Covenant Lab Services (including services offered under the name Covenant Certified Solutions)

PRIVACY PRACTICES NOTICE

Effective Date: 6/26/2025

THIS NOTICE DESCRIBES HOW HEALTH AND PERSONAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

OUR COMMITMENT TO YOUR PRIVACY Covenant Lab Services (including services offered under the name Covenant Certified Solutions) is committed to protecting your health and personal information. We are required by law to maintain the privacy of your health information and provide you with this notice of our legal duties and privacy practices.

HOW WE MAY USE AND DISCLOSE YOUR INFORMATION

Treatment: We may use or disclose your health information for purposes of providing, coordinating, or managing your care. This includes, but is not limited to, sharing laboratory results and other clinical data with healthcare providers or entities involved in your care, including wellness screenings, gender determination testing, STD/HIV testing, paternity testing, and other diagnostic or preventative services.

Payment: We may use or disclose your health information for billing and payment purposes. This may include contacting your insurance company to verify coverage or sending invoices for services. If you pay out-of-pocket, your information may be used to process the payment but will not be submitted for insurance reimbursement unless you request it. We do not bill insurance for services paid in full by you at the time of service.

Healthcare Operations: We may use or disclose your information for operational purposes, such as quality assessments, staff training, internal audits, and general business management.

Business Associates: We may share your health information with third-party service providers (Business Associates) who perform certain functions on our behalf, including billing, data management, IT support, and courier services. Business Associates are contractually obligated to protect your health information.

Legal Requirements: We may use or disclose your health information when required to do so by federal, state, or local law. This includes, but is not limited to, reporting communicable diseases, complying with court orders, responding to subpoenas, or assisting law enforcement.

Additional Permitted Uses:

• Public health reporting

• FDA regulation and monitoring

• Health oversight agency compliance

• Organ or tissue donation

• Medical examiner and funeral director requests

• Workers’ compensation claims

• Emergency disclosures to prevent serious health threats

• Military or national security requests

• Correctional institutions for lawful custodial responsibilities

YOUR RIGHTS

Right to Access: You may request access to or a copy of your health information in our records. Requests must be submitted in writing.

Right to Amend: If you believe your health information is incorrect or incomplete, you have the right to request an amendment. Requests must be submitted in writing with an explanation.

Right to an Accounting of Disclosures: You may request a list of certain disclosures made of your health information, excluding disclosures made for treatment, payment, or operations.

Right to Request Restrictions: You may request limitations on how we use or disclose your information. We are not required to agree but will comply if possible.

Right to Confidential Communications: You can request we communicate with you by specific methods or at alternative locations.

Right to File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate.

YOUR AUTHORIZATION IS REQUIRED FOR OTHER USES

For any use or disclosure not covered in this notice, we will obtain your written authorization. You may revoke your authorization at any time in writing. Revocation does not affect actions taken prior to receiving the request.

CHANGES TO THIS NOTICE

We reserve the right to update this Privacy Practices Notice at any time. Any changes will apply to all existing and future records and will be posted publicly and made available upon request.

CONTACT INFORMATION

Covenant Lab Services / Covenant Certified Solutions 7402 N 56th St, Suite 355 Tampa, FL 33617 Phone: (813) 449-0997 Fax: (813) 501-6068 Email: info@covenantlabservices.com Website: www.covenantlabservices.com

This notice is provided in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable Florida state laws.

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