Notice of Privacy Practices

Effective October 23, 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.

Our duties

Still Waters Psychiatry PLLC is required by law to keep your protected health information (PHI) private, to give you this notice of our legal duties and privacy practices, to follow the notice currently in effect, and to notify you if a breach affects your unsecured PHI.

How we may use and share your information without your written permission

• Treatment: to provide and coordinate your care, for example with your primary care doctor, a pharmacy, or a lab.

• Payment: to bill and get paid by you, your health plan, or others.

• Health care operations: to run our practice, improve care, train staff, and contact you about appointments.

• Business associates: with vendors who perform services for us (such as our electronic health record, scheduling, messaging, and billing vendors) under written agreements that require them to protect your information.

• As required by law, and for public health activities; reporting suspected abuse, neglect or domestic violence; health oversight; judicial and administrative proceedings; law enforcement in limited cases; coroners and medical examiners; organ donation; research under approved safeguards; preventing a serious threat to health or safety; specialized government functions; and workers' compensation.

When we need your written authorization

• Most uses and disclosures of psychotherapy notes.

• Marketing.

• Sale of your PHI.

• Any other use not described in this notice.

You may revoke an authorization in writing at any time, except where we have already acted on it.

Your choices

You may tell us whether to share information with a family member, friend, or other person involved in your care, or in a disaster-relief situation. If you cannot tell us, for example in an emergency, we may share it if we believe it is in your best interest. We will not use your information for fundraising.

Your rights

• Get a copy of your medical and billing records, paper or electronic. We will respond within the time the law allows and may charge a reasonable, cost-based fee.

• Ask us to correct records you think are wrong or incomplete. We may say no, but will explain why in writing. You can submit your request in writing and it will be added to your medical records.

• Ask for confidential communications, such as a different phone number or address. We will agree to reasonable requests.

• Ask us to limit what we use or share. We are not required to agree, except that if you pay for a service in full out of pocket, you may ask us not to share it with your health plan, and we will agree unless the law requires sharing.

• Get a list (accounting) of certain disclosures we made in the past six years.

• Get a paper copy of this notice at any time, even if you agreed to receive it electronically.

• Choose someone to act for you, such as a legal guardian or person with health care power of attorney.

Changes to this notice

We may change this notice. Changes will apply to all information we have about you. The new notice will be posted on our website and available in our office and on request.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below. 

Contact

Privacy Officer, Still Waters Psychiatry PLLC, 300 N Ronald Reagan Blvd, Suite 204, Longwood, FL 32750. Phone: 407-974-6539. Email: info@stillwaterspsych.sprucecare.com.