Notice of Privacy Practices (HIPAA)
Gentlemen's Health Collective
A brand of Outlaws & Gents Grooming LLC
Effective Date: January 26, 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.
Introduction
Gentlemen's Health Collective, a brand of Outlaws & Gents Grooming LLC ("we", "us", or "our"), is committed to protecting the privacy of your health information. This Notice of Privacy Practices ("Notice") describes how we may use and disclose your Protected Health Information ("PHI") and your rights regarding that information.
We are required by law to:
- Maintain the privacy of your PHI
- Give you this Notice of our legal duties and privacy practices
- Follow the terms of this Notice currently in effect
- Notify you if there is a breach of your unsecured PHI
Understanding Your Health Information
When you receive healthcare services through Gentlemen's Health Collective, a record is created that may include your:
- Medical history and health conditions
- Symptoms and diagnoses
- Treatment plans and medications
- Test results and lab work
- Billing and payment information
- Communications with Healthcare Providers
This information, often referred to as your medical record or health record, serves as a basis for planning your care and treatment.
How We May Use and Disclose Your PHI
Uses and Disclosures That Do Not Require Your Authorization
We may use and disclose your PHI without your written authorization for the following purposes:
Treatment
We may use and disclose your PHI to provide, coordinate, or manage your healthcare. This includes:
- Sharing information with Healthcare Providers involved in your care
- Consulting with other healthcare professionals
- Coordinating with pharmacies for prescription fulfillment
- Providing referrals to specialists
Payment
We may use and disclose your PHI to obtain payment for services. This includes:
- Billing and collection activities
- Communicating with insurance companies
- Verifying coverage and eligibility
- Obtaining prior authorization
Healthcare Operations
We may use and disclose your PHI for healthcare operations. This includes:
- Quality assessment and improvement activities
- Reviewing the competence and qualifications of Healthcare Providers
- Training programs
- Business planning and development
- Customer service activities
Required by Law
We may use and disclose your PHI when required by federal, state, or local law.
Public Health Activities
We may disclose your PHI for public health purposes, including:
- Preventing or controlling disease
- Reporting births and deaths
- Reporting adverse reactions to medications
- Notifying people of recalls
Health Oversight Activities
We may disclose your PHI to health oversight agencies for activities authorized by law, such as audits, investigations, and inspections.
Legal Proceedings
We may disclose your PHI in response to a court order, subpoena, or other lawful process.
Law Enforcement
We may disclose your PHI to law enforcement officials for certain purposes, such as:
- Responding to a court order or warrant
- Identifying or locating a suspect or missing person
- Reporting certain types of wounds or injuries
To Avert a Serious Threat
We may use and disclose your PHI when necessary to prevent a serious threat to your health and safety or the health and safety of others.
Workers' Compensation
We may disclose your PHI for workers' compensation claims as authorized by law.
Coroners, Medical Examiners, and Funeral Directors
We may disclose your PHI to coroners, medical examiners, and funeral directors as authorized by law.
Organ and Tissue Donation
We may disclose your PHI to organ procurement organizations for the purpose of tissue donation and transplant.
Military and Veterans
If you are a member of the armed forces, we may disclose your PHI as required by military command authorities.
National Security
We may disclose your PHI to authorized federal officials for national security and intelligence activities.
Inmates
If you are an inmate, we may disclose your PHI to correctional institutions or law enforcement officials as permitted by law.
Uses and Disclosures That Require Your Authorization
We will not use or disclose your PHI for the following purposes without your written authorization:
- Marketing communications (except face-to-face communications and promotional gifts of nominal value)
- Sale of your PHI
- Most uses of psychotherapy notes
- Other uses and disclosures not described in this Notice
You may revoke your authorization at any time by submitting a written request to us. Revocation will not affect any actions we took in reliance on your authorization before we received your revocation.
Your Rights Regarding Your PHI
Right to Access
You have the right to access and obtain a copy of your PHI. To request access, submit a written request to privacy@gentlemenshealthcollective.com. We may charge a reasonable fee for copies.
Right to Amend
You have the right to request that we amend your PHI if you believe it is incorrect or incomplete. To request an amendment, submit a written request to privacy@gentlemenshealthcollective.com. We may deny your request under certain circumstances.
Right to an Accounting of Disclosures
You have the right to receive an accounting of certain disclosures of your PHI. To request an accounting, submit a written request to privacy@gentlemenshealthcollective.com.
Right to Request Restrictions
You have the right to request that we restrict how we use or disclose your PHI. We are not required to agree to your request, except in certain circumstances involving payments made in full out of pocket.
Right to Request Confidential Communications
You have the right to request that we communicate with you in a certain way or at a certain location. For example, you may request that we contact you only by mail or at a specific phone number.
Right to a Paper Copy of This Notice
You have the right to a paper copy of this Notice, even if you have agreed to receive it electronically.
Right to Be Notified of a Breach
You have the right to be notified if there is a breach of your unsecured PHI.
Our Responsibilities
We are required to:
- Maintain the privacy of your PHI
- Provide you with this Notice of our privacy practices
- Abide by the terms of this Notice
- Notify you if we cannot accommodate a request
- Notify you if there is a breach of your unsecured PHI
We reserve the right to change our privacy practices and this Notice. If we make a significant change, we will post the revised Notice on our website and make it available upon request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Gentlemen's Health Collective
Email: privacy@gentlemenshealthcollective.com
U.S. Department of Health and Human Services
Office for Civil Rights
Website: www.hhs.gov/ocr
Phone: 1-877-696-6775
You will not be penalized or retaliated against for filing a complaint.
Contact Information
Privacy Officer
Gentlemen's Health Collective
A brand of Outlaws & Gents Grooming LLC
Email: privacy@gentlemenshealthcollective.com
Website: gentlemenshealthcollective.com
Acknowledgment of Receipt
For Record-Keeping Purposes
I acknowledge that I have received a copy of the Gentlemen's Health Collective Notice of Privacy Practices.
Name: ________________________________
Signature: ________________________________
Date: ________________________________
If Unable to Obtain Acknowledgment, Document Reason:
Staff Signature: ________________________________
Date: ________________________________
This Notice is effective as of the date shown above and will remain in effect until replaced.