About Us

NOTICE OF PRIVACY PRACTICES

Cerebraceuticals

Effective Date: 02/23/2025

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU
MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.

At Cerebraceuticals, we are committed to protecting
your privacy and maintaining the confidentiality of your health information.
This Notice of Privacy Practices explains how we use, disclose, and safeguard
your health information as required by law, including the Health Insurance
Portability and Accountability Act (HIPAA).

1. USES AND DISCLOSURES OF HEALTH INFORMATION

We may use and disclose your health information for the
following purposes:

Treatment:
We may use or disclose your health information to provide, coordinate, or
manage your health care and related services. This may include sharing
information with other doctors, specialists, or health care providers
involved in your care.

Payment:
We may use or disclose your health information to obtain payment for the
services we provide to you. For example, we may need to disclose
information to your insurance company or billing service to obtain payment
for your treatment.

Health
Care Operations: We may use or disclose your health information for
the purposes of conducting our business operations, such as quality
assessments, audits, and administrative functions. These uses help us
improve the services we provide.

Appointment
Reminders: We may use or disclose your health information to contact
you for reminders about appointments or follow-up care.

Research:
We may use or disclose your health information for research purposes, as
long as the information is de-identified or all necessary safeguards are
in place to protect your privacy.

Public
Health and Safety: We may disclose your health information for public
health purposes, such as reporting certain diseases, conducting disease
surveillance, and reporting adverse events associated with medications.

2. USES AND DISCLOSURES THAT REQUIRE YOUR AUTHORIZATION

In some cases, we will ask for your written permission to
use or disclose your health information. For example, if we wish to use your
information for marketing purposes or disclose it to family members not
involved in your care, we will obtain your authorization.

3. YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the following rights with respect to your health
information:

Right
to Inspect and Copy: You have the right to request access to your
health information, including your medical records, and to obtain copies
of such records in a format that is readily accessible. You may be
required to pay a fee for the copies.

Right
to Amend: You have the right to request corrections or amendments to
your health information if you believe that the information is inaccurate
or incomplete.

Right
to Request Restrictions: You have the right to request restrictions on
how we use or disclose your health information, although we are not
required to agree to these restrictions.

Right
to Receive Confidential Communications: You have the right to request
that we communicate with you in a certain way or at a certain location to
protect your privacy (for example, asking that we contact you at a
different phone number or address).

Right
to an Accounting of Disclosures: You have the right to request a list
of disclosures of your health information made by us, except in certain
circumstances such as disclosures for treatment, payment, and health care
operations.

Right
to a Copy of this Notice: You have the right to obtain a paper copy of
this Notice upon request, even if you have agreed to receive it
electronically.

4. HOW WE PROTECT YOUR HEALTH INFORMATION

We use a variety of administrative, technical, and physical
safeguards to protect the privacy and security of your health information.
These safeguards include secure electronic systems, encryption methods, and
policies and procedures to ensure that your health information is kept
confidential.

5. DISCLOSURES REQUIRED BY LAW

We may disclose your health information when required by
federal, state, or local laws, such as in response to a court order or
subpoena.

6. CHANGES TO THIS NOTICE

We reserve the right to change the terms of this Notice and
to make the new notice provisions effective for all health information we
maintain. If we change our privacy practices, we will update this notice and
make it available on our website and in our office. We will also provide you
with a copy of the revised Notice upon request.

7. CONTACT INFORMATION

If you have any questions, concerns, or would like to
exercise any of your rights regarding your health information, please contact:

Cerebraceuticals

Email: cerebraceuticals@gmail.com

Website: www.cerebraceuticals.com

You may also file a complaint with the U.S. Department of
Health and Human Services if you believe your privacy rights have been
violated. You will not be retaliated against for filing a complaint.

This Notice of Privacy Practices is intended to help you
understand how your health information is used, how we protect it, and how you
can access and control it. We are committed to maintaining your privacy and
providing you with the highest quality care.

(a) Warning: Rapid weight loss may cause serious health
problems. Rapid weight loss is weight loss of more than 1 1/2 pounds to 2
pounds per week or weight loss of more than 1 percent of body weight per week
after the second week of participation in a weight-loss program.

(b) Consult your personal physician before starting any
weight-loss program.

(c) Only permanent lifestyle changes, such as making
healthful food choices and increasing physical activity, promote long-term
weight loss.

(d) Qualifications of this provider are available upon
request.

(e) You have a right to:

Ask
questions about the potential health risks of this program and its
nutritional content, psychological support, and educational components.

Receive
an itemized statement of the actual or estimated price of the weight-loss
program, including extra products, services, supplements, examinations,
and laboratory tests.

Know
the actual or estimated duration of the program.

Know
the name, address, and qualifications of the dietitian or nutritionist who
has reviewed and approved the weight-loss program according to s.
468.505(1)(j), Florida statutes.

 

TELEHEALTH CONSENT FORM

Cerebraceuticals

Purpose

The purpose of this Telehealth Consent Form is to obtain your consent to
participate in telehealth consultations provided by Cerebraceuticals, who
provides online products and services, including weight loss clinic. By
agreeing to participate, you understand that telehealth services involve remote
consultations with our licensed healthcare providers using electronic
communication platforms such as video conferencing, phone calls, or messaging.

Use of Telehealth

Telehealth is used to provide health care services to patients in a convenient
and timely manner, especially for weight loss consultations and related
treatments. During a telehealth consultation, a healthcare provider may assess your health, review your medical history, discuss treatment options, provide advice on lifestyle changes, prescribe medications (if necessary), and answer any questions you may have regarding your care.

By consenting to this document, you agree to receive telehealth consultations related to weight loss and other associated services via secure electronic communication platforms. You will be provided with specific details about the platform being used for your consultations.

Benefits

Convenience:
Telehealth allows you to receive consultations from the comfort of your
home, saving time and travel expenses.

Access
to Care: You can access our services from any location, especially if you are unable to visit in person.

Continuity
of Care: Telehealth helps ensure that your treatment plan is continued
without interruptions, especially in situations where in-person visits are
difficult or not feasible.

Risks

While telehealth is an effective tool for providing care, there are some risks
involved, including:

Technical
Issues: There may be interruptions or delays in the telehealth
consultation due to technological problems (e.g., internet connectivity,
software malfunctions).

Limited
Examination: During a telehealth session, the healthcare provider may
not be able to perform a full physical examination. This could potentially
limit their ability to make a complete assessment.

Confidentiality:
While every effort is made to ensure your privacy, there is a small risk
that unauthorized individuals could gain access to your private health
information during electronic transmission, despite our use of encrypted
communication platforms.

Data Privacy/Protection

Cerebraceuticals is committed to protecting your privacy and ensuring the confidentiality of your health information. We adhere to all applicable federal and state regulations, including the Health Insurance Portability and
Accountability Act (HIPAA), to ensure that your personal and health data
remains secure.

All telehealth consultations are conducted through secure, HIPAA-compliant platforms.

Your medical records, including those related to telehealth services, are
stored securely and can only be accessed by authorized personnel.

We will never share your personal or health data without your consent, except as required by law.

What to Do in an Emergency

Telehealth consultations are not appropriate for medical emergencies. If you are experiencing a medical emergency or need urgent care, please seek immediate assistance by calling 911 or going to the nearest emergency room. In such cases, telehealth services should not be used as a substitute for emergency treatment.

If you experience technical difficulties during your
telehealth session and require urgent assistance, please contact our office
immediately using the contact information provided prior to your consultation.

Open Payments Notice

Cerebraceuticals may receive payments or reimbursement from third-party payers for the services provided during telehealth consultations. You have the right to ask for a detailed explanation of any charges or fees related to your
telehealth consultation, including payments to healthcare providers,
third-party insurance companies, or any other entities involved in your care.
You will be informed of any costs associated with your care prior to your
consultation.

Acknowledgment and Consent

By agreeing with this consent form, you acknowledge that:

You have read and understood the information above regarding telehealth
consultations.

You consent to receiving telehealth services from Cerebraceuticals for
weight loss and associated health services.

You understand that while telehealth has many benefits, it may have some
risks, as outlined above.

You have had the opportunity to ask questions, and all your questions have
been answered to your satisfaction.

You acknowledge that you have been informed of your right to seek emergency medical care in the event of an urgent situation, and you understand the importance of appropriate in-person care if necessary.

Purpose:

In accordance with Florida Medical Board Rule 64B8-9.012(5), which outlines standards for prescribing drugs to treat obesity, healthcare providers must obtain written informed consent from patients before prescribing, ordering, dispensing, or administering an anti-obesity medication.

Purpose of This Consent Form

The goal of this form is to help you understand the potential benefits and risks of participating in a weight loss program.

It is essential that you communicate any concerns, symptoms, questions, or issues—no matter how minor they may seem—to your healthcare
provider. Keeping your medical team informed allows them to provide the best possible care and make well-informed treatment decisions.

Potential Benefits

Achieving medically significant weight loss (typically around 10% of initial body weight—for example, losing 20 pounds from a starting weight of 200 pounds) can:

Lower
blood pressure, reducing the risk of hypertension.

Lower
cholesterol levels, decreasing the likelihood of heart and vascular
disease.

Lower
blood sugar levels, helping to prevent or manage diabetes.

If you are currently on medication for any of these conditions, your dosage may need to be adjusted as your health improves. If applicable, you agree to consult your primary care provider for medication reassessment as needed.

Additional potential benefits include improved physical activity levels, which can further enhance overall health and weight
maintenance. Psychological and social well-being may also improve as a result
of weight loss and increased physical activity. However, these benefits are not
guaranteed.

Possible Side Effects and Risks

As with any medical treatment, weight loss programs may have unintended side effects. While weight loss can provide health benefits, there
is always a possibility of unforeseen complications, including rare but serious risks such as death. Should any adverse effects occur, additional medical or surgical intervention may be required.

Weight Loss Effects

Reducing calorie intake below the body’s energy expenditure
leads to weight loss. As the body adapts, some people may experience temporary side effects, including:

Increased
urination and initial fluid loss

Momentary
dizziness

Slower
metabolism

Sensitivity
to cold

Decreased
heart rate

Dry
skin

Fatigue

Digestive
issues (diarrhea or constipation)

Bad
breath

Muscle
cramps

Changes
in menstrual cycles

Dry,
brittle hair or hair loss

These side effects typically resolve once calorie intake is
increased after the weight loss period.

Electrolyte Imbalances

Significant changes in diet can lead to low potassium
levels, which may cause serious heart irregularities. A rapid increase in
calorie intake after dieting—especially due to overeating or binge-eating—can
result in bloating, fluid retention, and disturbances in salt and mineral
balance, potentially leading to gallbladder attacks and abdominal pain.

Gallstones

Overweight individuals are at a higher risk of developing
gallstones. Studies suggest that among those who are 30% or more over their
ideal body weight (50+ pounds overweight), approximately 1 in 100 people
develop symptomatic gallstones annually. Those who are 20-30% overweight have
about half this risk (1 in 200 per year).

Many people have "silent" gallstones without
symptoms, but losing weight—especially rapidly—can increase the likelihood of
developing or enlarging gallstones. Risk factors include obesity, aging, female
gender, estrogen use, and smoking. Symptoms of gallstones include fever,
nausea, and upper right abdominal pain. If you suspect gallstones or experience
these symptoms, notify your healthcare provider immediately, as treatment may
involve medication or surgery.

Pancreatitis

Pancreatitis (inflammation of the pancreas) may occur due to
gallstones or bile duct blockages. Symptoms include upper left abdominal pain,
nausea, and fever. This condition may require hospitalization and, in severe
cases, surgery. Factors such as binge-eating, alcohol use, certain medications,
and aging can increase the risk. Severe pancreatitis can lead to
life-threatening complications.

Pregnancy Considerations

If you become pregnant, you must stop all weight loss
medications immediately and notify your healthcare provider. A
restricted-calorie diet during pregnancy can be harmful to a developing fetus.
If you are of childbearing age, you should take necessary precautions to avoid
pregnancy during weight loss treatment.

Binge Eating Disorder

Binge eating disorder involves frequent episodes of
uncontrolled food consumption. While some studies indicate that
calorie-restricted diets may temporarily increase binge eating episodes, other
research suggests that structured portion-controlled diets can help reduce
them. Long-term binge eating is associated with weight gain and other health
concerns.

Risk of Weight Regain

Obesity is a chronic condition, and many individuals who
lose weight eventually regain some or all of it. Factors that help maintain
weight loss include:

Regular
physical activity

A
sustained, calorie-controlled, low-fat diet

A
long-term strategy to manage weight fluctuations

Long-term success may take months or even years. Research on
weight loss maintenance varies, with some studies showing that less than 5% of
individuals maintain weight loss after five years, while others indicate that,
on average, half of the initial weight lost is maintained after three years.
Individuals who have experienced significant weight fluctuations in the past
may find it more difficult to sustain weight loss. Studies also suggest that
frequent weight fluctuations may increase the risk of heart disease and other
chronic conditions.

Risk of Sudden Death

Severe obesity, especially in individuals with conditions
such as hypertension, coronary artery disease, or diabetes, is associated with
a statistically higher risk of sudden death compared to individuals of normal
weight without these conditions.