Coastline Virtual Urgent Care, PLLC
d/b/a Coastline Virtual Urgent Care

Effective Date: 1/25/2026

This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Our Responsibilities

Coastline Virtual Urgent Care is required by law to:

• Maintain the privacy of your protected health information (PHI)
• Provide you with this Notice of Privacy Practices
• Follow the terms of this notice currently in effect
• Notify you following a breach of unsecured protected health information as required by law

We reserve the right to change the terms of this notice and make the revised notice effective for all protected health information we maintain. Updated notices will be available on our website and upon request.

How We May Use and Disclose Your Health Information

We may use and disclose your protected health information for the following purposes:

Treatment

We may use and disclose your health information to provide, coordinate, or manage your medical care. This includes virtual urgent care encounters and, when clinically indicated, coordination or referral for in-person evaluation or follow-up care.

Payment

We may use and disclose your health information to bill and collect payment from health plans, insurance companies, or other entities responsible for payment.

Health Care Operations

We may use and disclose your information for practice operations, including quality assessment, training, credentialing, licensing, auditing, and administrative activities necessary to operate our practice.

Telehealth Services

Coastline Virtual Urgent Care primarily provides care through secure telehealth technology. Telehealth visits are conducted using HIPAA-compliant platforms designed to protect the privacy and security of your health information.

When clinically appropriate, patients may be advised to seek in-person evaluation, diagnostic testing, or emergency care. Information may be shared as necessary to support continuity of care.

Other Permitted or Required Uses and Disclosures

We may disclose your health information without your authorization in the following situations:

• As required by federal, state, or local law
• For public health activities
• To report abuse, neglect, or domestic violence
• For health oversight activities
• For judicial or administrative proceedings
• For law enforcement purposes
• To avert a serious threat to health or safety
• For workers’ compensation purposes

Uses and Disclosures Requiring Your Authorization

We will obtain your written authorization before using or disclosing your health information for purposes not described in this notice.

You may revoke your authorization at any time in writing, except to the extent that action has already been taken based on your authorization.

Your Rights Regarding Your Health Information

You have the right to:

Request Access

You may request to inspect or obtain a copy of your medical records. Requests must be submitted in writing. Records will be provided within the timeframes required by law.

Request an Amendment

You may request correction of information you believe is incorrect or incomplete.

Request Restrictions

You may request restrictions on how your health information is used or disclosed. We are not required to agree to all requests.

Request Confidential Communications

You may request that we contact you in a specific way or at a specific location.

Receive an Accounting of Disclosures

You may request a list of certain disclosures of your health information.

Receive a Paper Copy

You have the right to receive a paper or electronic copy of this notice upon request.

Our Use of Business Associates

We may share your health information with third-party service providers (“business associates”) who assist with operations such as electronic health records, billing, telehealth platforms, or IT services. These entities are required by law to protect your information.

Safeguards

We implement administrative, technical, and physical safeguards designed to protect your health information from unauthorized access, use, or disclosure.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Coastline Virtual Urgent Care
Contact information available on our website

You may also file a complaint with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

Contact Information

If you have questions about this Notice of Privacy Practices or wish to exercise your rights, please contact us using the information provided on our website.

Acknowledgment of Receipt

You may be asked to acknowledge receipt of this Notice of Privacy Practices electronically or in writing.