Your health information rights
Notice of Privacy Practices
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.
Effective October 29, 2026
Your rights
When it comes to your health information, you have certain rights. This section explains your rights and some of my responsibilities to help you.
- Get a copy of your records. You can ask to see or get an electronic or paper copy of your health and claims records. I will provide a copy or a summary, usually within 30 days, and may charge a reasonable, cost-based fee.
- Ask me to correct your records. If you think information is incorrect or incomplete, you can ask me to correct it. I may say no, but I will tell you why in writing within 60 days.
- Request confidential communications. You can ask me to contact you in a specific way, such as a certain phone number, or to send mail to a different address. I will say yes to all reasonable requests.
- Ask me to limit what I use or share. You can ask me not to use or share certain information for treatment, payment, or operations. I am not required to agree. If you pay for a service out of pocket in full, you can ask me not to share that information with your health insurer, and I will say yes unless a law requires me to share it.
- Get a list of those I have shared information with. You can ask for a list of the times I have shared your health information for six years prior to the date you ask, who I shared it with, and why.
- Get a copy of this notice. You can ask for a paper copy 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 and make choices about your health information.
- File a complaint if you feel your rights are violated. You can contact me using the information at the end of this notice, or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or using the HHS Office for Civil Rights complaint portal (opens in a new tab). I will not retaliate against you for filing a complaint.
Your choices
You can tell me your choices about whether I share information with family, close friends, or others involved in your care, or in a disaster relief situation. If you are not able to tell me your preference, for example if you are unconscious, I may share information if I believe it is in your best interest, or when needed to lessen a serious and imminent threat to health or safety.
I will never share your information for marketing or sell your information. I will not share psychotherapy notes without your written permission, except where the law allows or requires it.
How I typically use or share your information
- To treat you. For example, with your permission, coordinating with your psychiatrist or primary care provider.
- To run my practice. For example, using an electronic health record and scheduling system to manage your care.
- To bill for your services. For example, sharing information with your health plan, Medicare, or a billing platform such as Headway or Tava so your sessions are paid.
Other ways I may share your information
I am allowed or required to share information in other ways, usually in ways that contribute to the public good. I have to meet many conditions in the law first.
- To prevent or reduce a serious threat to anyone’s health or safety.
- To report suspected abuse, neglect, or exploitation of a child or vulnerable adult, as Florida law requires.
- To comply with the law, including when the Department of Health and Human Services wants to confirm that I am complying with federal privacy law.
- In response to a court or administrative order, or in response to a subpoena when the law allows.
- For workers’ compensation, law enforcement, health oversight, or special government functions, when the law allows.
- For public health activities and health oversight, such as audits and licensure.
Substance use disorder records
If I receive records that are protected by federal rules for substance use disorder treatment programs (42 CFR Part 2), those records, or testimony about their content, will not be used or shared in any civil, criminal, administrative, or legislative proceeding against you unless you give written consent or a court orders it after giving you notice and an opportunity to be heard. I do not use your information for fundraising. If that ever changed, you would have a clear right to opt out.
My responsibilities
- I am required by law to maintain the privacy and security of your protected health information.
- I will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- I must follow the duties and privacy practices described in this notice and give you a copy of it.
- I will not use or share your information other than as described here unless you tell me I can in writing. You may change your mind at any time by letting me know in writing.
Changes to this notice
I can change the terms of this notice, and the changes will apply to all information I have about you. The new notice will be available on request and on this website.
Privacy contact
- James Roberts, LCSW, Privacy Officer, James Roberts Mental Wellness LLC
- Phone: 754.400.0824
- Email: [email protected]
- Mail: 5440 N State Road 7, Ste 215, PMB 1036, Fort Lauderdale, FL 33319