Lactation Health

LH Clinical Group

Notice of Privacy Practices

Effective Date: 4/23/2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU AND YOUR BABY
MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY.

About This Notice

This Notice of Privacy Practices (“Notice”) is issued jointly on behalf of Lactation Health, LLC, Lactation
Consultations, LLC, Birth Bungalow, LLC, The Letdown Collective, LLC, and any future entity that
becomes part of the LH clinical group (each, an “LH Affiliated Entity,” and together with Lactation
Health, LLC, the “LH Clinical Group”). The LH Affiliated Entities operate as an organized health care
arrangement under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and may
share your protected health information with one another for the purposes described in this Notice. The
LH Clinical Group has adopted this joint Notice to describe the privacy practices of all LH Affiliated
Entities. Any Participating Provider who provides services through the LH Clinical Group is also covered
by this Notice with respect to services billed under an LH Affiliated Entity’s payer contract.

Information About Your Child

Lactation services typically involve both a parent and an infant (a “dyad”). When a parent receives
lactation services through the LH Clinical Group, information about the parent’s infant is also collected
and used as part of the care. For example, we may record information about your baby’s feeding,
weight, oral anatomy, and development as part of providing lactation support to you.
This Notice applies to the protected health information of both the parent and the parent’s infant child
who is the subject of lactation services. When we use the words “you” or “your” in this Notice, we mean
to include information about your baby as well, where relevant.
Under HIPAA and applicable state law, a parent generally serves as the “personal representative” of a
minor child and may exercise HIPAA rights on the child’s behalf, including requesting access to the
child’s records, requesting amendments, and receiving this Notice. If you are not the legal parent or
guardian of the child receiving services, please contact us so we can confirm your authority to act on the
child’s behalf.

Our Legal Duty

We are required by law to:

• Maintain the privacy of your protected health information
• Provide you with this Notice explaining our legal duties and privacy practices with respect to your protected health information
• Follow the terms of the Notice currently in effect
• Notify you if there is a breach of your unsecured protected health information

What is Protected Health Information?

“Protected health information” (also called “PHI”) means information about you or your baby that we
create or receive and that relates to past, present, or future physical or mental health or condition, the
lactation services we provide, or payment for those services, and that identifies you or your baby or
could reasonably be used to identify you or your baby.

How We May Use and Disclose Your Protected Health Information Without Your Written
Authorization

We may use and disclose your PHI — and, where applicable, your baby’s PHI — without your written
authorization, for the following purposes:
For Treatment. We may use and disclose PHI to provide lactation services to you and your baby,
coordinate your care, and communicate with other healthcare providers involved in your or your baby’s
treatment. For example, we may share information with your pediatrician or OB/GYN to coordinate care
for you and your baby.
For Payment. We may use and disclose PHI to bill and collect payment for services. This includes
submitting claims to your health insurance plan, verifying coverage, obtaining authorization, following
up on claim denials, appealing payer determinations, issuing patient statements, and where necessary
referring unpaid accounts to a collections agency. We may share PHI with our billing services provider,
Lactation Consultant Billing, LLC, which operates under a Business Associate Agreement.
For Health Care Operations. We may use and disclose PHI for operations such as quality review,
credentialing our providers, training, licensing, compliance activities, business management, and
responding to patient service inquiries.
Sharing Among LH Affiliated Entities. Because the LH Affiliated Entities participate in an organized
health care arrangement, we may share your PHI among the LH Affiliated Entities for treatment,
payment, and joint health care operations. For example, a claim for your services may be submitted
under the payer contract of one LH Affiliated Entity while your records are maintained by your
Participating Provider, with LH coordinating between them.
Business Associates. We may share your PHI with third parties that perform services on our behalf, such
as our billing services provider, electronic health record vendors, cloud services providers (including
Google, which hosts certain LH systems under a Business Associate Agreement), patient collections

agencies, and professional advisors. Each business associate is required by written agreement to
safeguard your PHI.
Required by Law. We may use and disclose your PHI when required to do so by federal, state, or local
law, or to respond to a court or administrative order, subpoena, discovery request, or other legal
process. agencies, and professional advisors. Each business associate is required by written agreement to
safeguard your PHI.
Public Health Activities. We may disclose your PHI for public health activities, including reporting
diseases, births, deaths, and adverse events; tracking FDA-regulated products; and notifying persons
exposed to communicable disease.
Health Oversight. We may disclose your PHI to federal and state health oversight agencies for audits,
investigations, inspections, licensure, and other activities authorized by law.
Abuse, Neglect, or Domestic Violence. We may disclose your PHI to government authorities if we
reasonably believe you or your baby is a victim of abuse, neglect, or domestic violence, as permitted by
law.
Law Enforcement. We may disclose your PHI for law enforcement purposes as permitted or required by
law.
To Avert a Serious Threat. We may disclose your PHI to prevent or lessen a serious and imminent threat
to the health or safety of you, your baby, or others.
Workers’ Compensation. We may disclose your PHI to comply with workers’ compensation laws if
applicable.
Coroners, Medical Examiners, Funeral Directors. We may disclose your PHI to these parties for their
duties as authorized by law.

Coroners, Medical Examiners, Funeral Directors. We may disclose your PHI to these parties for their
duties as authorized by law.

Uses and Disclosures That Require Your Written Authorization

The following uses and disclosures of your PHI will be made only with your written authorization:

• Most uses and disclosures of psychotherapy notes, if any
• Uses and disclosures for marketing purposes
• Sales of your PHI
• Any use or disclosure not otherwise described in this Notice or permitted by law

You may revoke any authorization you give us at any time by writing to us at the contact information
below. Revocation will not apply to actions we have already taken in reliance on your authorization.

Your Rights Regarding Your Protected Health Information

You have the following rights with respect to your PHI and, where you are the personal representative
of your baby, your baby’s PHI. To exercise any of these rights, contact us in writing at the address below.

Right to Request Restrictions. You may request restrictions on how we use or disclose your PHI for
treatment, payment, or health care operations. We are not required to agree to your request, except
that we must agree if you request that we not disclose PHI to a health plan for services you have paid for
in full out of pocket.
Right to Confidential Communications. You may request that we communicate with you in a specific
way (for example, by email rather than phone) or at a specific location. We will accommodate
reasonable requests.
Right to Access. You have the right to inspect and obtain a copy of your PHI — and, as personal
representative of your minor child, your baby’s PHI — that we maintain, in the format you request if
readily producible in that format, including electronic copies. We may charge a reasonable cost-based
fee for copies.
Right to Request Amendment. You may request that we amend PHI that you believe is incorrect or
incomplete. We may deny your request under certain circumstances; if we do, we will explain the
reason and you have the right to submit a written statement of disagreement.
Right to an Accounting of Disclosures. You may request a list of certain disclosures of your PHI that we
have made, other than disclosures for treatment, payment, or health care operations and certain other
exceptions.
Right to a Paper Copy of This Notice. You may request a paper copy of this Notice at any time, even if
you have received an electronic copy. We will provide one to you promptly on request.
Right to Be Notified of a Breach. We will notify you if we discover a breach of your unsecured PHI, as
required by law.

Your Rights If You Believe Your Privacy Has Been Violated

If you believe your privacy rights have been violated, you may file a written complaint with us at the
contact information below, or with the U.S. Department of Health and Human Services, Office for Civil
Rights. We will not retaliate against you for filing a complaint.

Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for all PHI we
maintain, including PHI created or received before the revision. We will post the current Notice on our
website. You may request a copy of the current Notice at any time.

Contact Information

To request a paper copy of this Notice, exercise any of the rights described above, file a complaint, or
ask questions about our privacy practices, contact:

LH Privacy Officer

Organization: Lactation Health, LLC
Attention: Nicole Peluso, President
Address: 1 Broad Street, Suite 16F, Stamford, CT 06920
Phone: 203-614-9030
Email: nicole@lactation-health.com

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

Address: 200 Independence Avenue, SW, Washington, DC 20201
Phone: 1-877-696-6775
Website: www.hhs.gov/ocr