Privacy Policy

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.

I. Our Duty to Safeguard Your Protected Health Information

We understand that medical information about you is personal and confidential. Be assured that we are committed to protecting that information. We are required by law to maintain the privacy of protected health information and to provide you with this Notice of our legal duties and privacy practices with respect to protected health information. We are required by law to abide by the terms of this Notice, and we reserve the right to change the terms of this Notice, making any revision applicable to all the protected health information we maintain. If we revise the terms of this Notice, we will post a revised notice and make paper and electronic copies of this Notice of Privacy Practices for Protected Health Information available upon request. We are required by law to notify you in the event of a breach of your protected health information.

In general, when we release your personal information, we must release only the information needed to achieve the purpose of the use or disclosure. However, all of your personal health information that you designate will be available for release if you sign an authorization form, if you request the information for yourself, to a provider regarding your treatment, or due to a legal requirement. We will not use or sell any of your personal information for marketing purposes without your written authorization.

II. How We May Use and Disclose Your Protected Health Information

For uses and disclosures relating to treatment, payment, or health care operations, we do not need an authorization to use and disclose your medical information.

For Treatment

We may disclose your medical information to doctors, nurses, and other health care personnel who are involved in providing your health care. We may use your medical information to provide you with medical treatment or services. For example, your doctor may be providing treatment for a heart problem and need to make sure that you don’t have any other health problems that could interfere. Your medical information may be shared among members of your treatment team or with your pharmacist.

To Obtain Payment

We may use and/or disclose your medical information in order to bill and collect payment for your health care services or to obtain permission for an anticipated plan of treatment. For example, we may submit information to Medicare or an insurance company to receive payment for your medical bills.

For Health Care Operations

We may use and/or disclose your medical information in the course of operating our practice, such as evaluating the quality of services provided or for audit purposes.

Unless you object, we may use your health information to send appointment reminders or information about treatment alternatives or other health-related benefits that may be of interest to you.

Other Permitted Disclosures

  • Law enforcement or government functions as required by law
  • Reporting suspected abuse, neglect, or domestic violence
  • Public health activities and vital statistics reporting
  • Coroners, medical examiners, funeral directors, and organ donation organizations
  • Medical or psychiatric research in certain circumstances
  • To prevent serious threats to health or safety
  • Family members or others involved in your care or payment
  • Workers’ compensation or similar programs
  • Judicial or administrative proceedings

Substance Use Disorder (SUD) Treatment Records

SUD treatment records covered under 42 C.F.R. Part 2 will only be used or disclosed as permitted by law or your consent.

Electronic Communications and AI Tools

By providing your contact information, you consent to receive communications via phone, email, or text message. We may also use artificial intelligence tools to support scheduling, documentation, or data analysis, while ensuring all clinical decisions are made by licensed clinicians.

Uses Requiring Written Authorization

  • Marketing
  • Sale of protected health information
  • Release of psychotherapy notes

III. Your Rights Regarding Your Medical Information

  • Request restrictions on use or disclosure
  • Access, inspect, and copy your information
  • Request amendments
  • Request an accounting of disclosures
  • Receive a paper or electronic copy of this Notice

IV. Our Responsibilities

  • Maintain the privacy and security of your protected health information
  • Notify you promptly of any breach
  • Follow the privacy practices described in this Notice

V. State Requirements

We participate in the Chesapeake Regional Information System for our Patients (CRISP). You may opt out by calling 1-877-952-7477 or visiting www.crisphealth.org.

Questions and Complaints

Office of the HIPAA Privacy and Security Officer
Phone: 1.866.825.1606
4010 W. Boy Scout Blvd. Suite 500
Tampa, FL 33607

VI. Last Updated

This Notice was last updated on January 28, 2026.

Privacy Policy - Spanish Version