Effective Date: May 5, 2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED.

Spark Me IV, LLC is committed to protecting your Protected Health Information (PHI).

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1. Uses and Disclosures

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We may use your information for:

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• Treatment

• Payment

• Healthcare Operations

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2. Qualiphy Disclosure

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Spark Me IV LLC partners with Qualiphy for telehealth evaluations, Good Faith Exams, and medical clearance.

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3. Your Rights

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You have the right to:

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• Access records

• Request corrections

• Request confidential communications

• Receive a copy of this Notice

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4. Complaints

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You may file complaints without retaliation.​

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Contact:

info@sparkmeiv.com

321-417-7275