HIPAA Notice of Privacy Practices

Effective Date: July 6, 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.

1. Our Legal Duty Junonia Psychiatry is required by 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 abide by the terms of the Notice currently in effect. We are required to notify you in the event of a breach of your unsecured PHI.

2. How We May Use and Disclose Your Health Information The following describes the ways we may use and disclose your PHI without requiring your authorization:

  • Treatment: We may use and disclose your PHI to provide, coordinate, or manage your mental health treatment. For example, we may share information with other treating physicians, specialists, or healthcare providers involved in your care.

  • Payment: We may use and disclose your PHI to bill and collect payment for services provided. This may include sharing information with your insurance company to obtain payment for your treatment.

  • Healthcare Operations: We may use and disclose your PHI for business operations, including quality assessment, staff training, licensing, and conducting or arranging for other business activities.

  • Appointment Reminders: We may contact you to remind you of scheduled appointments using the contact information you have provided.

  • As Required by Law: We will disclose your PHI when required to do so by federal, state, or local law.

  • Public Health Activities: We may disclose your PHI to public health authorities for activities such as reporting communicable diseases, injuries, or adverse events as required by law.

  • Abuse or Neglect: We may disclose your PHI to appropriate authorities if we reasonably believe you are a victim of abuse, neglect, or domestic violence.

  • Serious Threats to Health or Safety: We may use or disclose your PHI if we believe it is necessary to prevent or lessen a serious and imminent threat to your health or safety or the health or safety of the public or another person.

  • Judicial and Administrative Proceedings: We may disclose your PHI in response to a court or administrative order, subpoena, or other lawful process.

  • Law Enforcement: We may disclose your PHI to law enforcement officials as required by law or in response to a valid legal request.

3. Uses and Disclosures Requiring Your Authorization For uses and disclosures beyond those described above, we will request your written authorization. You may revoke your authorization at any time in writing, except to the extent that we have already taken action in reliance on it.

The following uses and disclosures require your authorization:

  • Most uses and disclosures of psychotherapy notes

  • Uses and disclosures of PHI for marketing purposes

  • Sale of your PHI

4. Your Rights Regarding Your Health Information

  • Right to Inspect and Copy: You have the right to inspect and obtain a copy of your PHI that we maintain. We may charge a reasonable fee for copies. Requests must be submitted in writing.

  • Right to Amend: If you believe your PHI is incorrect or incomplete, you may request an amendment. We may deny your request under certain circumstances, but will explain the reason in writing.

  • Right to an Accounting of Disclosures: You have the right to request a list of certain disclosures we have made of your PHI. This does not include disclosures made for treatment, payment, or healthcare operations.

  • Right to Request Restrictions: You may request restrictions on how we use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree to your request, except in limited circumstances as required by law.

  • Right to Request Confidential Communications: You may request that we communicate with you about your health matters in a certain way or at a certain location (e.g., only by email or at a specific address). We will accommodate reasonable requests.

  • Right to a Paper Copy of This Notice: You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

  • Right to Be Notified of a Breach: You have the right to be notified if there is a breach of your unsecured PHI.

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

Junonia Psychiatry — Privacy Officer Email: info@junoniapsychiatry.com Phone: (239) 291-3928

To file a complaint with HHS: Office for Civil Rights, U.S. Department of Health and Human Services 200 Independence Avenue, S.W., Washington, D.C. 20201 Toll Free: 1-877-696-6775 Website: hhs.gov/ocr

You will not be retaliated against for filing a complaint.

6. Changes to This Notice We reserve the right to change this Notice and to make the revised Notice effective for PHI we already maintain as well as any PHI we receive in the future. The current Notice will always be posted on our website. You may request a copy of any revised Notice from our office.