Notice of Privacy Practices
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.
Last updated: September 2026 · Draft for review by the clinic and its legal counsel before publication.
Our commitment
Vitalize Health Community Mental Corp is required by law to keep your protected health information (PHI) private, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect. Mental health and substance use records receive additional protection under Florida law and 42 CFR Part 2 where applicable.
How we may use and disclose your information
Treatment: to provide, coordinate and manage your care, including sharing information with other providers involved in your treatment, such as your pharmacy or a hospital.
Payment: to bill and collect payment from you, your insurance plan (including Medicaid and Medicare) or other payers, and to obtain prior authorizations.
Health care operations: to run our clinic, such as quality reviews, training, audits and licensing.
Other uses permitted or required by law: appointment reminders and information about treatment options; as required by law; for public health; to prevent a serious threat to health or safety; to health oversight agencies; in judicial or administrative proceedings; to law enforcement in limited circumstances; to coroners or medical examiners; for workers’ compensation.
Uses that require your written authorization: psychotherapy notes (with limited exceptions), marketing, sale of PHI and any other use not described in this notice. You may revoke an authorization in writing at any time.
Your rights
Right to inspect and copy your health record, including an electronic copy. We may charge a reasonable fee.
Right to request an amendment if you believe information is incorrect or incomplete.
Right to an accounting of disclosures made for purposes other than treatment, payment and operations.
Right to request restrictions on certain uses and disclosures. We must agree if you paid in full out of pocket for a service and ask us not to share it with your health plan.
Right to request confidential communications, for example at a different phone number or address.
Right to be notified of a breach of your unsecured PHI.
Right to a paper copy of this notice at any time, even if you agreed to receive it electronically.
Changes to this notice
We reserve the right to change this notice and to make the new notice effective for all PHI we maintain. The current notice is posted in our office and on our website.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services, Office for Civil Rights (www.hhs.gov/ocr, 1-800-368-1019). We will not retaliate against you for filing a complaint.
Contact
Privacy Officer: Jennifer Rivero, President / CEO. Vitalize Health Community Mental Corp, 6355 SW 8th St, Suite 2E, West Miami, FL 33144. Phone 305-200-5330 · Fax 305-200-5313 · [email protected].
Contact our office and we will help you.