“Achieving & Maintaining the healthiest you!”
NOTICE OF PRIVACY PRACTICES
Stay Healthy! LLC
Effective Date: 3/03/2026
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.
Stay Healthy! LLC is required by law to maintain the privacy of your Protected Health Information (PHI) and to provide you with this Notice of our legal duties and privacy practices.
“Protected Health Information” (PHI) means information about you that may identify you and relates to your past, present, or future physical or mental health condition and related healthcare services.
We are required to follow the terms of this Notice currently in effect.
We are required by law to:
- Maintain the privacy of your Protected Health Information
- Provide you with notice of our legal duties and privacy practices
- Abide by the terms of this Notice currently in effect
- Notify you following a breach of unsecured Protected Health Information
HOW WE MAY USE AND DISCLOSE YOUR INFORMATION
We may use and disclose your PHI without your written authorization for the following purposes:
1. Treatment
We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services.
Example:
• Sharing information with another provider involved in your care
• Coordinating care with a pharmacy or laboratory
2. Payment
We may use and disclose your PHI to obtain payment for services provided to you.
Example:
• Submitting claims to your insurance company
• Obtaining prior authorization
• Responding to insurance inquiries
Submission of insurance claims may require disclosure of:
• Diagnosis codes
• Procedure codes
• Treatment information
3. Healthcare Operations
We may use your PHI for practice operations, including:
• Quality assessment
• Staff training
• Licensing activities
• Business planning
• Audits and compliance reviews
We may contact you regarding appointments, billing matters, or office updates.
ADDITIONAL PERMITTED DISCLOSURES
We may disclose PHI without your authorization when required by law, including:
• Public health reporting
• Communicable disease reporting
• Abuse or neglect reporting
• Court orders or legal proceedings
• Law enforcement requests
• Workers’ compensation claims
• Health oversight activities
We will disclose only the minimum necessary information required.
SPECIAL PROTECTIONS FOR SUBSTANCE USE DISORDER RECORDS
If you receive treatment related to substance use disorder, your records may be protected under
federal law (42 CFR Part 2).
Substance use disorder treatment records will not be disclosed without your specific written
authorization except as expressly permitted under federal law (42 CFR Part 2).
TELEHEALTH SERVICES
If you receive services via telehealth, we use secure technology platforms to protect your privacy.
However, no electronic transmission is completely secure. By participating in telehealth, you
acknowledge these risks.
BUSINESS ASSOCIATES
We may share your PHI with vendors or service providers (“Business Associates”) who assist us in
operating our practice. These entities are contractually required to safeguard your information in
compliance with HIPAA.
YOUR RIGHTS
You have the right to:
Inspect and Copy
- Request access to your PHI (excluding psychotherapy notes and certain legally restricted records). Psychotherapy notes are maintained separately and are afforded additional protections under HIPAA.
Request Amendment
- Request correction of your medical record if you believe it is inaccurate.
Request Restrictions
- Request limits on how we use or disclose your PHI. We are not required to agree to all requests.
Request Confidential Communications
- Request communication by alternative means (e.g., different phone number or address).
Receive an Accounting of Disclosures
- Request a list of certain disclosures made of your PHI.
Receive a Paper Copy
- Obtain a paper copy of this Notice upon request.
COMPLAINTS
- If you believe your privacy rights have been violated, you may file a complaint with:
- 325 John Knox Rd D101, Tallahassee, FL 32303
- 850-329-2932
- Compliance@stayhealthymed.com
- Or with:
- U.S. Department of Health & Human Services Office for Civil Rights
- https://www.hhs.gov/ocr
- We will not retaliate against you for filing a complaint.
CHANGES TO THIS NOTICE
- We reserve the right to revise this Notice. Any revised Notice will apply to all PHI we maintain and will be posted in our office and on our website.
