HIPAA
Notice of Privacy Practices
Effective date: August 15, 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 Commitment to Your Privacy
Revive by MWS is committed to protecting the privacy of your health information. We are 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, and to follow the terms of the Notice currently in effect.
This Notice applies to all records of your care generated by or for Revive by MWS, whether created by our staff or by other healthcare providers who treat you at our practice.
How We May Use and Disclose Your Health Information
The following describes the ways we may use and disclose health information that identifies you. Not every use or disclosure in a category will be listed, but all of the ways we are permitted to use and disclose information will fall within one of the categories.
Treatment
We may use your health information to provide, coordinate, or manage your healthcare and related services. For example, we may disclose your health information to other healthcare providers involved in your care, such as specialists, laboratories, or pharmacies.
Payment
We may use and disclose your health information to obtain payment for services we provide to you. For example, we may disclose information to your health insurance company to obtain reimbursement for your treatment.
Healthcare Operations
We may use and disclose your health information for our healthcare operations. These activities are necessary to run our practice and ensure that all of our patients receive quality care. For example, we may use health information to review our treatment and services and to evaluate the performance of our staff.
Appointment Reminders
We may use and disclose your health information to contact you as a reminder that you have an appointment for treatment or medical care at our practice.
Treatment Alternatives
We may use and disclose your health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
Uses and Disclosures Required or Permitted by Law
We may also use or disclose your health information in the following circumstances without your authorization:
- As required by law — when required by federal, state, or local law.
- Public health activities — to public health authorities for activities such as preventing or controlling disease, injury, or disability.
- Health oversight activities — to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections.
- Judicial and administrative proceedings — in response to a court or administrative order, subpoena, or other lawful process.
- Law enforcement — for law enforcement purposes as required by law or in response to a valid legal process.
- Serious threats to health or safety — to prevent or lessen a serious and imminent threat to the health or safety of a person or the public.
- Workers' compensation — as authorized by and to the extent necessary to comply with workers' compensation laws.
Uses and Disclosures Requiring Your Authorization
Other uses and disclosures of your health information not covered by this Notice or the laws that apply to us will be made only with your written authorization. If you provide us authorization to use or disclose health information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose health information about you for the reasons covered by your written authorization, except where we have already taken action in reliance on your authorization.
Your Rights Regarding Your Health Information
You have the following rights regarding health information we maintain about you:
Right to Inspect and Copy
You have the right to inspect and copy health information that may be used to make decisions about your care. To inspect and copy your health information, you must submit your request in writing to our Privacy Officer. We may charge a fee for the costs of copying, mailing, or other supplies associated with your request.
Right to Amend
If you feel that health information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our practice. To request an amendment, your request must be made in writing and submitted to our Privacy Officer.
Right to an Accounting of Disclosures
You have the right to request an accounting of disclosures. This is a list of the disclosures we made of health information about you for purposes other than treatment, payment, and healthcare operations.
Right to Request Restrictions
You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or healthcare operations. We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.
Right to Request Confidential Communications
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail.
Right to a Paper Copy of This Notice
You have the right to a paper copy of this Notice. You may ask us to give you a copy of this Notice at any time.
Changes to This Notice
We reserve the right to change this Notice. We reserve the right to make the revised or changed Notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice in our office. The Notice will contain on the first page, in the top right-hand corner, the effective date.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint with our practice, contact our Privacy Officer in writing at the address below. You will not be penalized for filing a complaint.
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Toll-free: 1-877-696-6775
Contact Our Privacy Officer
If you have questions about this Notice or wish to exercise your rights, please contact:
Privacy OfficerRevive by MWS
920 E. Dixie Ave., Suite A
Leesburg, FL 34748
Phone: (352) 559-1901
Email: [email protected]
For information about how we handle personal data collected through our website (not your clinical health records), please review our Privacy Policy.