Legal

Notice of Privacy Practices

How Premier Psychiatry & Wellness, LLC uses, discloses, and protects your Protected Health Information (PHI) under HIPAA and Florida law.

Pre-Launch Draft — Effective at Practice Opening This document is currently under final review by Florida healthcare counsel. Patients enrolling in the practice receive the current version of this Notice at intake and acknowledge receipt, and material changes are communicated in accordance with HIPAA.

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.

Our Commitment to Your Privacy

Premier Psychiatry & Wellness, LLC (“we,” “our,” or “the practice”) is committed to protecting the privacy of your health information. We are required by the federal Health Insurance Portability and Accountability Act (“HIPAA”) and applicable Florida law to maintain the privacy of your protected health information (“PHI”), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.

How We May Use and Disclose Your PHI

The following categories describe the ways we may use and disclose your protected health information. Not every use or disclosure within a category will be listed.

For Treatment

We use your PHI to provide you with medical treatment and related services. For example, we may use your records to evaluate symptoms, recommend medication, monitor your response to treatment, and coordinate care with other providers involved in your treatment (such as your primary care physician, therapist, or specialist) when you have authorized that coordination.

For Payment

Premier Psychiatry & Wellness operates on a direct-pay membership model and does not bill third-party insurance. We will use your PHI as necessary to charge your membership fee, process payments, and provide superbills upon your request that you may submit to your insurer for possible out-of-network reimbursement.

For Health Care Operations

We may use your PHI for internal operations such as quality improvement, scheduling, training, and administrative activities necessary to run the practice.

Other Uses and Disclosures Permitted or Required by Law

  • Required by law: When required by federal, state, or local law.
  • Public health activities: Reporting communicable diseases, reactions to medications, or product defects, as required.
  • Health oversight: Audits, investigations, and inspections by government agencies.
  • Judicial and administrative proceedings: In response to a court order, subpoena, or similar legal process.
  • Law enforcement: Limited disclosures required by law or court order.
  • To prevent serious harm: When we believe in good faith that disclosure is necessary to prevent a serious threat to your safety or the safety of others. This includes mandatory reporting under Florida law of suspected abuse, neglect, or exploitation of children, elders, or vulnerable adults.
  • Coroners, medical examiners, and funeral directors: As permitted by law.
  • Workers’ compensation: As required by Florida workers’ compensation laws.

Psychotherapy Notes

Certain mental-health treatment notes (“psychotherapy notes” as defined under HIPAA) receive heightened protection. We will not disclose psychotherapy notes without your specific written authorization, except in the limited circumstances permitted by law.

Uses and Disclosures Requiring Your Written Authorization

Other than the uses described above, we will not use or disclose your PHI without your written authorization. You may revoke an authorization at any time in writing, except to the extent we have already acted in reliance on it. We will never use or disclose your PHI for marketing purposes or sell your PHI without your written authorization.

Your Rights Regarding Your PHI

Right to Inspect and Copy

You have the right to inspect and obtain a copy of your PHI maintained by the practice, subject to limited exceptions. We may charge a reasonable cost-based fee for copies.

Right to Request Amendment

If you believe information in your record is incorrect or incomplete, you may request that we amend it. We may deny your request in certain circumstances; you have the right to file a written statement of disagreement.

Right to an Accounting of Disclosures

You have the right to request an accounting of certain disclosures of your PHI made by us in the six (6) years prior to your request.

Right to Request Restrictions

You have the right to request a restriction on certain uses and disclosures of your PHI. We are not required to agree to a requested restriction, except in the case of disclosures to a health plan when you have paid out of pocket in full for the related service.

Right to Confidential Communications

You have the right to request that we communicate with you in a specific way (for example, only by mail, only by phone, or only at a particular address). We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You have the right to receive a paper copy of this Notice at any time, even if you have previously agreed to receive it electronically. Contact us at the information below to request a paper copy.

Right to Be Notified of a Breach

You have the right to be notified in the event of a breach of your unsecured PHI.

Our Duties

We are required by law to:

  • Maintain the privacy of your PHI;
  • Provide this Notice of our legal duties and privacy practices;
  • Notify you if a breach affecting your unsecured PHI occurs; and
  • Follow the terms of the Notice currently in effect.

We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have about you, as well as for any information we receive in the future. A current copy of the Notice in effect will always be available at this URL and on request.

Telehealth Considerations

This practice is conducted entirely via telehealth using HIPAA-compliant video platforms with executed Business Associate Agreements. Patients are responsible for joining visits from a private location of their choosing. We cannot guarantee the privacy of the patient’s physical environment during a telehealth visit. We encourage patients to use a quiet, private space where they can speak freely.

How to Complain

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below, or with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights:

U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
www.hhs.gov/ocr/

You will not be retaliated against for filing a complaint.

Contact for Privacy Matters

To exercise any of your rights, request a paper copy of this Notice, or ask questions about our privacy practices, please contact our Privacy Officer:

Privacy Officer
Premier Psychiatry & Wellness, LLC
PO Box 28156
Kenneth City, FL 33709
Email: info@premierpsychiatryandwellness.com
Phone: (727) 610-7192

Effective August 4, 2026. Currently under final review by Florida healthcare counsel; material updates will be published on this page and communicated to established patients in accordance with HIPAA.