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OUR LEGAL RESPONSIBILITIES We are required by law to give you this notice. It provides you on how we may use and disclose protected health information about you and describes your rights and our obligations regarding the use and disclosure of that information. We shall maintain the privacy of protected health information and provide you with notice of our legal duties and privacy practices with respect to your protected health information.

We have the right to change these policies at any time. If we change our privacy policies, we will notify you of these changes immediately. This current policy is in effect unless stated otherwise. If the policy is changed, it will apply to all your current and past health information.

You may request a copy of our notice any time. You may contact Noeli Total Wellness, PLLC at 53 W Colonial Highway, Hamilton, VA 20159 at any time to request a copy of this privacy policy.

HOW WE MAY USE OR DISCLOSE YOUR PROTECTED HEALTH INFORMATION

The following examples describe ways that we may use your protected health information for your treatment, payments, healthcare operations etc. but please be advised that not every use or disclosure in a particular category will be listed.

Treatment: We may use and disclose your protected health information to provide you treatment. This includes disclosing your protected health information to other medical providers, trainees, therapists, medical staff, and office staff that are involved in your health care.

For example, your medical provider might need to consult with another provider to coordinate your care. Also, the office staff may need to use and disclose your protected health information to other individuals outside of our office such as the pharmacy when a prescription is called in.

Payment: Your protected health information may also be used to obtain payment from an insurance company or another third part. This may include providing an insurance company your protected health information for a pre-authorization for a medication we prescribed.

Health Care Operations: We may use or disclose your protected health information in order to operate this medical practice. These activities include training students, reviewing cases with employees, utilizing your information to improve the quality of care, and contacting you be telephone, email, or text to remind you of your appointments.

If we have to share your protected health information to third party “business associates” such as a billing service, if so, we will have a written contract that contains terms that will protect the privacy of your protected health information.

We may also use and disclose your protected health information for marketing activities. For example, we might send you a thank you card in the mail with a coupon for specialized services

or products. We may also send you information about products or services that might be of interest to you. You can contact us at any point to stop receiving this information.

We will not use or disclose your protected health information for any purpose other than those identified in this policy without your specific, written Authorization. You may give us written authorization to use your protected health information or to disclose it to anyone for any purpose. You can revoke this authorization at any time but will not affect the protected health information that was shared while the authorization was in effect.

Appointment reminders: We may contact you as a reminder that you have an appointment for your initial visit, follow up visit, or lab work via text, phone or email.

Others Involved in Your Health Care: We may disclose protected health information about you to your family members or friends if we obtain your verbal agreement to do so, or if we give you an opportunity to object to such a disclosure and you do not raise an objection. For example, we may assume that if your spouse or friend is present during your evaluation, that we can disclose protected professional information to this person. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment if there is an urgent or emergent need.

Research; We will not use or disclose your health information for research purposes unless you give us authorization to do so.

Organ Donation: If you are an organ donor, we may release protected health information to organizations that handle organ procurement or organ, eye or tissue transplantation if it is necessary to facilitate this process.

Public Health Risks: We may disclose your protected health information, if necessary, in order to prevent or control disease, report adverse events from medications or products, prevent injury, disability or death. This information may be disclosed to healthcare systems, government agencies, or public health authorities. We may have to disclose your protected health information to the Food and Drug Administration to report adverse events, defects, problems, enable recalls etc. if required by FDA regulation.

Health Oversight Activities: We may disclose protected health information to health oversight agencies for audits, investigations, inspections or licensing purposes. These disclosures might be necessary for state and federal agencies to monitor healthcare systems and compliance with civil law.

Required by Law: We will disclose protected health information about you when required to do so by federal, state and/or local law.

Workman’s compensation: We may disclose your protected health information to workman’s comp or similar programs.

Lawsuits: We may disclose your protected health information in response to a court action, administrative action or a subpoena.

Law Enforcement: We may release protected health information to a law enforcement official in response to a court order, subpoena, warrant, subject to all applicable legal requirements.

YOUR RIGHTS REGARDING YOUR PROTECTED HEALTH INFORMATION

Access to medical records: You have the right to access and receive copies of your protected health information that we use to make decisions about your care. You must submit a written request to obtain your protected health information to the individual listed at the end of this privacy policy. We reserve the right to charge you a fee for the time it takes to obtain and copy the protected health information and provide it to you.

Amendment: If you believe the protected health information, we have about you is incorrect or incomplete, you may ask us to amend the information You will need to submit a written request on why you feel the health information should be amended. We may deny your request to amend if you did not send a written request or give a reason on why it should be amended. If we deny your request, we will provide you a written explanation. We may deny your request if we believe the protected health information is accurate and complete.

Accounting of Disclosures: You have the right to receive a list of instances in which we disclosed your personal health information unless the disclosure was used for treatment, payment, healthcare operations, was pursuant to a valid authorization and as otherwise provided in applicable federal and state laws and regulations. You must submit a written request to obtain this “accounting of disclosures” to the individual listed at the bottom of this policy. After your request has been approved, we will provide you the dates of the disclosure, the name of the individual or entity we disclosed the information to, a description of the information that was disclosed, the reason why it was disclosed, and any additional pertinent information. This information may not be longer than seven years ago prior to the date the accounting is requested. We reserve the right to charge a reasonable fee for this process.

Restriction Requests: You have the right to request a restriction or limitation on the protected health information we use or disclose about you for treatment, payment, or healthcare operations. We shall accommodate your request except where the disclosure is required by law. We require this be a written request submitted to the individual at the end of this policy.

Confidential Communication: You have the right to request that we communicate with you about healthcare matters in a certain way and at a certain location. We must accommodate your request if it is reasonable and allows us to continue to collect payments and bill you.

Paper copy of this notice: You may request a hard copy of this practice policy if you reviewed and signed it via electronic means. To obtain this copy, contact the individual at the end of this privacy policy.

Complaints: If you believe your privacy rights have been violated, you may file a complaint with our office. You also file a complaint with the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.

Name of Contact Person:

Amanda Feigenheimer, FNP

Please sign and date indicating you have read and understand your Patient Rights.

VIP Beatury Bucks Membership Terms & Conditions and Recurring Payment Authorization

Effective Date: October 15, 2026

This Membership Terms and Conditions Agreement (“Agreement”) is entered into between Noeli Total Wellness (“Noeli,” “we,” “us,” or “our”) and the individual enrolling in the VIP Beauty Bucks Membership (“Member,” “you,” or “your”).

By enrolling in the VIP Beauty Bucks Membership, you acknowledge that you have read, understand, and agree to the following terms and conditions.

1. Membership and Beauty Bucks

The VIP Beauty Bucks Membership is $99 per month.

Each successfully processed $99 monthly membership payment adds $99 in paid Beauty Bucks to the Member’s account. Beauty Bucks may be accumulated and applied toward eligible services at Noeli Total Wellness.

Paid Beauty Bucks:

Beauty Bucks may be applied toward eligible aesthetic and wellness services, including IV hydration, weight management, hormone care, NAD services, routine refill visits, and sick-care visits.

The ability to use Beauty Bucks toward a service does not mean that the service qualifies for the 10% VIP membership discount described below.

2. VIP Membership Benefits

While the membership is active and in good standing, Members receive:

Membership benefits are non-transferable and are available only to the enrolled Member.

The 10% VIP membership discount does not apply to wellness services, including weight management, hormone care, NAD services, routine refill visits, sick-care visits, or IV hydration.

3. Promotions, Packages and Manufacturer Rewards

VIP membership discounts and special member pricing may not be combined or stacked with Noeli Total Wellness promotional offers, advertised treatment packages, package pricing, special-event pricing, or other Noeli discounts unless specifically stated otherwise.

Eligible manufacturer-sponsored rewards, loyalty programs, rebates, or manufacturer-issued promotional credits may be used in conjunction with VIP membership benefits when permitted under the applicable manufacturer program terms.

4. Monthly Billing and Automatic Renewal

The VIP Beauty Bucks Membership automatically renews monthly.

The payment method on file will be charged $99 on the 15th of each month unless the membership has been canceled or frozen in accordance with this Agreement.

There is no long-term membership commitment.

Membership pricing may be changed with at least 30 days’ written notice.

5. Banking and Use of Paid Beauty Bucks

Unused paid Beauty Bucks may accumulate while the membership is active.

Paid Beauty Bucks do not expire due to inactivity or membership cancellation and are not subject to dormancy, inactivity, or service fees.

Beauty Bucks remain subject to the eligibility and use restrictions contained in this Agreement.

6. Promotional and Complimentary Credits

Promotional and complimentary credits are separate from paid Beauty Bucks.

Bonus credits, complimentary promotional credits, birthday benefits, special-offer credits, manufacturer-sponsored rewards, or other value provided without an equivalent payment by the Member may be subject to separate eligibility requirements, expiration dates, redemption restrictions, or promotional terms.

The terms applicable to a promotional or complimentary credit will be communicated as part of the applicable offer or promotion.

7. Cancellation

Members may cancel their membership at any time by providing at least seven (7) days’ written notice.

Written cancellation requests may be submitted by:

Cancellation requests received fewer than seven (7) days before the next scheduled billing date may result in the upcoming monthly payment being processed. If the payment is processed, the corresponding $99 will be added to the Member’s Beauty Bucks balance and the membership will be removed from subsequent billing cycles.

Membership payments already processed are non-refundable.

Cancellation ends active VIP membership benefits, including VIP/member pricing and membership discounts.

Previously accumulated paid Beauty Bucks remain available for use toward eligible services after membership cancellation and do not expire. Services received after cancellation will be charged at the pricing applicable to non-members at the time of service.

8. Membership Freeze

Members may request a temporary membership freeze for a minimum of 30 days and a maximum cumulative total of 90 days within a 12-month period.

Freeze requests must be submitted in writing and are subject to approval by Noeli Total Wellness.

During an approved freeze:

Membership billing and active VIP benefits resume when the approved freeze period ends.

9. Refunds and Gift Cards

Membership payments and paid Beauty Bucks are non-refundable and may not be redeemed or exchanged for cash, except where otherwise required by applicable law.

Beauty Bucks may not be used to purchase gift cards.

Gift cards may not be used to purchase, fund, or pay recurring VIP Beauty Bucks Membership dues.

10. Appointments and Treatment Eligibility

Membership does not guarantee appointment availability or eligibility for any particular treatment.

All medical and aesthetic treatments remain subject to individualized clinical assessment, medical appropriateness, contraindications, provider discretion, and any applicable informed consent requirements.

Members are encouraged to schedule appointments in advance. Noeli Total Wellness’s standard appointment cancellation and no-show policies apply.

Beauty Bucks may not be applied toward late-cancellation fees, no-show fees, or other administrative fees.

11. Recurring Payment Authorization

By enrolling in the VIP Beauty Bucks Membership, you authorize Noeli Total Wellness to automatically charge the payment method provided for the recurring monthly membership payment described in this Agreement.

This authorization remains in effect until the membership is canceled or otherwise terminated in accordance with these Terms.

You are responsible for maintaining a valid payment method on file and promptly updating your payment information when necessary.

12. Changes to the Membership Program

Noeli Total Wellness may modify membership pricing, benefits, eligible services, or other program terms by providing at least 30 days’ written notice when applicable.

Members may cancel their membership in accordance with this Agreement if they do not wish to continue under revised membership terms.

Changes to the membership program will not eliminate or reduce previously accumulated paid Beauty Bucks.

13. Termination by Noeli Total Wellness

Noeli Total Wellness may suspend or terminate a membership for reasons including non-payment, misuse of membership benefits, inappropriate or abusive behavior, violation of practice policies, or other reasonable circumstances.

Termination of membership ends active VIP benefits and member pricing but does not eliminate previously accumulated paid Beauty Bucks, except as otherwise required or permitted by applicable law.