Effective Date: April 2026

PainMed Interventional Pain Management (“PainMed”) 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 regarding PHI, and to abide by the terms of this notice currently in effect.

How We May Use and Disclose Your Health Information

For Treatment

We may use and disclose your health information to provide, coordinate, or manage your medical treatment. For example, we may share your information with other healthcare providers involved in your care, such as a specialist, physical therapist, or hospital.

For Payment

We may use and disclose your health information to obtain payment for services we provide to you. For example, we may share information with your health insurance company, auto insurance carrier, or — in personal injury cases — your attorney and their billing team, to obtain appropriate reimbursement.

For Healthcare Operations

We may use and disclose your health information for healthcare operations, including quality assessment, training, and administrative functions necessary to run our practice.

Personal Injury and Legal Proceedings

Because PainMed specializes in personal injury care, your health information may be shared with your personal injury attorney, their authorized representatives, or with insurance adjusters — but only with your authorization. We will not release your records to any attorney or third party without a signed authorization or valid legal process (such as a subpoena or court order).

Uses and Disclosures Requiring Your Authorization

Other uses and disclosures of your health information not described above will be made only with your written authorization. This includes:

• Most disclosures of psychotherapy notes
• Use or disclosure of PHI for marketing purposes
• Sale of your health information
• Disclosure to employers for employment decisions
• Any other disclosure not permitted by law without authorization

You have the right to revoke any authorization you have given us at any time, in writing. The revocation will not apply to uses or disclosures already made in reliance on your prior authorization.

Special Protections

Certain categories of health information are subject to additional legal protections under Florida and federal law, including:

• HIV/AIDS-related information
• Mental health and substance abuse treatment records
• Genetic information

We will follow the more protective legal requirements applicable to such information.

Your Rights Regarding Your Health Information

Right to Access Your Records

You have the right to inspect and request copies of your health information. We may charge a reasonable, cost-based fee for copies. Requests can be submitted through our records portal or by calling our office.

Right to Request Corrections

You have the right to request that we correct health information that you believe is inaccurate or incomplete. We may deny your request under certain circumstances and will provide a written explanation if we do so.

Right to an Accounting of Disclosures

You have the right to receive a list of disclosures we have made of your health information for purposes other than treatment, payment, or healthcare operations within the past six years.

Right to Request Restrictions

You may request that we restrict how we use or disclose your health information for treatment, payment, or operations. We are not required to agree to your request, except in limited circumstances required by law.

Right to Confidential Communications

You may request that we communicate with you in a specific way or at a specific location (for example, calling you at work instead of home). We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You have the right to receive a paper copy of this notice at any time, even if you have agreed to receive it electronically.

Our Responsibilities

PainMed is required to:

• Maintain the privacy of your protected health information
• Provide you with this notice of our privacy practices
• Follow the terms of the notice currently in effect
• Notify you if there is a breach of your unsecured protected health information

Changes to This Notice

We reserve the right to change this notice at any time. Any revised notice will be effective for all health information we maintain. We will post the updated notice in our office and on this website with a new effective date.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with PainMed or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

To file a complaint with PainMed, contact our Privacy Officer at:

To file a complaint with HHS: www.hhs.gov/hipaa/filing-a-complaint