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Axis Multispecialty Group, PLLC

Notice of Privacy Practices

Effective October 8, 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 duties

Axis Multispecialty Group, PLLC (“Axis,” “we”) is a medical group whose physicians and nurse practitioners care for patients in skilled nursing, assisted living, inpatient rehabilitation and long-term acute care facilities. The law requires us to keep your protected health information (your “medical information”) private, to give you this notice of our legal duties and privacy practices, and to notify you if a breach compromises your unsecured medical information. We must follow the notice currently in effect. We can change this notice, and the change will apply to all medical information we keep. If we change it, we’ll post the new notice on our website and give you a copy on request.

This notice covers Axis and its clinicians. The facility where you live or are being treated has its own notice, which covers the facility’s records.

How we may use and share your medical information without your written permission

  • Treatment. We share information with the doctors, nurses and staff caring for you, including your attending provider and the facility’s care team. Example: our wound care specialist shares a treatment plan with your facility’s nurses.
  • Payment. We use and share information to bill and get paid by Medicare, Medicaid, your health plan, or you. Example: we send your health plan the diagnosis and the service we provided.
  • Health care operations. We use and share information to run our practice and improve care, for example quality reviews, training, credentialing, audits, compliance, legal services, and business planning, including if our practice is sold or merged. Example: we review charts to check the quality of our notes.
  • Business associates. We may share information with companies that perform services for us, such as billing, scheduling, IT and administrative support. They must sign an agreement promising to protect it.
  • Appointment and care reminders, and information about treatment options or other health-related services.
  • Family, friends and others involved in your care. We may share information with a family member, friend or other person you identify who is involved in your care or in paying for it, unless you object. If you can’t agree or object (for example, in an emergency), we’ll use our professional judgment. We may also share information with disaster-relief organizations.
  • As required by law.
  • Public health and safety: to report disease, injury, births and deaths; to report suspected abuse, neglect or exploitation of a child or vulnerable adult; to report reactions to medicines or problems with products to the FDA; and to prevent a serious threat to health or safety.
  • Health oversight: to agencies that audit, inspect, investigate or license health care providers, such as Medicare, Medicaid, the Florida Department of Health and the Agency for Health Care Administration.
  • Lawsuits and legal actions: in response to a court or administrative order, or to a subpoena or other lawful request when the law allows.
  • Law enforcement: for limited law enforcement purposes the law allows.
  • Coroners, medical examiners and funeral directors, and organ and tissue donation organizations.
  • Research, only if an Institutional Review Board or Privacy Board has approved a waiver of authorization, or in a limited data set with direct identifiers removed. Otherwise we will not share your information for research without your written permission.
  • Specialized government functions, such as military, veterans, national security, and correctional institutions.
  • Workers’ compensation, as the law allows.

Florida law sometimes protects medical information more strictly than federal law (for example, medical records under section 456.057, Florida Statutes, and certain HIV, mental health and substance use information). When it does, we follow the stricter law.

Uses that need your written permission

We will not do the following without your written authorization: use or share psychotherapy notes (in most cases); use your information for marketing; or sell your information. Any other use or sharing not described in this notice also needs your written authorization. You can revoke an authorization in writing at any time, except to the extent we’ve already acted on it.

Your rights

  • See and get a copy of your medical information, on paper or electronically if we keep it that way. Ask in writing. We’ll usually respond within 30 days and may charge a reasonable, cost-based fee.
  • Ask us to correct information you think is wrong or incomplete. Ask in writing and tell us why. We may say no, but we’ll tell you why in writing.
  • Ask us to limit what we use or share for treatment, payment or operations, or what we share with family or friends. We don’t have to agree, except in one case: if you pay for a service in full yourself, you can ask us not to share information about that service with your health plan, and we will agree unless the law requires us to share it.
  • Ask us to contact you confidentially, for example at a different address or phone number. We’ll agree to reasonable requests and won’t ask why.
  • Get a list (an “accounting”) of certain disclosures we’ve made in the six years before your request. The first list in any 12-month period is free.
  • Get a paper copy of this notice at any time, even if you’ve agreed to get it electronically.
  • Be notified of a breach that affects your unsecured medical information.
  • Choose someone to act for you. If someone is your legal guardian or has your health care power of attorney, that person can exercise your rights.

Send requests in writing to our Privacy Officer at the address below.

Complaints

If you believe your privacy rights have been violated, you can complain to us or to the U.S. Department of Health and Human Services, Office for Civil Rights (www.hhs.gov/ocr/complaints, or 200 Independence Avenue SW, Washington, DC 20201, 1-800-368-1019). We will not retaliate against you for filing a complaint.

Contact

Privacy Officer, Axis Multispecialty Group, PLLC
817 NW 56th Terrace, Suite D, Gainesville, FL 32605
Phone: (352) 234-3050 · Email: contact@axismultispecialty.com

A copy of this notice is available on our website at axismultispecialty.com/privacy-practices-notice and from any Axis clinician on request.
Acknowledgment of Receipt. I received a copy of the Axis Multispecialty Group, PLLC Notice of Privacy Practices.
Patient name ____________ Signature (patient or representative) ____________ Date ______ If representative, relationship ______
For Axis use: Acknowledgment not obtained because: ☐ patient unable ☐ refused ☐ emergency ☐ other ______ Staff initials ____ Date ____