Agape Health and Wellness Center
Protecting Your Privacy and Health Information

At Agape Health and Wellness Center, we are committed to protecting the privacy and confidentiality of your personal health information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as well as Florida state laws.

This notice describes how your medical and mental health information may be used and disclosed, and how you can access this information. Please read it carefully.

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Your Rights Under HIPAA

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As a client of Agape Health and Wellness Center, you have the right to:

• Receive a copy of your medical and mental health records

• Request corrections to your records

• Request confidential communications

• Ask us to limit what we use or share

• Obtain a list of those with whom we’ve shared your information

• File a complaint if you believe your privacy rights have been violated

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Our Responsibilities

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We are required by law to:

• Maintain the privacy and security of your protected health information (PHI)

• Provide you with this notice of our legal duties and privacy practices

• Follow the terms of this notice currently in effect

• Notify you if a breach occurs that may have compromised the privacy or security of your information

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How We May Use and Disclose Your Information

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We may use and share your information in the following ways:

• Treatment: To provide, coordinate, or manage your care among multiple providers

• Payment: To obtain payment or reimbursement for services provided

• Healthcare Operations: For internal operations, such as quality improvement or staff training

• As Required by Law: Including reporting abuse or threats to safety

• With Your Authorization: For uses not listed above, we will obtain your written permission

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Confidentiality in Mental and Behavioral Health Care

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Due to the sensitive nature of mental health and behavioral health records, we take extra precautions to protect your privacy. Florida law provides additional protections, and we comply with all applicable regulations regarding psychological and psychiatric information, including court orders and mandatory reporting requirements.

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Contact Us

If you have any questions about this notice, or if you wish to exercise any of your HIPAA rights, please contact:

Privacy Officer

Agape Health and Wellness Center

11555 Central Parkway

Jacksonville, Fl 32216

Phone:904-619-6715
Email: egood@ahawc.org

Effective Date: 07/15/2025