Effective Date: January 1, 2026

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

Axis Mental Health is committed to protecting the privacy and confidentiality of your Protected Health Information (“PHI”) in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), and other applicable federal and Florida laws.

This Notice explains how we may use and disclose your medical information, your rights regarding that information, and our legal responsibilities.


Our Responsibilities

Axis Mental Health is required by law to:


What Is Protected Health Information (PHI)?

Protected Health Information (PHI) includes any information that identifies you and relates to your:

PHI may exist in electronic, paper, or verbal form.


How We May Use and Disclose Your Information

Treatment

We may use your PHI to provide psychiatric care and coordinate treatment.

Examples include:


Payment

We may use your PHI to obtain payment for services.

Examples include:


Healthcare Operations

We may use your PHI for healthcare operations including:


Business Associates

We may share PHI with trusted Business Associates who assist us in operating our practice.

Examples include:

All Business Associates are contractually required to safeguard your PHI under HIPAA.


Individuals Involved in Your Care

With your permission, we may share relevant medical information with:

If you are unable to make healthcare decisions due to an emergency, we may disclose information when deemed to be in your best interest.


Appointment Reminders

We may contact you regarding:

Communication may occur through:


Public Health Activities

HIPAA permits certain disclosures without patient authorization, including:


Health Oversight Activities

We may disclose PHI to agencies responsible for:


Legal Requirements

We may disclose PHI when required by law, including:


Research

In limited circumstances, PHI may be used for research purposes when approved by an Institutional Review Board (IRB) or when otherwise permitted under HIPAA.

Whenever possible, identifying information will be removed.


Marketing

We will not use or disclose your PHI for marketing purposes without your written authorization unless otherwise permitted by law.


Sale of PHI

Axis Mental Health does not sell Protected Health Information.


Uses Requiring Your Written Authorization

Certain uses and disclosures require your written authorization, including:

You may revoke your authorization at any time in writing, except to the extent we have already acted upon it.


Your HIPAA Rights

As a patient, you have the right to:

Right to Inspect and Obtain Copies

You may request copies of your medical records in paper or electronic form, subject to applicable legal exceptions.


Right to Request Corrections

If you believe information in your record is inaccurate or incomplete, you may request an amendment.

Requests must be submitted in writing.


Right to Request Confidential Communications

You may request that we contact you through alternative methods or at alternative locations.

We will accommodate reasonable requests whenever possible.


Right to Request Restrictions

You may request restrictions on certain uses or disclosures of your PHI.

Although we are not required to agree to every request, we will consider each request carefully.


Right to Receive an Accounting of Disclosures

You may request a list of certain disclosures of your PHI made during the previous six years.

Certain disclosures are excluded under HIPAA regulations.


Right to Receive a Paper Copy

You may obtain a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.


Right to Choose Someone to Act for You

If you have granted medical power of attorney or if someone is your legal guardian, that individual may exercise your rights and make healthcare decisions on your behalf, consistent with applicable law.


Right to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.

Complaints may be submitted directly to Axis Mental Health or to the U.S. Department of Health and Human Services.


Our Legal Duties

Axis Mental Health will:


Changes to This Notice

We reserve the right to revise this Notice at any time.

Any revised Notice will apply to all Protected Health Information maintained by Axis Mental Health and will be made available on our website and upon request.


Contact Information

If you have questions regarding this Notice or wish to exercise your privacy rights, please contact:

Privacy Officer

Axis Mental Health

Florida, United States

Phone:
(305) 804-9624

Phone:
(786) 450-4490

Email:
info@axismentalhealthfl.com


Filing a HIPAA Complaint

You may also file a complaint with:

U.S. Department of Health and Human Services

Office for Civil Rights (OCR)

https://www.hhs.gov/hipaa

Complaints must generally be filed within 180 days of the date you became aware of the alleged violation.

You will not be retaliated against for filing a complaint.