HIPAA Notice of Privacy Practices

HIPAA Notice of Privacy Practices

HIPAA Notice of Privacy Practices
Effective Date: [Insert Date]

Outfront Health (“we,” “our,” “us”) is committed to protecting your Protected Health Information (“PHI”) in compliance with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). This Notice explains how we may use and disclose your PHI, and your rights regarding that information.

Our Role
As a Business Associate of certain third-party laboratories and licensed healthcare providers, we handle your PHI only as needed to provide services and as permitted by HIPAA.

How We May Use and Disclose PHI

• Testing & Processing with third-party labs and healthcare providers

• Payment & Transaction Processing

• Healthcare Operations (quality review, audits, improvements)

• Legal Compliance

• Public Health & Safety Reporting

Your Rights
You may request copies, corrections, and restrictions to your PHI, or file a complaint without retaliation.

Contact
Privacy Officer – Outfront Health
[Email] | [Phone]

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Page 2 — Informed Consent for Laboratory Testing

Informed Consent for Laboratory Testing
Effective Date: [Insert Date]

By purchasing or using our at-home blood testing services, you understand and agree:

1. Nature of Testing – Performed by a third-party laboratory partner.

2. Purpose & Limitations – For informational purposes only; not a medical diagnosis.

3. Risks – May include inconclusive results, false positives/negatives, or rejected samples.

4. Follow-Up Care – Certain results will be reviewed by a licensed third-party clinician when required by law; counseling is not included for all results.

5. Privacy – Your data is handled per our HIPAA Notice of Privacy Practices.

6. Voluntary Participation – You may withdraw before submitting your sample.

By registering your kit or submitting a sample, you consent to this agreement.

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Page 3 — Refund & Cancellation Policy

Refund & Cancellation Policy
Effective Date: [Insert Date]

We want you to be satisfied with your purchase.

• Defective/Damaged Kits: Refund or replacement provided at no cost.

• Unsatisfied Customers: Contact us within 30 days for a refund.

• Used Kits: No refunds after use and submission of sample.

• Cancellations: Allowed before shipment for a full refund.

Email [support@outfronthealth.com] with your order number to request a refund or cancellation.

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Page 4 — Shipping Policy

Shipping Policy
Effective Date: [Insert Date]

We currently ship within the United States only.

• Processing: 1–2 business days

• Delivery: Typically 5–7 business days

• Delays: Not responsible for carrier delays or weather disruptions

• Lost/Damaged Kits: Contact support for assistance

• Sample Return: Prepaid return packaging included for shipment to our third-party laboratory partner

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Page 5 — Telehealth Consent

Telehealth Consent (When Required by Law)
Effective Date: [Insert Date]

Some test results require review by a licensed clinician under applicable law.

By using our services, you agree:

1. Nature of Review – Only certain results will be reviewed by a licensed third-party clinician as legally required (e.g., specific positive results).

2. Counseling Limitations – Counseling is not included for all results.

3. Confidentiality – Protected by our HIPAA Notice of Privacy Practices.

4. Consent to Contact – You agree to be contacted if legally mandated counseling is required.