HIPAA Notice of Privacy Practices
Effective Date: July 2026
Fitsam Psychiatry PLLC
Fitsam Psychiatry PLLC is committed to protecting the privacy and confidentiality of your protected health information (PHI). This Notice explains how your medical information may be used and disclosed, your rights regarding your health information, and our legal responsibilities under the Health Insurance Portability and Accountability Act (HIPAA).
How We May Use and Disclose Your Information
We may use or disclose your protected health information for the following purposes:
Providing psychiatric evaluation, diagnosis, treatment, and medication management.
Coordinating your care with other healthcare providers when authorized or legally permitted.
Billing and payment for services rendered.
Healthcare operations, including quality improvement, training, compliance, and administrative functions.
When required by federal or state law.
Your Rights
You have the right to:
Request access to your medical records.
Request corrections to your health information.
Request restrictions on certain uses or disclosures.
Request confidential communications.
Receive a copy of this Notice.
File a complaint if you believe your privacy rights have been violated.
Our Responsibilities
Fitsam Psychiatry PLLC is required by law to:
Maintain the privacy and security of your health information.
Provide you with this Notice of Privacy Practices.
Notify you if a breach occurs that may compromise your protected health information.
Follow the terms of this Notice currently in effect.
Questions or Complaints
If you have questions about this Notice or wish to exercise your privacy rights, please contact:
Fitsam Psychiatry PLLC
Email: dayo@fitsampsychiatry.com
If you believe your privacy rights have been violated, you may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.