NOTICE OF PRIVACY PRACTICES

Effective Date: May 5, 2026

THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND

DISCLOSED AND HOW YOU CAN ACCESS IT. PLEASE REVIEW IT CAREFULLY.

1. OUR COMMITMENT TO YOUR PRIVACY

Elevation IV is committed to protecting your protected health information (PHI). We follow all

applicable privacy laws and safeguard your information.

2. HOW WE USE YOUR INFORMATION

We may use your information for treatment, payment, healthcare operations, and as required by

law.

3. YOUR RIGHTS

You may request access to your records, corrections, restrictions, and confidential

communications.

4. OUR RESPONSIBILITIES

We are required to maintain the privacy of your information and notify you in the event of a

breach.

CONTACT INFORMATION

Elevation IV

231 Midland Ave #103

Basalt, CO 81621

Phone: 1 (970) 279-1006