by the terms of the Notice currently in effect. We reserve the right to change the terms of this Notice and to make the new terms effective for all PHI we maintain. If we make a material change, we will provide a revised Notice.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the Secretary of the U.S. Department of Health and Human Services. To file a complaint with HHS, write to the Office for Civil Rights, U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F HHH Building, Washington, D.C. 20201, or visit www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.

Privacy Officer Contact Information

If you have any questions about this Notice or wish to exercise any of your rights, please contact:

Seth Reiter, Chief Operating Officer

Martin Bionics Innovations, LLC

214 E Main St, Oklahoma City, OK 73104

Phone: 405-400-9979

Email: seth.reiter@martinbionics.com

CORPORATE HEADQUARTERS:

Clinical Care Locations:

Stay Connected