TitanX Men’s Health Notice of Privacy Policy

NOTICE OF PRIVACY PRACTICES

Robert C Gibson Acute Care Nurse Practitioner, P.L.L.C. / TitanX Men’s Health
1660 Hopkins Road, Suite 103
Getzville, New York 14068
Phone: 833-859-3561
Email: [email protected]

Effective Date: September 17, 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.

This Notice of Privacy Practices describes how Robert C Gibson Acute Care Nurse Practitioner, P.L.L.C., doing business as TitanX Men’s Health (“TitanX Men’s Health,” “we,” “our,” or “the Practice”), may use and disclose your protected health information (“PHI”) and describes your rights regarding your health information.

YOUR RIGHTS

You have certain rights regarding your health information.

Get a copy of your medical record

You may ask to see or obtain an electronic or paper copy of your medical record and other health information we maintain about you.

We will generally provide a copy or summary of your health information within 30 days of your request. We may charge a reasonable, cost-based fee as permitted by law.

Ask us to correct your medical record

You may ask us to correct health information about you that you believe is incorrect or incomplete.

We may deny your request in certain circumstances, but if we do, we will explain the reason in writing as required by law.

Request confidential communications

You may ask us to contact you in a particular way, such as through a particular telephone number, email address, mailing address, or other reasonable method.

We will accommodate reasonable requests as required by law.

Ask us to limit what we use or share

You may ask us not to use or disclose certain health information for treatment, payment, or healthcare operations.

We are generally not required to agree to these requests. If we agree to a restriction, we will comply with it except as otherwise permitted or required by law.

If you pay for a healthcare service or item completely out-of-pocket, you may ask us not to disclose information about that service or item to your health plan for payment or healthcare operations. We will honor that request unless disclosure is required by law.

Get a list of certain disclosures

You may request an accounting of certain disclosures of your health information made during the six years before your request.

The accounting will not include certain disclosures, including many disclosures made for treatment, payment, healthcare operations, or disclosures you specifically authorized.

We will provide one accounting during any 12-month period without charge. We may charge a reasonable, cost-based fee for additional requests when permitted by law.

Get a copy of this Notice

You may request a paper or electronic copy of this Notice at any time, even if you previously agreed to receive it electronically.

Choose someone to act for you

If you have given someone medical power of attorney or another person has legal authority to act as your personal representative, that person may exercise your privacy rights on your behalf.

We may require documentation establishing that person’s authority before taking action.

File a complaint

If you believe your privacy rights have been violated, you may file a complaint with TitanX Men’s Health using the contact information at the end of this Notice.

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 complaint.

YOUR CHOICES

For certain health information, you may tell us your preferences about what we disclose.

You may tell us whether you want us to:

  • Share information with family members, friends, or other individuals involved in your care or payment for your care.
  • Share information in a disaster-relief situation.

If you are unable to tell us your preference, such as during an emergency, we may disclose information when we determine that doing so is in your best interest and is permitted by law.

We may also disclose information when necessary to prevent or lessen a serious and imminent threat to health or safety.

Written authorization

We will obtain your written authorization before using or disclosing your PHI when HIPAA or other applicable law requires authorization.

This generally includes:

  • Most uses and disclosures for marketing purposes that are not otherwise permitted by law.
  • Sale of your PHI.
  • Most uses and disclosures of psychotherapy notes, if we maintain such records.

If you provide written authorization, you may revoke that authorization in writing at any time, except to the extent that we have already acted in reliance on it.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

Treatment

We may use and disclose your health information to provide, coordinate, and manage your healthcare.

For example, we may disclose relevant health information to a laboratory, pharmacy, consulting healthcare professional, or another provider involved in your treatment.

Healthcare operations

We may use and disclose your health information to operate our Practice and improve the quality of care and services we provide.

For example, we may review patient records for quality improvement, compliance, administrative activities, or evaluation of our services.

Payment

We may use and disclose health information as necessary for payment-related activities.

Although TitanX Men’s Health generally operates as a self-pay practice, payment-related uses may include processing patient payments, providing documentation requested by a patient for reimbursement or HSA/FSA purposes, collecting amounts owed, and conducting other permitted payment activities.

Business associates

We may disclose PHI to third parties that perform services for TitanX Men’s Health when those services require access to PHI.

When required by HIPAA, these entities are considered our Business Associates and are contractually required to appropriately safeguard your information.

Public health and safety

We may disclose health information for certain public-health and safety activities permitted or required by law, including:

  • Preventing or controlling disease.
  • Reporting adverse events or problems involving medications or products.
  • Reporting suspected abuse, neglect, or domestic violence when authorized or required by law.
  • Preventing or reducing a serious threat to health or safety.

Comply with the law

We may disclose your health information when federal or state law requires us to do so.

Health oversight

We may disclose health information to authorized health oversight agencies for activities permitted by law, such as audits, investigations, inspections, licensing, and regulatory activities.

Research

We may use or disclose health information for research when permitted by law and when applicable HIPAA requirements have been satisfied.

Organ and tissue donation

We may disclose health information to organizations involved in organ, eye, or tissue donation when permitted by law.

Medical examiners and funeral directors

We may disclose health information to coroners, medical examiners, and funeral directors when permitted or required by law.

Workers’ compensation, law enforcement, and government requests

We may use or disclose health information for workers’ compensation claims, certain law-enforcement purposes, and other government functions when permitted or required by law.

Lawsuits and legal proceedings

We may disclose health information in response to a valid court or administrative order, subpoena, discovery request, or other lawful process when the requirements of applicable law have been satisfied.

SUBSTANCE USE DISORDER RECORDS

To the extent that TitanX Men’s Health receives or maintains substance use disorder patient records that are protected by 42 CFR Part 2, additional federal confidentiality protections may apply.

Part 2-protected information generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against a patient based on the content of those records unless the patient provides specific written consent or the disclosure is authorized by an appropriate court order and subpoena as required by law.

TitanX Men’s Health will handle Part 2-protected information in accordance with applicable federal requirements.

ELECTRONIC COMMUNICATIONS AND PATIENT PORTAL

TitanX Men’s Health may communicate with patients electronically, including through a secure patient portal, secure messaging systems, email, telephone, or other electronic systems when appropriate.

These communications may contain PHI.

Patients are responsible for protecting their account credentials and maintaining the security of devices used to access their medical information.

Electronic messaging should not be used for emergencies. Patients experiencing a medical emergency should call 911 or seek immediate emergency medical care.

OUR RESPONSIBILITIES

TitanX Men’s Health is required by law to maintain the privacy and security of your protected health information.

We will notify you as required by law 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 the Notice currently in effect.

We will not use or disclose your information other than as described in this Notice unless you authorize us to do so in writing or another use or disclosure is permitted or required by law.

If you provide written authorization, you may revoke it in writing as permitted by law.

TitanX Men’s Health complies with applicable federal and New York State confidentiality requirements. When another applicable law provides greater privacy protection than HIPAA, we will comply with the more protective requirement.

CHANGES TO THIS NOTICE

TitanX Men’s Health may change the terms of this Notice.

Changes may apply to all PHI we maintain, including information created or received before the change.

The current Notice will be available upon request, at our office, through our electronic patient resources, and on the TitanX Men’s Health website.

QUESTIONS OR PRIVACY COMPLAINTS

For questions about this Notice, requests concerning your privacy rights, or complaints regarding TitanX Men’s Health’s privacy practices, contact:

Privacy Officer
Robert C Gibson Acute Care Nurse Practitioner, P.L.L.C.
TitanX Men’s Health
1660 Hopkins Road, Suite 103
Getzville, New York 14068
Phone: (833) 859-3561
Email: [email protected]

You may also submit a complaint to the:

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

200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775

TitanX Men’s Health will not retaliate against you for filing a privacy complaint.