Legal · HIPAA

Notice of Privacy Practices.

How Clinically Clear may use and share your Protected Health Information (PHI), and your rights under federal law.

Effective on launch · Last updated: 2026-05-03

This is a starting template, not finalized legal text. The HIPAA Notice of Privacy Practices is a federally required document for covered entities. Final language must be reviewed by a healthcare attorney and customized to the practice's actual operations, vendors, and Florida-specific requirements before being provided to patients.

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 pledge regarding your health information

Clinically Clear ("we," "us," "the practice") is committed to protecting the privacy of your Protected Health Information ("PHI") in accordance with the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), as amended, and applicable Florida law. This Notice describes how we may use and disclose your PHI, and your rights regarding that information.

How we may use and disclose your PHI

For treatment

We use and disclose PHI to provide, coordinate, and manage your healthcare. This includes consultations between Shelbi Arcand, NP and other providers involved in your care; ordering and receiving diagnostic test results; and sending prescriptions to your pharmacy.

For payment

We may use and disclose PHI for billing, claims processing, and obtaining payment from you, your insurance company (if applicable), or another payer.

For healthcare operations

We may use and disclose PHI to operate the practice — including quality assessment, training, internal audits, and arranging for legal and consulting services.

Other permitted disclosures

We may use or disclose your PHI without your authorization in the following circumstances, when permitted or required by law:

  • To public health authorities for disease prevention or control
  • To report suspected abuse, neglect, or domestic violence as required by law
  • For health oversight activities (audits, investigations, inspections)
  • In response to a court order, subpoena, or other legal process
  • For law enforcement purposes as permitted by law
  • To coroners, medical examiners, and funeral directors as needed
  • For organ donation purposes (if applicable)
  • For research, in limited circumstances and under specific safeguards
  • To avert a serious threat to health or safety
  • For specialized government functions (e.g., military, national security)
  • For workers' compensation purposes

Disclosures requiring your written authorization

The following uses and disclosures of your PHI will be made only with your written authorization:

  • Most uses and disclosures of psychotherapy notes
  • Uses and disclosures for marketing purposes
  • Sale of your PHI
  • Other uses and disclosures not described in this Notice

You may revoke an authorization at any time, in writing, except to the extent we have already acted in reliance on it.

Your rights regarding your PHI

Right to access & obtain copies

You have the right to inspect and obtain a copy of your PHI maintained by the practice. We may charge a reasonable, cost-based fee for copies, in accordance with applicable law.

Right to request amendment

You have the right to request that we amend PHI you believe is inaccurate or incomplete. We may deny the request under limited circumstances permitted by law; if we deny, we'll provide a written explanation and your options.

Right to an accounting of disclosures

You have the right to request a list of certain disclosures we have made of your PHI for purposes other than treatment, payment, healthcare operations, or where you provided authorization, going back up to six years prior to the request.

Right to request restrictions

You have the right to request restrictions on certain uses and disclosures of your PHI. We are not required to agree to all requested restrictions, except a request to restrict disclosure to a health plan when you have paid out of pocket in full for the services.

Right to confidential communications

You have the right to request that we communicate with you about your PHI by alternative means or at alternative locations (e.g., a different phone number or email).

Right to receive a paper copy of this Notice

You have the right to receive a paper copy of this Notice upon request, even if you have agreed to receive it electronically.

Right to be notified of a breach

You have the right to be notified in the event of a breach of your unsecured PHI as required by law.

Our responsibilities

  • We are required by law to maintain the privacy of your PHI
  • We are required to provide you with this Notice and abide by its terms
  • We are required to notify you in the event of a breach of unsecured PHI
  • We will not use or share your information other than as described here unless you tell us we can in writing

Changes to this Notice

We reserve the right to change this Notice. We will post the updated Notice on this page and (where required) provide it to patients with the effective date of the changes.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us through the contact methods available at launch. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.

Contact

Privacy questions can be directed to Clinically Clear through Instagram, Facebook, or (at launch) at the contact methods provided in the patient portal.

See also our Privacy Policy, Telehealth Informed Consent, and Terms of Use.