Effective Date: January 1, 2026
We understand that health information about you is personal. We are committed to protecting your health information. We create a record of your therapy sessions, test results, and communications as part of providing you with quality care. This notice tells you about the ways we may use and disclose your health information.
We may use your health information to provide you with hearing therapy services. We may share your health information with your audiologist, physician, and other healthcare providers involved in your care. For our Montana SB 535 program specifically, this includes transmitting your diagnostic package to the contracted Experimental Treatment Center (ETC) and the Rule-25 prescribing clinician who reviews your case by telemedicine, and sharing your name, date of birth, mailing address, and phone number with the fulfilling pharmacy (Amazon Pharmacy by default, or a Montana-licensed compounding pharmacy) so your prescription can be filled and delivered.
We may use and disclose your health information to obtain payment for services we provide to you. Card payments are processed by our payment processor (Stripe); we transmit only a charge identifier and display name to it — never your diagnosis or clinical data. If you elect optional laboratory testing, your order and results are exchanged with the contracted laboratory (Quest Diagnostics) under a business associate agreement.
We may use your health information to improve the quality of our services, train staff, and conduct compliance and quality assurance activities. If you choose to enroll in the FDA Phase IV safety registry, your information may be used for that registry's safety-monitoring purpose; enrollment is described in your informed consent and you may opt out.
We are required to report adverse events to the contracted ETC, and the ETC reports serious adverse events and required program data to the Montana Department of Public Health and Human Services (DPHHS), as mandated by the Experimental Treatment Act and its rules.
We will disclose your health information when required by federal, state, or local law.
We are required to:
Your health information is maintained in our electronic health record system. We implement appropriate security measures to protect this information, including:
We reserve the right to change this notice and make the new provisions effective for all health information we maintain. We will post the revised notice on our website and in the Patient Portal.
If you believe your privacy rights have been violated, you may file a complaint with us — through the patient portal's grievance form or by contacting our HIPAA Privacy Officer below — or with the Secretary of the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
For questions about this notice or to exercise your rights, contact:
Parley Medical
HIPAA Privacy Officer
Email: support@parley-medical.com
Phone: 1-800-XXX-XXXX