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Privacy Policy

Notice of Privacy Practices

Your Information. Your Rights. Our Responsibilities.

This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.

Your Rights

  • Get a copy of your paper or electronic medical record
  • Correct your paper or electronic medical record
  • Request confidential communication
  • Ask us to limit the information we share
  • Get a list of those with whom we’ve shared your information
  • Get a copy of this privacy notice
  • Choose someone to act for you
  • File a complaint if you believe your privacy rights have been violated

Your Choices

For certain health information, you can tell us your preferences for what we share.

  • Share information with your family, close friends, or others involved in your care
  • Share information in a disaster relief situation
  • Include your information in a hospital directory

If you are unable to express your preference (e.g., unconscious), we may share your information if we believe it is in your best interest or to lessen a serious and imminent threat to your health or safety.

We never share your information unless you give written permission for:

  • Marketing purposes
  • Sale of your information
  • Most sharing of psychotherapy notes

Our Uses and Disclosures

How we typically use or share your health information:

  • Treat you – Share your health information with other professionals treating you.
    Example: A doctor treating you for an injury may consult another doctor about your overall health.
  • Run our organization – Use your information to manage operations, improve care, and contact you when needed.
    Example: Using health information to coordinate your treatment and services.
  • Bill for services – Share your information to bill and receive payment from health plans or other entities.
    Example: Giving details to your health insurance so it will pay for your services.

Other ways we may use or share your information:

  • Public health & safety issues (preventing disease, recalls, adverse reactions, abuse/neglect, safety threats)
  • Comply with the law (including HHS compliance)
  • Organ and tissue donation
  • Medical examiner or funeral director needs
  • Workers’ compensation, law enforcement, and government requests
  • Lawsuits and legal actions

Detailed Explanation of Your Rights

  • Access your record – Request electronic or paper copies within 30 days; fees may apply.
  • Request corrections – If denied, we’ll explain in writing within 60 days.
  • Confidential communications – Request contact in specific ways; all reasonable requests accepted.
  • Limit what we share – You may request restrictions; we may decline if it affects care.
  • Out-of-pocket payments – You may request information not be shared with your insurer.
  • Accounting of disclosures – Request a list of disclosures (excluding treatment/payment) for up to 6 years.
  • Copy of this notice – Available anytime, electronically or on paper.
  • Choose someone to act for you – Legal guardians or medical power of attorney may act for you.
  • File a complaint – Contact us or the U.S. Department of Health and Human Services (HHS).

Our Responsibilities

  • Maintain the privacy and security of your protected health information.
  • Inform you promptly if a breach occurs.
  • Follow the duties and practices described in this notice.
  • Provide you with a copy of this notice.
  • Not use or share your information beyond what is described here unless authorized in writing.

For more information, visit: HHS HIPAA Notice

Changes to this Notice

We may update this notice. Changes will apply to all information we hold. Updated notices will be available:

  • Upon request
  • In our office
  • On our website

Contact Information

Privacy Officer
P.O. Box 600047
Jacksonville, FL, 32260
Email: [email protected]

Website & Cookies

Use of Cookies

  • Cookies help analyze web traffic and improve your website experience.
  • We use traffic log cookies for statistical analysis; data is deleted after analysis.
  • Cookies do not give us access to your computer or personal information outside of what you choose to share.
  • You may choose to accept or decline cookies. Most browsers accept them by default but allow changes. Declining cookies may limit website features.

Links to Other Websites

Our website may include links to third-party sites for your convenience. Once you leave our site, we are not responsible for the privacy or protection of your information. Review the privacy policy of any site you visit.

Last Updated: February 02, 2021