Notice of Privacy Practices

NOTICE OF PRIVACY PRACTICES OF ADVANCED RECOVERY SYSTEMS, LLC

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.

THIS NOTICE DESCRIBES:

HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
YOUR RIGHTS WITH RESPECT TO YOUR HEALTH INFORMATION
HOW TO FILE A COMPLAINT CONCERNING A VIOLATION OF THE PRIVACY OR SECURITY OF YOUR HEALTH INFORMATION, OR OF YOUR RIGHTS CONCERNING YOUR INFORMATION

YOU HAVE A RIGHT TO A COPY OF THIS NOTICE (IN PAPER OR ELECTRONIC FORM) AND TO DISCUSS IT WITH ADVANCED RECOVERY SYSTEMS’ PRIVACY OFFICER AT COMPLIANCE@ADVANCEDRECOVERYSYSTEMS.COM OR 754-300-3120 EXT. 4019 IF YOU HAVE ANY QUESTIONS.

Effective Date: November 2025

Advanced Recovery Systems, LLC, and its affiliates, which collectively participate in an Organized Health Care Arrangement and provide clinically integrated health care services as the Advanced Recovery Systems substance abuse and/or mental health treatment program (collectively “Provider”), are required by law to maintain the privacy of your health information in accordance with federal and state law. In addition to HIPAA and state law, we protect the privacy and security of substance use disorder patient records in accordance with 42 U.S.C. § 290dd–2 and 42 C.F.R. Part 2, the Confidentiality of Substance Use Disorder Patient Records (“Part 2”), in addition to HIPAA and applicable state law. This Notice of Privacy Practices (“Notice”) outlines our legal duties and privacy practices with respect to health information. We are required by law to maintain the privacy of records, provide you with notice of our legal duties and privacy practices with respect to records, and to notify you following a breach of your unsecured records. Provider may provide health care through health care providers who are contracted with Provider. All such health care providers have agreed to be bound by this Notice.

We are required to abide by the terms of the Notice currently in effect. We reserve the right to make changes to this Notice as permitted by law. We reserve the right to make the new Notice provisions effective for all records we currently maintain, as well as any records we receive in the future. If we make material or important changes to our privacy practices, we will promptly revise our Notice. Each version of the Notice will have an effective date listed on the first page. If we change this Notice, you can access the revised Notice on our website advancedrecoverysystems.com or from the receptionist at any Provider facility. We will also post the Notice prominently in our Provider facilities.

You have the right to file a complaint if you believe your privacy rights have been violated. If you would like to file a complaint about our privacy practices, you can do so by sending a letter outlining your concerns to: Advanced Recovery Systems, LLC, Attn: Compliance, 100 SE Third Ave, Suite 1800, Ft Lauderdale, FL 33394 or by contacting our Privacy Officer by telephone at 754-300-3120 ext. 4019 or by email at compliance@advancedrecoverysystems.com. You also have the right to complain to the Secretary of the United States Department of Health and Human Services. You will not be penalized or otherwise retaliated against for filing a complaint.

USES AND DISCLOSURES OF YOUR HEALTH INFORMATION:

We will obtain your written consent to use and disclose your health information unless we are permitted to use or disclose your information without your consent under applicable law. The following outlines how we can use and disclose: (A) health information under HIPAA; and (B) substance use disorder information under HIPAA and Part 2. To the extent applicable state law is even more restrictive than HIPAA or, for substance use disorder information, Part 2, on how we use and disclose any of your information, we comply with more restrictive state law.

A. HIPAA

The following categories describe the ways that we may use and disclose your health information without your written authorization under HIPAA. Please note that your information may be subject to re-disclosure by the recipient and no longer protected by HIPAA.

Treatment. We may use and disclose your health information to provide you with medical treatment and services. For example, your health information may be disclosed to physicians, nurses, or other health care providers who are involved in your care to coordinate or manage your health care services or to facilitate consultations or referrals as part of your treatment. We also may disclose your health information to persons outside our organization involved in your treatment, such as other health care providers.

Payment. We may use and disclose your health information to obtain payment for the services we provide to you. For example, we may disclose your health information to seek payment from your insurance company or from another third party. We may also inform your insurance company about a treatment you are going to receive so that we obtain prior approval for the treatment or in order to determine whether your insurance company will cover the cost of the treatment.

Health Care Operations. We may use and disclose your health information to conduct certain of our business activities, which are called health care operations. These uses and disclosures are necessary to run our business and make sure our patients receive quality care. For example, we may use your health information for quality assessment activities, necessary credentialing, and for other essential activities. We may also disclose your health information to third party “business associates” that perform various services on our behalf, such as transcription, billing, and collection services. In these cases, we will enter into a written agreement with the business associates to ensure they protect the privacy of your health information.

Family Members and Friends for Care and Payment and Notification. If you verbally agree to the use or disclosure and in certain other situations, we may make the following uses and disclosures of your health information. We may disclose certain health information to your family, friends, and anyone else whom you identify as involved in your health care or who helps pay for your care; the health information we disclose would be limited to the health information that is relevant to that person’s involvement in your care or payment for your care. We may also make these disclosures after your death as authorized by applicable law unless doing so is inconsistent with any prior expressed preference. We may use or disclose your information to notify or assist in notifying a family member, personal representative, or any other person responsible for your care regarding your location, general condition, or death. We may also use or disclose your health information to disaster-relief organizations so that your family or other persons responsible for your care can be notified about your condition, status, and location.

Required by Law. We may disclose your health information when required by law to do so.

Public Health Reporting. We may disclose your health information to public health agencies as authorized by law. For example, we may report certain communicable diseases to the state’s public health department.

Reporting Victims of Abuse or Neglect. We may disclose health information to the appropriate government authority if we believe you have been the victim of abuse, neglect, or domestic violence. We only make this disclosure if you agree or when we are required or authorized by law to make the disclosure.

Health Care Oversight. We may disclose your health information to authorities and agencies for oversight activities allowed by law, including audits, investigations, inspections, licensure and disciplinary actions, or civil, administrative, and criminal proceedings, as necessary for oversight of the health care system, government programs, and civil rights laws.

Legal Proceedings. We may disclose your health information in the course of certain administrative or judicial proceedings. For example, we may disclose your health information in response to a court order.

Law Enforcement. We may disclose your health information to a law enforcement official for certain specific purposes, such as reporting certain types of injuries.

Deceased Persons. We may disclose your health information to coroners, medical examiners, or funeral directors so that they can carry out their duties.

Organ and Tissue Donation. We may use and disclose your health information to organizations that handle procurement, transplantation, or banking of organs, eyes, or tissues.

Research. Under certain circumstances, we may disclose your health information to researchers who are conducting a specific research project. Your identifying information will never be published without your written consent.

To Avert a Serious Threat to Health or Safety. If there is a serious threat to your health and safety or the health and safety of the public or another person, we may use and disclose your health information in a very limited manner to someone able to help lessen the threat.

Specialized Government Functions. In certain circumstances, HIPAA authorizes us to use or disclose your health information to authorized federal officials for the conduct of national security activities and other specialized government functions.

Inmates. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may disclose your health information to the correctional institution or law enforcement official to assist them in providing you health care, protecting your health and safety or the health and safety of others, or providing for the safety of the correctional institution.

Workers’ Compensation. We may disclose your health information as necessary to comply with laws related to workers’ compensation or other similar programs.

B. Substance Use Disorder Information Regulated by Part 2

The following categories describe the ways that we may use and disclose your substance use disorder information without your written consent under Part 2.

Within Our Facilities. Provider personnel who have a need for your information in connection with their duties that arise out of the provision of diagnosis, treatment, or referral for treatment may use and share your information. In addition, we may share your information with the entity that has direct administrative control over our substance use disorder program. Similarly, the participants in the Organized Health Care Arrangement share health information with each other as necessary to carry out treatment, payment, or health care operations relating to the Organized Health Care Arrangement where permitted by law.

Emergency Treatment. In the event of a bona fide medical emergency in which your prior consent cannot be obtained, we may disclose your identifying information to medical personnel.

Business Associates/Qualified Service Organizations. We may disclose your information to third party “business associates” and “qualified service organizations” that perform various services on our behalf, such as transcription, billing, and collection services, and who agree to protect the privacy of your health information.

Audits. We may disclose your health information to entities who are legally permitted to perform audits of our facilities, such as government regulators. Those entities are required to maintain the privacy of your information.

Legal Proceedings. We may disclose your health information pursuant to court orders that meet the requirements of applicable law. Records, or testimony relaying the content of such records, shall not be used or disclosed in any civil, administrative, criminal, or legislative proceedings against you unless based on specific written consent or a court order. Records shall only be used or disclosed based on a court order after you or the record holder is provided notice and an opportunity to be heard, where required by law. A court order authorizing use or disclosure must be accompanied by a subpoena or other similar legal mandate compelling disclosure before the record is used or disclosed.

Reporting Crimes on Our Premises or Against Our Personnel. We may disclose a patient’s commission (or threatened commission) of a crime on our premises or against our personnel to a law enforcement agency or official. We are permitted to disclose information regarding the circumstances of such incident, including the suspect’s name, address, last known whereabouts, and status as a patient in our program.

Reporting Child Abuse or Neglect. We may report incidents of suspected child abuse and neglect to the appropriate state or local authorities.

Deceased Persons. We may disclose information relating to the cause of death of a patient under laws requiring the collection of death or other vital statistics or permitting inquiry into the cause of death.

FDA Reporting. We may disclose patient identifying information to medical personnel of the Food and Drug Administration (“FDA”) who assert a reason to believe that the health of any individual may be threatened by an error in the manufacture, labeling, or sale of a product under FDA jurisdiction, and that the information will be used for the exclusive purpose of notifying patients or their physicians of potential dangers.

De-identified Information. We may disclose your de-identified information as permitted by law, including for public health purposes.

Services ARS Provides through the Department of Veterans Affairs. If your care at ARS is through the Department of Veterans Affairs, Part 2 does not apply to your records. Your records may be used and disclosed in accordance with 38 U.S.C. § 7332 and its implementing regulations at 38 C.F.R § 1.460 et seq. Without limitation, your records may be disclosed without your consent to the Department of Veterans Affairs as needed to provide ARS’ services.

ARTIFICIAL INTELLIGENCE TECHNOLOGIES:

We may use artificial intelligence (“AI”) technologies, machine learning algorithms, and automated systems to support various aspects of your health care experience in accordance with applicable law. When we use AI technologies, your health information may be processed through these systems. These technologies may be used, for example, in treatment and healthcare operations/administrative functions to enhance the quality, efficiency, and safety of services we provide. One example, without limitation, is that some or all your communications with your health care providers may be recorded through an automated scribe note taking tool, allowing your provider to focus more on the provider’s conversation with you and less on manual note taking.

We implement safeguards designed to protect your information when processed through AI technologies. We enter into business associate agreements with third party vendors who process your health information on our behalf.

OTHER USES AND DISCLOSURES:

Use or disclosure of your health information for any purpose other than those listed above requires your written consent. Some examples include:

Psychotherapy/Substance Use Disorder Counseling Notes: We will not use and disclose your psychotherapy/substance use disorder counseling notes without your written consent except as otherwise permitted by law.
Release of Your Presence in Our Facility: We will not disclose your presence in substance use disorder treatment to individuals who may call or present in person at a facility unless you have provided your written consent permitting the release.
Marketing: We will not use or disclose your health information for marketing purposes without your written consent except as otherwise permitted by law.
Sale of Your Health Information: We will not sell your health information without your written consent except as otherwise permitted by law.

You may provide a single consent for all future uses or disclosures for substance use disorder treatment, payment, and health care operations purposes. Records that are disclosed to a Part 2 program, covered entity, or business associate pursuant to your written consent for treatment, payment, and health care operations may be further disclosed by that Part 2 program, covered entity, or business associate, without your written consent, to the extent HIPAA permits such disclosure.

If you change your mind after consenting to the use or disclosure of your health information, you may withdraw your permission by revoking the consent in writing. However, your decision to revoke the consent will not affect or undo any use or disclosure of your health information that occurred before you notified us of your decision, or any actions that we have taken based upon your consent. To revoke a consent, please notify us by mail at Advanced Recovery Systems, LLC, Attn: Compliance, 100 SE Third Ave, Suite 1800, Ft Lauderdale, FL 33394 or by contacting our Privacy Officer by email at compliance@advancedrecoverysystems.com.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION:

This section describes your rights regarding the health information we maintain about you. All requests or communications to exercise your rights discussed below must be submitted in writing to Advanced Recovery Systems, LLC, Attn: Compliance, 100 SE Third Ave, Suite 1800, Ft Lauderdale, FL 33394 or by email at compliance@advancedrecoverysystems.com.

Right to Inspect and Copy. You have the right to inspect and receive a copy of your health information, excluding your psychotherapy/substance use disorder counseling notes. We may charge you a fee as authorized by law to meet your request. You may request access to your health information in a certain electronic form and format, if readily producible, or, if not readily producible, in a mutually agreeable electronic form and format. Further, you may request in writing that we transmit such a copy to any person or entity you designate. Your written, signed request must clearly identify such designated person or entity and where you would like us to send the copy. We may deny your request to inspect and copy in limited circumstances. If you are denied access to your health information, you may request that the denial be reviewed by a licensed health care professional chosen by us. The person conducting the review will not be the person who denied your request. We will comply with the outcome of the review.

Right to Request Confidential Communications. You have the right to request that we communicate your health information to you in a certain manner or at a certain location. For example, you may wish to receive information through a written letter sent to a private address. We will grant reasonable requests. We will not ask you the reason for your request.

Right to Amend. You have a right to request that we amend or correct your health information that you believe is incorrect or incomplete. For example, if your date of birth is incorrect, you may request that the information be corrected. To request a correction or amendment to your health information, you must make your request in writing and provide a reason for your request. You have the right to request an amendment for as long as the information is kept by or for us. Under certain circumstances we may deny your request. If your request is denied, we will provide you with information about our denial and how you can file a written statement of disagreement with us that will become part of your medical record.

Right to an Accounting of Disclosures. You have the right to request an accounting of certain disclosures we make of your health information. This includes disclosures made with your consent, disclosures for treatment, payment, and health care operations through an electronic health record, and disclosures of your substance use disorder information by an intermediary, in the three years prior to your request. You will not be charged for this accounting, unless you request more than one accounting per year, in which case we may charge you a reasonable cost-based fee for providing the additional accounting(s). We will notify you of the costs involved and give you an opportunity to withdraw or modify your request before any costs have been incurred.

Right to Request Restrictions. You have the right to request restrictions on how your health information is used or disclosed for treatment, payment, or health care operations activities, including when you have signed a consent for these disclosures. However, we are not required to agree to your requested restriction, unless that restriction is regarding disclosure of health information to your health insurance company and: (1) the disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law; and (2) the health information pertains solely to a health care item or service for which you or another person (other than your health insurance company) paid for in full.

Right to a Copy of This Notice. You have the right to receive a paper or electronic copy of this Notice at any time upon request. A paper copy of this Notice can be obtained from the receptionist at any Provider facility and is also available at our website at advancedrecoverysystems.com.

Right to Discuss This Notice. You have the right to discuss this Notice with us. Please contact us at the contact information listed below.

CONTACT INFORMATION:

If you have questions or concerns about your privacy rights, or the information contained in this Notice, please contact the Advanced Recovery Systems Privacy Officer by mail at Advanced Recovery Systems, LLC, Attn: Compliance, 100 SE Third Ave, Suite 1800, Ft Lauderdale, FL 33394, by telephone at 754-300-3120 ext. 4019, or by email at compliance@advancedrecoverysystems.com.

Participants in the Organized Health Care Arrangement

Advanced Behavioral Medicine, LLC d/b/a Next Step Village Maitland
Advanced Recovery Systems Technology, LLC d/b/a NOBU
Advanced Recovery Systems, LLC d/b/a The Recovery Village
Advanced Recovery Systems, LLC (Wyoming) d/b/a The Recovery Village Atlanta, The Recovery Village Atlanta Drug and Alcohol Rehab, The Recovery Village South Atlanta, The Recovery Village South Atlanta Drug and Alcohol Rehab, The Recovery Village South Atlanta Drug, Alcohol and Mental Health Rehab
Central Florida Detox, LLC d/b/a Orlando Recovery Center, The Recovery Village Orlando, Orlando Recovery Center Drug and Alcohol Rehab, Orlando Outpatient, Orlando Outpatient Center, Orlando Recovery Center Drug, Alcohol and Mental Health Rehab
Cooper Center For Healing and Recovery, LLC d/b/a The Recovery Village Cherry Hill at Cooper, The Recovery Village Cherry Hill at Cooper Drug and Alcohol Rehab
Jessica Lane RE, LLC d/b/a The Recovery Village Kansas City, The Recovery Village Kansas City Drug and Alcohol Rehab, The Recovery Village Kansas City Outpatient Center
Pacific North Recovery Center, LLC d/b/a The Recovery Village Ridgefield, The Recovery Village Ridgefield Drug and Alcohol Rehab
Recovery Village at Palmer Lake, LLC d/b/a The Recovery Village Palmer Lake, The Recovery Village Palmer Lake Drug and Alcohol Rehab, Denver Mental Health and Counseling by The Recovery Village
Recovery Village at Umatilla, LLC d/b/a Village Behavioral Health, The Recovery Village, The Recovery Village Umatilla, The Recovery Village Drug and Alcohol Rehab
Sebring ACOP, LLC d/b/a The Recovery Village Sebring, Next Generation Village Teen Drug and Alcohol Rehab
The Recovery Village California, LLC d/b/a IAFF Center of Excellence for Behavioral Health Treatment & Recovery West Coast
The Recovery Village Columbus, LLC d/b/a The Recovery Village Columbus Drug and Alcohol Rehab, The Recovery Village Columbus Drug, Alcohol and Mental Health Rehab
The Recovery Village Indiana, LLC d/b/a The Recovery Village Indianapolis, The Recovery Village Indianapolis Drug and Alcohol Rehab
The Recovery Village Jacksonville, LLC
The Recovery Village Maryland, LLC d/b/a IAFF Center of Excellence for Behavioral Health Treatment and Recovery
The Recovery Village Milwaukee, LLC d/b/a The Recovery Village Milwaukee Drug, Alcohol & Mental Health Rehab
The Recovery Village Oregon, LLC d/b/a The Recovery Village Salem, The Recovery Village Salem Drug, Alcohol and Mental Health Rehab
The Treatment Center By The Recovery Village, LLC d/b/a The Treatment Center, The Recovery Village Palm Beach at Baptist Health, The Recovery Village Miami at Baptist Health, Recovery Residences at The Treatment Center, The recovery Village Palm Beach, The Recovery Village Palm Beach at Baptist Health Drug and Alcohol Rehab, The Recovery Village Maimi at Baptist Health Drug and Alcohol Rehab

ACKNOWLEDGMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES

I acknowledge I have been provided the Notice of Privacy Practices.

Date: ______________________

Printed Name of Individual: ______________________

Signature: ______________________

If signed by a legal representative, please indicate your authority to act on the individual’s behalf:
______________________

If the individual’s written acknowledgment was not obtained, complete the following:

I represent that I made a good faith effort to obtain written acknowledgment of the receipt of the Notice of Privacy Practices, but the acknowledgment could be not be obtained for the following reason(s):

______________________

Date: ______________________

Printed Name of Individual: ______________________

Employee Name: ______________________

Employee Signature: ______________________

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