Effective Date: September 18, 2026
Your Information. Your Rights. Our Responsibilities.
This Notice describes how medical information about you may be used and disclosed by Axis Health Care Services Inc., how you can obtain access to your health information, and your rights regarding that information. Please review it carefully.
Your Rights
You have the right to:
• Obtain an electronic or paper copy of your medical record and other health information we maintain about you.
• Ask us to correct health information that you believe is incorrect or incomplete.
• Ask us to communicate with you in a particular way or at a particular location.
• Ask us to limit certain uses or disclosures of your health information.
• Request an accounting of certain disclosures of your health information.
• Obtain a paper copy of this Notice at any time.
• Choose someone who has legal authority to act on your behalf.
• File a complaint if you believe your privacy rights have been violated.
Getting a Copy of Your Medical Record
You may ask to inspect or receive an electronic or paper copy of your medical record and other health information we maintain about you.
We will respond to your request within the time required by law. We may charge a reasonable, cost based fee when permitted by law.
Correcting Your Medical Record
You may ask us to correct health information that you believe is inaccurate or incomplete.
We may deny certain requests as permitted by law. If we deny your request, we will explain the reason in writing.
Confidential Communications
You may ask us to contact you in a specific way, such as by telephone, text, email, or mail, or to send communications to a different address.
We will accommodate reasonable requests.
Restrictions on Use or Disclosure
You may ask us not to use or disclose certain health information for treatment, payment, or health care operations.
We are generally not required to agree to every request. However, when you pay in full out of pocket for a health care service or item, you may ask us not to disclose information about that service to your health plan for payment or health care operations, unless disclosure is otherwise required by law.
Accounting of Disclosures
You may request a list of certain disclosures of your health information made during the period allowed by law.
The accounting does not include every type of disclosure, such as many disclosures made for treatment, payment, or health care operations.
Someone Acting for You
If you have given someone medical power of attorney, or if someone is your legal guardian or otherwise legally authorized to act for you, that person may exercise your privacy rights when permitted by law.
We may require documentation establishing that person’s authority.
Your Choices
In certain situations, you may tell us your preferences regarding how your information is shared.
This may include sharing information with:
• Family members
• Close friends
• Caregivers
• Individuals involved in your health care
• Individuals involved in payment for your care
• Disaster relief organizations
If you are unable to tell us your preference, we may share information when permitted by law and when we believe the disclosure is in your best interest or is necessary to prevent a serious and imminent threat to health or safety.
Uses Requiring Your Written Authorization
We will obtain your written authorization when required by law.
Written authorization is generally required for:
• Most uses of psychotherapy notes, when applicable
• Certain marketing activities
• The sale of protected health information
You may revoke an authorization in writing at any time, except to the extent that we have already acted in reliance on it.
How We May Use and Share Your Information
Treatment
We may use and disclose your health information to physicians, nurses, therapists, pharmacies, laboratories, hospitals, infusion providers, medical equipment companies, and other health care professionals involved in your care.
Health Care Operations
We may use and disclose health information to operate Axis Health Care Services, coordinate care, improve quality, conduct training, perform compliance activities, evaluate staff performance, and manage our services.
Payment
We may use and disclose health information to bill and obtain payment from Medicaid, health plans, insurers, patients, or other responsible parties.
Public Health and Safety
When permitted or required by law, we may disclose health information for activities including:
• Preventing or controlling disease
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect, or domestic violence
• Health oversight activities
• Preventing or reducing a serious threat to health or safety
Required by Law
We may disclose health information when required by federal, Florida, or other applicable law.
Workers’ Compensation
We may disclose health information as permitted or required for workers’ compensation programs.
Health Oversight
We may disclose information to government agencies that oversee health care programs, licensing, audits, investigations, and regulatory compliance.
Law Enforcement and Government Requests
We may disclose health information to law enforcement or government officials when specifically permitted or required by law.
Legal Proceedings
We may disclose health information in response to a valid court or administrative order, subpoena, discovery request, or other lawful process when the requirements of applicable law have been satisfied.
Coroners, Medical Examiners, and Funeral Directors
When permitted by law, we may disclose health information to coroners, medical examiners, and funeral directors.
Organ and Tissue Donation
We may disclose health information to organizations involved in organ, eye, or tissue donation when applicable.
Research
Health information may be used or disclosed for research when permitted by law and when applicable legal safeguards have been satisfied.
Specially Protected Information
Certain health information may receive additional protection under federal or Florida law.
When another law provides greater privacy protection than HIPAA, Axis Health Care Services Inc. will follow the more protective law.
Substance Use Disorder Records
Certain substance use disorder records may be protected by 42 CFR Part 2 in addition to HIPAA.
To the extent that Axis receives or maintains records protected by 42 CFR Part 2, those records will not be used or disclosed in civil, criminal, administrative, or legislative investigations or proceedings against you unless permitted by applicable federal law, including when appropriate authorization or a qualifying court order and subpoena have been obtained.
The revised 2026 HHS model specifically requires covered providers to address these protections in their Notice.
Our Responsibilities
Axis Health Care Services Inc. is required by law to:
• Maintain the privacy and security of your protected health information.
• Notify you when required if a breach occurs that may have compromised the privacy or security of your information.
• Follow the privacy practices described in this Notice while it is in effect.
• Provide you with a copy of this Notice upon request.
We will not use or disclose your information for purposes not described in this Notice unless you provide written authorization or the use or disclosure is otherwise permitted or required by law.
HHS identifies these as core responsibilities that must be addressed in a provider’s Notice.
Changes to This Notice
We may change the terms of this Notice as permitted by law.
Changes may apply to health information that we already maintain as well as information we receive in the future.
The current Notice will be available on our website and upon request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with Axis Health Care Services Inc.
You may also file a complaint with the:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue SW
Washington, DC 20201
Telephone: 1 877 696 6775
You will not be retaliated against for filing a privacy complaint. HHS specifically requires providers to explain complaint rights and prohibits retaliation for exercising those rights.
Privacy Contact
Privacy Officer
Axis Health Care Services Inc.
Phone: (305) 824 8802
Email: MyPrivacy@axishcs.com
AHCA License #: 299994087