DR CLAUDE MATAR, INC. DBA Pasadena Weight Loss Center
600 S Lake Ave
Pasadena, CA 91106

Effective Date: AUGUST 21, 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.

Pasadena Weight Loss Center (“PWLC,” “we,” “us,” or “our”) is committed to protecting the privacy and confidentiality of your health information.

This Notice of Privacy Practices (“Notice”) describes how we may use and disclose your protected health information (“PHI”), the rights you have regarding your PHI, and our legal obligations concerning that information.

We are required by applicable law to:

Maintain the privacy and security of your PHI;

Provide you with this Notice describing our legal duties and privacy practices;

Follow the terms of the Notice currently in effect; and

Notify affected individuals following a breach of unsecured PHI when required by law.

We reserve the right to change this Notice and our privacy practices as permitted by law. Any revised Notice will apply to the PHI we maintain as permitted by applicable law.

I. HOW WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION

We may use and disclose your PHI for treatment, payment, and healthcare operations without obtaining a separate written authorization when permitted by law.

The following are examples of how your information may be used or disclosed.

A. Treatment

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

For example, we may share relevant health information with physicians, healthcare practitioners, clinical staff, laboratories, pharmacies, or other healthcare providers involved in your care when permitted by law.

This may include information necessary to evaluate your health, coordinate treatment, order or review testing, manage medications or prescriptions when applicable, and provide ongoing care.

B. Payment

We may use and disclose PHI as necessary to bill for and receive payment for healthcare services provided to you.

This may include communicating with payment processors, insurers, health plans, or other entities involved in payment when applicable.

C. Healthcare Operations

We may use and disclose PHI for activities necessary to operate Pasadena Weight Loss Center.

Examples may include:

Quality assessment and improvement

Patient service and care coordination

Staff training

Internal compliance activities

Audits

Business planning and administration

Credentialing and professional review

Evaluating the performance of our services and personnel

D. Appointment Reminders and Health-Related Communications

We may use your information to contact you regarding:

Appointment confirmations

Appointment reminders

Follow-up care

Treatment alternatives

Health-related benefits or services

Other communications related to your care

Marketing communications that require your authorization under applicable law will not be made without the required authorization.

E. Family Members and Others Involved in Your Care

Unless you object, and when permitted by law, we may disclose relevant PHI to a family member, relative, close friend, caregiver, or another person you identify who is involved in your healthcare or payment for your healthcare.

We will limit these disclosures to information reasonably relevant to that person's involvement in your care or payment.

If you are unable to agree or object, we may use professional judgment to determine whether disclosure is in your best interest, as permitted by law.

F. Other Permitted or Required Uses and Disclosures

We may use or disclose your PHI without your written authorization when permitted or required by law, including for:

Public health activities

Health oversight activities

Reporting abuse, neglect, or domestic violence when required or permitted by law

Judicial and administrative proceedings

Certain law-enforcement purposes

Coroners, medical examiners, and funeral directors

Organ and tissue donation

Research when applicable legal requirements have been satisfied

Preventing or reducing a serious threat to health or safety

Certain military and veterans activities

National security and intelligence activities

Correctional institutions and law-enforcement custodial situations

Workers' compensation purposes

Other uses or disclosures required by federal, state, or local law

II. USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION

Uses or disclosures of your PHI that are not otherwise permitted or required by law will generally be made only with your written authorization.

Where required by HIPAA, your authorization is also required for certain:

Marketing activities;

Sales of PHI; and

Uses or disclosures of certain specially protected information.

If you provide us with written authorization, you generally have the right to revoke that authorization in writing at any time.

Revoking an authorization will not affect actions we already took in reliance on the authorization before receiving your revocation.

III. YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have certain rights regarding the PHI we maintain about you.

A. Right to Request Restrictions

You have the right to request restrictions on certain uses or disclosures of your PHI.

We are generally not required to agree to every requested restriction. However, where required by law, we will comply with a request to restrict disclosure to a health plan for payment or healthcare operations when the disclosure relates solely to an item or service for which you have paid us in full out-of-pocket.

Requests for restrictions should be submitted in writing.

B. Right to Request Confidential Communications

You have the right to request that we communicate with you about your health information through a particular method or at an alternative location.

For example, you may request that we contact you at a specific telephone number or mailing address.

We will accommodate reasonable requests as required by law.

C. Right to Access Your Health Information

You generally have the right to inspect and obtain a copy of PHI maintained about you in a designated record set, subject to certain exceptions.

Where applicable, you may request an electronic copy of electronically maintained PHI.

We will respond within the time required by applicable law and may charge a reasonable, cost-based fee when permitted.

In certain limited circumstances, we may deny access to some or all of the requested information. When required, we will explain the reason for the denial and inform you whether you have a right to request review of that decision.

D. Right to Request an Amendment

If you believe that PHI maintained about you is incorrect or incomplete, you may request that we amend the information.

Your request should be made in writing and explain why you believe an amendment is appropriate.

We may deny the request under circumstances permitted by law, such as when the information is accurate and complete or was not created by us.

If your request is denied, you may have additional rights to submit a statement of disagreement.

E. Right to an Accounting of Disclosures

You have the right to request an accounting of certain disclosures of your PHI made by us during the period provided by applicable law.

The accounting does not include every disclosure. Certain disclosures, including some disclosures for treatment, payment, or healthcare operations, may be excluded as permitted by law.

We will provide the first accounting during the applicable period without charge and may charge a reasonable, cost-based fee for additional requests when permitted by law.

F. Right to Receive a Copy of This Notice

You have the right to receive a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

G. Fundraising

You have the right to opt out of fundraising communications if Pasadena Weight Loss Center conducts fundraising activities using information permitted under HIPAA.

Your PHI will not be sold without authorization where authorization is required by law.

IV. OUR RESPONSIBILITIES

Pasadena Weight Loss Center is required to:

Maintain the privacy and security of your PHI;

Follow applicable federal and state privacy laws;

Provide you with this Notice explaining our privacy practices;

Follow the terms of the Notice currently in effect; and

Notify you following a breach of unsecured PHI when notification is required by law.

We may change the terms of this Notice and our privacy practices as permitted by law.

If we make a material change, an updated Notice will be made available as required by applicable law and may be posted on our website.

V. QUESTIONS, REQUESTS, OR COMPLAINTS

If you have questions about this Notice or would like to exercise your privacy rights, please contact:

Privacy Officer

DR CLAUDE MATAR, INC.
DBA Pasadena Weight Loss Center

600 S Lake Ave
Pasadena, CA 91106
United States

Phone: (626) 844-4686
Email: [email protected]

If you believe your privacy rights have been violated, you may file a complaint with Pasadena Weight Loss Center's Privacy Officer.

You may also file a complaint with the:

U.S. Department of Health and Human Services
Office for Civil Rights

We will not retaliate against you for filing a privacy complaint or exercising your rights under applicable law.

VI. CHANGES TO THIS NOTICE

We reserve the right to revise this Notice and our privacy practices as permitted by law.

Any revised Notice may apply to PHI we already maintain as well as information we receive in the future.

The current version of this Notice will be available upon request and may be posted on our website.