Rocker Community Health
786-490-2181

Notice of Privacy Practices

Notice of Privacy Practices

Notice of Privacy Practices

ROCKER COMMUNITY HEALTH INC — NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL AND MENTAL HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Effective date: November 3, 2026

Our responsibilities

  • We are required by law to maintain the privacy and security of your protected health information (PHI).
  • We are required to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time by letting us know in writing.

How we typically use and share your health information

Treatment

We can use your information and share it with other professionals who are treating you. Example: your therapist consults with a prescribing clinician about your care.

Payment

We can use and share your information to bill and get payment from health plans or other entities. Example: we give information about you to your health insurance plan so it will pay for your services.

Health care operations

We can use and share your information to run our practice, improve your care and contact you when necessary. Example: we use information to review the quality of our services or to send appointment reminders.

Other ways we may use or share your information without your authorization

We are allowed or required to share your information in other ways, usually in ways that contribute to the public good, when we have met conditions in the law:

  • As required by law: when federal, state or local law requires it.
  • Public health and safety: for example, to report suspected abuse, neglect or domestic violence, or to prevent or reduce a serious threat to anyone’s health or safety.
  • Health oversight: to agencies for activities authorized by law, such as audits, investigations and licensure.
  • Lawsuits and legal actions: in response to a court or administrative order, or in response to a subpoena when the law allows.
  • Law enforcement: for law enforcement purposes as permitted by law.
  • Coroners, medical examiners and funeral directors: when an individual dies, as permitted by law.
  • Organ and tissue donation: to organ procurement organizations, as permitted by law.
  • Research: for health research when approved under the law’s privacy protections.
  • Specialized government functions: for military, national security and presidential protective services, as permitted by law.
  • Workers’ compensation: for workers’ compensation claims, as permitted by law.
  • Business associates: to vendors who perform services for us under a written agreement requiring them to protect your information.

Uses that require your written authorization

  • Psychotherapy notes: most uses and disclosures of psychotherapy notes require your written authorization.
  • Marketing: we will not use or share your information for marketing without your written authorization.
  • Sale of information: we will never sell your information without your written authorization.
  • Other uses not described in this notice will be made only with your written authorization, which you may revoke in writing at any time, except to the extent we have already acted on it.

Your choices

You have the right to tell us whether to share information with family, close friends or others involved in your care, or in a disaster relief situation. If you are unable to tell us your preference (for example, if you are unconscious), we may share your information if we believe it is in your best interest, or when needed to lessen a serious and imminent threat to health or safety. We may contact you about fundraising efforts; you can tell us not to contact you again.

Your rights

  • Get a copy of your health record: you can ask to see or get an electronic or paper copy of your health records. We will provide a copy or summary, usually within 30 days of your request, and may charge a reasonable, cost-based fee.
  • Ask us to correct your record: you can ask us to correct information you think is incorrect or incomplete. We may say no, but we will tell you why in writing within 60 days.
  • Request confidential communications: you can ask us to contact you in a specific way (for example, a particular phone or email) or to send mail to a different address. We will say yes to all reasonable requests.
  • Ask us to limit what we use or share: you can ask us not to use or share certain information for treatment, payment or operations. We are not required to agree. If you pay for a service out of pocket in full, you can ask us not to share that information with your health insurer for payment or operations, and we will say yes unless a law requires us to share it.
  • Get a list of those we have shared information with: you can ask for a list (accounting) of the times we have shared your information for six years prior to your request, who we shared it with and why. It excludes disclosures for treatment, payment and operations and certain others. We provide one accounting a year for free.
  • Get a copy of this notice: you can ask for a paper copy of this notice at any time, even if you agreed to receive it electronically.
  • Choose someone to act for you: if you have given someone medical power of attorney or someone is your legal guardian, that person can exercise your rights. We will confirm the person has this authority before we take any action.
  • File a complaint if you feel your rights are violated: you can complain to us using the contact information below, or to the U.S. Department of Health and Human Services Office for Civil Rights, 200 Independence Avenue SW, Washington, DC 20201, 1-877-696-6775, or www.hhs.gov/ocr/complaints. We will not retaliate against you for filing a complaint.

Special protections

Some information receives extra protection under federal and Florida law, including psychotherapy and mental health records and records of substance use disorder treatment. Where these laws are more protective than HIPAA, we follow them. If we receive substance use disorder treatment records protected by federal law (42 CFR Part 2), we will not use or disclose them in civil, criminal, administrative or legislative proceedings against you without your written consent or a court order.

Changes to the terms of this notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available on request, on rockercommunityhealth.org, and during intake.

Contact information

For questions about this notice or to exercise your rights, contact our Privacy Officer:

Rocker Community Health Inc
3440 Hollywood Blvd, Suite 415
Hollywood, FL 33021
Phone: 786-490-2181
Email: info@rockercommunityhealth.org