HIPAA Notice of Privacy Practices

Serenity Pediatric Wellness, LLC (SPW)

Address: 630 N Denning Dr, Winter Park, FL 32789

Phone: 321-252-6065 | Email: info@serenitypediatricwellness.com

Effective date: [add date]

Serenity Pediatric Wellness (SPW) is committed to protecting the privacy of your child’s health information. We are required by law to maintain the privacy and security of protected health information (PHI), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of this Notice.

How we may use and share health information

We may use and share PHI as permitted by law for:

  • Treatment: providing, coordinating, or managing care (including sharing relevant information with other clinicians involved in your child’s care)
  • Payment: billing and collections and supporting reimbursement requests when applicable
  • Health care operations: quality improvement, training, and practice operations We may also share PHI when required by law (for example, certain public health reporting and safety matters).

Your rights

You may:

  • request access to or a copy of your child’s medical record
  • request correction of information you believe is incorrect or incomplete
  • request confidential communications (how we contact you)
  • request limits on certain uses/sharing (we may not be able to agree to all requests)
  • request a list of certain disclosures as permitted by law
  • request a copy of this Notice at any time

Questions or complaints

If you have questions about this Notice or believe your privacy rights have been violated, contact SPW at 321-252-6065 or info@serenitypediatricwellness.com.

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Filing a complaint will not affect your care.

SPW may update this Notice from time to time. The current version will be posted on this website and available upon request.

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