Effective Date: October 2, 2025

Important Notice

WE ARE NOT A REPLACEMENT FOR EMERGENCY MEDICAL SERVICES. IF YOU HAVE A MEDICAL EMERGENCY SEEK EMERGENCY MEDICAL CARE IMMEDIATELY IN-PERSON OR DIAL 911 OR YOUR LOCAL EMERGENCY NUMBER.

We may change these terms at any time, as required by law. This may include changing, adding, or removing terms. We may do this in response to legal, business, competitive environment or other reasons not listed here.

HIPPA Privacy

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.

At Better Now Rx, INC, we are dedicated to maintaining the privacy and security of your protected health information (PHI). This Notice outlines our legal duties and privacy practices concerning your PHI and explains your rights regarding this information.

Our Responsibilities

We are required by law to:

• Maintain the privacy of your PHI.
• Provide you with this Notice detailing our legal duties and privacy practices.
• bide by the terms of the Notice currently in effect.
• Notify you in the event of a breach involving your unsecured PHI.

How We May Use and Disclose Your Health Information

The following categories describe different ways we may use and disclose your PHI. Not every use or disclosure in a category is listed, but all are permitted by law:

Treatment: We may use and share your PHI to provide, coordinate, or manage your healthcare and related services.

Payment: We may use and disclose your PHI to bill and receive payment for the services we provide to you.

Healthcare Operations: We may use and disclose your PHI for our healthcare operations, such as quality assessment and improvement activities.

Other Permitted Uses and Disclosures

We may also use or disclose your PHI in the following situations without your authorization:

Public Health and Safety: Reporting disease outbreaks, adverse reactions to medications, or notifying authorities of suspected abuse, neglect, or domestic violence. Legal Requirements: Complying with legal proceedings, law enforcement requests, or other lawful processes.

Your Rights Regarding Your Health Information

You have the following rights concerning your PHI:

• Right to Inspect and Copy: You can request to see or obtain a copy of your medical records and other health information we have about you.
• Right to Amend: If you believe the information we have about you is incorrect or incomplete, you can request an amendment.
• Right to an Accounting of Disclosures: You can request a list of certain disclosures we have made of your PHI.
• Right to Request Restrictions: You can ask us to limit the PHI we use or disclose about you for treatment, payment, or healthcare operations.
• Right to Request Confidential Communications: You can request that we communicate with you in a specific way or at a specific location.
• Right to a Paper Copy of This Notice: You can request a paper copy of this Notice at any time.

HIPAA Consent

The Health Insurance Portability and Accountability Act (HIPAA) provides safeguards to protect your privacy. Implementation of HIPAA requirements began on April 14, 2003. This form is a simplified version. A more complete text is available through the office.

What This Is About:

HIPAA restricts who may see or be notified of your Protected Health Information (PHI). These restrictions do not include the normal interchange of information necessary to provide you with office services. HIPAA also provides you rights and protections. More information: www.hhs.gov.

Policies:

• Patient information will be kept confidential except as necessary for care or administrative matters.
• Files may be stored in open file racks but without coding that identifies conditions not already public.
• Appointment reminders may be sent via phone, email, or mail.
• Vendors may have access to PHI but must follow HIPAA confidentiality rules.
• Government agencies and insurance payers may review documents as part of normal duties.
• No confidential information will be used for marketing or advertising.
• Patients have access to their records per state and federal law.
• Provisions may be changed to better serve both practice and patients.
• You have the right to request restrictions on PHI use, though the practice may not be obligated to comply.

My continued use of the services constitutes my acceptance of the HIPAA Information Form and future policy changes.

Changes to This Notice

We reserve the right to change this Notice and make the new provisions effective for all PHI we maintain. The current Notice will be available upon request and on our website.

Telehealth Consent

Telehealth is the type of care that allows clients to access health services using audio-video interface such as videoconferencing.

Electronic systems used will incorporate network and software security protocols to protect the confidentiality of client identification and imaging data and will include measures to safeguard the data and to ensure its integrity against intentional or unintentional corruption.

Expected Benefits:

• Improved access to weight loss management health care by enabling a client to receive services across distances and between programs.
• More efficient weight loss management health care including medical evaluation and management.
• Obtaining expertise of a distant specialist.
• Maintaining connections with established providers in other areas.

Possible Risks:

• In rare cases, information transmitted may not be sufficient (e.g. poor resolution of images) to allow for appropriate medical decision making.
• Delays in medical evaluation and treatment could occur due to deficiencies or failures of the equipment.
• In very rare instances, security protocols could fail, causing a breach of privacy.
• A lack of access to complete medical records may result in adverse drug interactions, allergic reactions, or judgmental errors.

By Consenting to These Forms, I Understand:

• The laws protecting privacy and confidentiality of medical information also apply to telehealth.
• I may withdraw consent at any time without affecting future care.
• I have the right to inspect all telehealth information and may receive copies for a reasonable fee.
• I may choose alternative methods of weight loss management health care at any time.
• I should inform my provider of any other healthcare professionals involved in my care.
• No results from telehealth can be guaranteed.

Client Consent to the Use of Telehealth

I have read and understand the information provided above regarding telehealth, have discussed it with my physician or designated clinical staff, and all of my questions have been answered. I hereby give my informed consent for the use of telehealth in my weight loss management health care. I have been offered a copy of this form for my records.

My continued use of the services constitutes acceptance of these terms and authorizes the use of telehealth in my diagnosis and treatment.

Financial Consent

• I understand and accept that a credit card may be kept on file and remaining balances must be paid in full.
• I authorize Better Now Rx, Inc to process consultation orders and submit records as necessary.
• I authorize invoice changes and debits for goods or services not fully covered by third-party vouchers or credits.
• I authorize automatic charges for unpaid balances.
• I agree all programs are auto-renewing and charges apply unless canceled before billing. No refunds or exchanges.

Shipping Authorization

All prescription medications are dispensed according to state and federal law with pharmacist approval. Better Now RX, Inc is not responsible for delays or errors during shipping. Medications are considered dispensed when signed out for shipping, not upon arrival.

My continued use of the services constitutes my acceptance of these terms. I authorize Better Now RX, Inc to ship medications to my provided address and agree to all listed conditions.