HIPAA PRIVACY POLICY AND DISCLOSURE AUTHORIZATION

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

RE:  e-BodyGuard, LLC, a Colorado limited liability company or its successors and its affiliates, employees and agents (collectively “Company”),

Our Legal Duty

We are required by applicable federal and state laws to maintain the privacy of your protected health information and comply with the Health Insurance Portability and Accountability Act of 1996, P.L. 104-191, and the rules and regulations implemented hereunder (“HIPAA”).  We are also required to give you this notice about our privacy practices, our legal duties, and your rights concerning your protected health information. We must follow the privacy practices that are described in this notice while it is in effect. This notice will remain in effect until replaced.

We reserve the right to change our privacy practices and the terms of this notice at any time, provided that such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our notice effective for all protected health information that we maintain, including medical information we created or received before we made the changes.

You may request a copy of our notice (or any subsequent revised notice) at any time. For more information about our privacy practices, or for additional copies of this notice, please contact us using the information listed at the end of this notice.

Uses and Disclosures of Protected Health Information

You will be providing protected health information directly to the Company via the e-BodyGuard App.  Your input and disclosure of such information is done by You with the express intent that it will be used and disclosed to third parties as set forth herein.  To that end, we notify You that we will use and disclose the protected health information about you for public safety, marketing and related functions required for the effective function of the e-BodyGuard App, its operations and as required by law. Such use and disclosure may include, but are not limited to:  disclosure to Company partners, affiliates and law enforcement agencies, including first responders, EMTs, 911 operators, etc.; marketing and related purposes; provision of data, recordings and related electronic communications to law enforcement agencies and judicial officers; communications with medical professionals and/or emergency services; and any other related purpose.

In the event that you are providing information related to another individual, including a minor child, your authorization indicates that you have current authority to make decisions for such individual or minor child and that you are a personal representative for all purposes relating to such individual or minor child’s protected health information.

Patient Rights

Access: You have, with limited exceptions, the right to look at or get copies of your protected health information. You may also request access by sending us a letter to the address at the end of this notice. There may be a reasonable charge to you if you request copies that the Company deems excessive. If you prefer, we will prepare a summary or an explanation of your protected health information for a fee. Please contact us for a full explanation of our fee structure.  Without your written authorization, we will not disclose your health care information except as described in this notice.

You may revoke this authorization in writing at any time by sending written notification to: e-BodyGuard, 6855 South Dayton Street, Greenwood Village, CO 80112-5202.  Your notice will not apply to actions taken by the requesting person/entity prior to the date they receive your written request to revoke authorization

Questions and Complaints

If you want more information about our privacy practices or have any questions or concerns, please contact us using the information below. If you believe that we may have violated your privacy rights, or if you disagree with a decision, we made about access to your protected health information or in response to a request you made, you may complain to us using the contact information below. You also may submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.

Authorization

You are required on the App to confirm your authorization before proceeding.  By doing so, and by utilizing the App functions, You are confirming that you consent to the use and disclosure of you personal protected health information as set forth herein, that you do authorize the Company to release to Your personal health information as contemplated herein, and that you acknowledge that such confirmation and use shall be deemed as your electronic signature to such authorization.  You also understand that this authorization is voluntary and that it may be revoked in accordance herewith.