David K. Cox, LLC

Thornebrook III | 2830 NW 41st Street, Ste. D | Gainesville, FL 32606

(352) 378-3000

Privacy Policy / Security Policy Notice

As required by the Health Insurance Portability and Accountability Act (HIPAA)

Effective Date: September 23, 2013

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

I. Uses and Disclosures of Protected Health Information (PHI)

PHI refers to information in your health record that could identify you. David K. Cox, LLC and Dr. Cox (together for the purposes of this notice, COX) may use or disclose your PHI for purposes of providing treatment, obtaining payment for treatment, and conducting health care operations.

Treatment: COX will use and disclose your PHI to provide, coordinate, or manage your care and any related services. COX may disclose PHI to physicians who may be treating you.

Payment: Your PHI will be used and disclosed, as needed, to obtain payment for the services provided. COX does not file paperwork directly with health insurers; however, certain situations may require communication to your insurer for reimbursement or eligibility determination.

Other Uses: COX may also use or disclose your PHI to remind you of appointments (text, voice mail, email) or inform you of treatment alternatives.

II. Disclosures Permitted Without Authorization

HIPAA Rules allow COX to disclose your PHI without permission for reasons including:

  1. 1. When Legally Required: Federal, State or local law requirements.
  2. 2. Public Health Risks: To prevent serious and imminent threats to health or safety.
  3. 3. Abuse and Neglect: Mandatory reporting of abuse of children or vulnerable adults.
  4. 4. Health Oversight: Audits or investigations by oversight agencies.
  5. 5. Judicial Proceedings: In response to a court order or signed authorization.
  6. 6. Law Enforcement: To locate suspects, victims of crime, or in emergencies.

III. Your Authorization

COX will obtain written authorization before releasing "Psychotherapy Notes." You may revoke this authorization in writing at any time.

IV. Your Rights

  • The right to inspect and copy your PHI.
  • The right to request restrictions on disclosures.
  • The right to confidential communications.
  • The right to request amendments to your record.

VI. Complaints & Contact

If you believe your privacy rights have been violated, you may file a complaint with Dr. David Cox or the U.S. Dept. of Health and Human Services.

Dr. David Cox
2830 NW 41st Street, Suite D
Gainesville, FL 32606