Privacy Policy

IndigoVia Notice of Privacy Practices

Effective Date: 04/17/2025

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.

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information ("PHI").
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

This Notice of Privacy Practices applies to IndigoVia, its staff, and any associated healthcare professionals delivering services under IndigoVia.

If you have any questions about this notice, please contact our Privacy Official using the contact information at the end of this document.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you exercise those rights.

1. Get an electronic or paper copy of your medical record

• You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you.
• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

2. Ask us to correct your medical record

• You can ask us to correct health information about you that you think is incorrect or incomplete.
• We may say "no" to your request, but we'll tell you why in writing within 60 days.

3. Request confidential communications

• You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
• We will say "yes" to all reasonable requests.

4. Ask us to limit what we use or share

• You can ask us not to use or share certain health information for treatment, payment, or our operations.
• We are not required to agree to your request if it would affect your care.
• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say "yes" unless a law requires us to share that information.

5. Get a list of those with whom we've shared information

• You can ask for a list (an "accounting") of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why.
• We will include all disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make).
• We'll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

6. Get a copy of this privacy notice

• You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.
• We will provide you with a paper copy promptly.

7. Choose someone to act for you

• If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
• We will make sure the person has this authority and can act for you before we take any action.

8. File a complaint if you feel your rights are violated

• You can complain if you feel we have violated your rights by contacting us (see contact information below).
• You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
• We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, let us know.

In these cases, you have both the right and choice to tell us to:

• Share information with your family, close friends, or others involved in your care.
• Share information in a disaster relief situation.
• Include your information in a hospital directory.

If you are not able to tell us your preference (for example, if you are unconscious), we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases, we never share your information unless you give us written permission:

• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes

In the case of fundraising: We may contact you for fundraising efforts, but you can tell us not to contact you again.

Our Uses and Disclosures

How do we typically use or share your health information?

1. Treat you

We can use your health information and share it with other professionals who are treating you.

Pharmacy Fulfillment Partners

When prescriptions are required as part of your treatment, IndigoVia works exclusively with LegitScript-certified pharmacies or NABP-accredited partners, including Belmar Pharmacy and Olympia Pharmacy.

Belmar Pharmacy

12860 W Cedar Dr, Lakewood, CO 80228

Phone: (800) 525-9473

Website: www.belmarpharmacy.com

Olympia Pharmacy

6700 Conroy Rd #155, Orlando, FL 32835

Phone: (407) 673-2222

Website: www.olympiapharmacy.com

Example: A doctor treating you for an injury asks another doctor about your overall health condition.

2. Run our organization

We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Example: We use health information about you to manage your treatment and services.

3. Bill for your services

We can use and share your health information to bill and get payment from health plans or other entities.

Example: We give information about you to your health insurance plan so it will pay for your services.

How else can we use or share your health information?

We are allowed or required to share your information in other ways—usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information, see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

Help with public health and safety issues

We can share health information about you for certain situations such as preventing disease, helping with product recalls, reporting adverse reactions to medications, reporting suspected abuse or neglect, and preventing or reducing a serious threat to anyone's health or safety.

Do research

We can use or share your information for health research, under strict legal safeguards.

Comply with the law

We will share information about you if state or federal laws require it, including with the Department of Health and Human Services to show we're complying with federal privacy law.

Respond to organ and tissue donation requests

We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers' compensation, law enforcement, and other government requests

We can use or share health information about you for workers' compensation claims, for law enforcement purposes or with a law enforcement official, with health oversight agencies for activities authorized by law, and for special government functions (such as military, national security, and presidential protective services).

Respond to lawsuits and legal actions

We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Text Messaging and Mobile Information

When you book an appointment on indigovia.com, we ask for your mobile phone number. If you choose "Yes" to text messages on the booking form, we use it to send you text messages about your appointment: confirmations, reminders, and instructions for completing your consent and health history forms and downloading our telehealth app. We keep a record of when you agreed and the words you agreed to. We may also call you to confirm details.

We do not sell, rent, or share your mobile phone number, or your consent to receive text messages, with third parties or affiliates for their marketing or promotional purposes. Mobile information is shared only with the service providers that deliver our messages for us (such as our text messaging provider), and only so that they can send the messages you asked for.

Text messages contain only appointment details and instructions, not diagnoses, medications or treatment details. Details are in your email and on our secure website.

You can opt out of text messages at any time by replying STOP to any message. Reply HELP for help, or call 904-339-8204. Message and data rates may apply. Message frequency varies with your appointments. See our Terms of Service for the full text-message program terms.

Changes to the Terms of This Notice

We can change the terms of this notice at any time, and the changes will apply to all information we have about you. If we make material changes, we will make the new notice available upon request, in our office, and on our website at www.indigovia.com.

Contact Information & Privacy Official

If you have any questions about this Notice, or if you need to request any updates or changes to your information, please contact our Privacy Official:

Privacy Official

IndigoVia

2320 S 3rd St Suite 1

Jacksonville Beach, FL, 32250

Phone: 904-339-8204

Email: admin@indigovia.com

By using or accessing the services of IndigoVia, you acknowledge that you have received and understand this Notice of Privacy Practices. We encourage you to review this notice carefully and contact us if you have any questions or concerns.

Last Updated: 10/01/2026