Notice of Privacy Practices

Effective date: July 6, 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.

“We,” “us,” and “our” refer to Xynwell Oculofacial Plastic Surgery + Facial Aesthetics (“Xynwell”). We are required by law to maintain the privacy and security of your protected health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

When it comes to your health information, you have the right to:

• Get a copy of your health 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, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
• Ask us to correct your record. You can ask us to correct health information you believe is incorrect or incomplete. We may say no, but we will tell you why in writing within 60 days.
• 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 accommodate all reasonable requests.
• 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, and we may say no 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, and we will agree unless a law requires us to share it.
• Get a list of those with whom we've shared information. You can ask for a list (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'll include all disclosures except those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make).
• 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 it electronically.
• 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.
• File a complaint if you feel your rights are violated. You can complain if you feel we have violated your rights by contacting us using the information at the bottom of this notice. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights, 200 Independence Avenue, S.W., Washington, D.C. 20201, by calling 1-877-696-6775, or online at hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.

For certain health information, you can tell us your choices about what we share. In these cases, you have both the right and the 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.

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.

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

• Marketing purposes;
• Sale of your information;
• Before-and-after photographs. Your photographs are published or displayed only with your separate written authorization, which you may revoke at any time (revocation does not affect uses already made in reliance on it).

We typically use or share your health information in the following ways:

• To treat you. We can use your health information and share it with other professionals who are treating you — for example, a physician we refer you to, or one who refers you to us.
• To run our practice. We can use and share your health information to run our practice, improve your care, and contact you when necessary — for example, to schedule and confirm appointments by your preferred contact method.
• To bill for your services. We can use and share your health information to bill and receive payment for services you receive from us. Xynwell is a cash-pay practice and does not bill insurance; payment-related uses are generally limited to processing your own payments and providing receipts or documentation you request.

We are also 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 — after meeting many conditions in the law:

• Helping with public health and safety issues — preventing disease; reporting adverse reactions to medications; reporting suspected abuse, neglect, or domestic violence; preventing or reducing a serious threat to anyone's health or safety.
• Complying 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 if it wants to see that we're complying with federal privacy law.
• Responding to lawsuits and legal actions — in response to a court or administrative order, or in response to a subpoena.
• Responding to organ and tissue donation requests and working with a medical examiner or funeral director as authorized by law.
• Addressing workers' compensation, law enforcement, and other government requests — 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.

We never sell your health information, and we never use or share it for third-party marketing without your written authorization.

• We are required by law to maintain the privacy and security of your protected health information.
• 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 by letting us know in writing.

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on this page with an updated effective date.

Privacy questions, requests, or complaints: Xynwell · 14001 N 7th Street, Suite E110 · Phoenix, AZ 85022 · (602) 345-1424, or call (602) 345-1424. Please direct written requests to the Privacy Official at the address above.