Notice of Privacy Practices
Effective Date: April 14, 2003
Revised July 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.
If you have any questions about this notice, please refer to our website, orlandohealth.com, or you may contact the Chief Privacy Officer by telephone at (888) 464-6747, email to PrivacyandInformationSecurity@OrlandoHealth.com or mail: Orlando Health, MP 29, 1414 Kuhl Ave., Orlando, FL 32806.
WHO WILL FOLLOW THIS NOTICE
This Notice of Privacy Practices applies to Orlando Health and its participating covered entities, including Baptist Health. These entities together operate as an Affiliated Covered Entity (ACE) and may share protected health information with each other for treatment, payment, and healthcare operations as permitted by law.
This notice describes Orlando Health's practices regarding the use and disclosure of your medical information, including use and disclosure by any healthcare professional authorized to enter information into your medical records, all departments and units of the system, volunteers we allow to help you while you are in the facility, all contracted services, and all members of Orlando Health's workforce.
All Orlando Health entities and locations, including Baptist Health, follow the terms of this notice, which includes but is not limited to hospitals, outpatient services and centers, physician practices, skilled nursing facilities, home health services, ambulance and transport services, and philanthropic foundations. Also included are staff and contracted physician services such as, but not limited to, emergency department physicians, pathologists, anesthesiologists, radiologists, hospitalists, physicians who interpret tests, and all other members of the medical staff when seeing patients in our facilities. These individuals, entities and facilities may share medical information with each other for treatment, payment or healthcare operation purposes described in this notice.
OUR PLEDGE REGARDING MEDICAL INFORMATION
We understand that your health information is personal and we are committed to protecting the confidentiality of your medical information. We maintain records of the care and services you receive to ensure quality care and to comply with applicable legal requirements.
This notice applies to all the records of your care generated by Orlando Health, whether made by our employees or your personal physician. Your personal physician may have different policies or notices regarding use and disclosure of medical information created in their office or clinic. This notice tells you about the ways in which we may use and disclose information about you. It also describes your rights and certain obligations we have regarding the use and disclosure of medical information.
We are required by law to: make sure that health-related information that identifies you is kept private; give you this notice of our legal duties and privacy practices with respect to medical information about you; follow the terms of the notice that is currently in effect and notify you following a breach of unsecured protected health information.
HOW WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU
The following sections describe the ways that we use and disclose health-related information. For each section of use or disclosure, we will explain what we mean and try to give some examples. Not every use or disclosure in a section will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.
For Treatment
We may use and disclose your information to provide you with medical treatment and to coordinate or manage your health care and related services. For example, we may use and disclose information about you to physicians, nurses, technicians, medical students, family members, clergy, or others who are involved in your care. We may use and disclose medical information about you when you need prescriptions, lab work, X-rays or other healthcare services, or when referring you to another healthcare provider.
For Payment
We may use and disclose information about you so the treatment and services you receive can be billed to, and payment may be collected from you, an insurance company or a third party. (For example, we may need to give your health plan information about surgery you received so your health plan will pay us or reimburse you for the surgery.) We may also tell your health plan about a treatment you are going to receive to obtain prior approval or to determine whether your plan will cover the treatment.
For Healthcare Operations
We may use and disclose information about you for normal healthcare operations. These uses and disclosures are necessary to run the facility and make sure that all our patients receive quality care. (For example, in the course of quality assurance and utilization review activities, we may use medical information to review our treatment and services and to evaluate the performance of our staff in caring for you. Some of these reviews may be conducted by independent physicians who are members of the medical staff but not Orlando Health employees.) We may disclose medical information to business associates who provide contracted services such as accounting, legal representation, claims processing, quality assurance, accreditation, and consulting. If we do disclose medical information to a business associate, we will do so subject to a contract that provides that the information will be kept confidential.
We may also combine medical information about patients to decide what additional services we should offer, what services are not needed, and whether certain new treatments are effective. We may also disclose information to physicians, nurses, technicians, medical students, and other personnel for review and learning purposes. We may also combine the medical information we have with medical information from other facilities to compare how we are doing and see where we can make improvements in the care and services we offer. We may remove information that identifies you from this set of medical information so others may use it to study healthcare and healthcare delivery without learning who the specific patients are.
Appointment Reminders
We may use and disclose information to contact you as a reminder that you have an appointment for treatment.
Follow-Up Phone Calls
As part of your treatment plan, there may be times that you will be contacted by Orlando Health staff via telephone after you have had services at one of its facilities. Such phone calls will be limited in number and are meant to ensure optimum recovery, patient satisfaction and education.
Treatment Alternatives and Health-Related Benefits and Services
We may use and disclose information to recommend or tell you about treatment alternatives and health-related benefits or services that may be of interest to you.
Hospital Directory
We will include certain limited information about you in the hospital directory if you are assigned a bed in one of our hospitals. This information may include your name, location in the hospital, general condition (fair, good, etc.) and religious affiliation. The directory information, except for your religious affiliation, may be released to people who ask for you by name. This is so your family, friends and clergy can visit you in the hospital and generally know how you are doing. (This does not apply to behavioral health patients.) Your religious affiliation may be given to a member of the clergy, such as a priest or rabbi, even if they don't ask for you by name. If you do not wish to have this information included in the hospital directory, notify registration personnel. (A request not to be included in the hospital directory must be made for each visit.)
Individuals Involved in Your Care or Payment for Your Care
Unless you object, we may release information about you to a friend or family member who is involved in or helps pay for your medical care. We may also tell your family or friends your general condition and that you are in the hospital. In addition, we may disclose medical information about you to an entity assisting in a disaster relief effort so that your family can be notified about your condition, status and location.
Research
Under certain circumstances, we may use and disclose information about you for research purposes. (For example, a research project may involve comparing the health and recovery of all patients who received one medication to those who received another for the same condition.) All research projects are subject to a special approval process that evaluates a proposed research project and its use of medical information, trying to balance the research needs with the patient's need for privacy of their medical information. Before we use or disclose information for research, the project will have been approved through this research approval process; however, we may disclose information about you to people preparing to conduct a research project to help them look for patients with specific medical needs, so long as the information they review does not leave Orlando Health. When our staff conducts a research project in which they look back at old medical records, your personal information will not be disclosed outside the hospital, nor will you be identified in any reports. If a research project is conducted where your information cannot be held confidential, a separate process is in place for you to consent for this type of research.
Fundraising
We may use certain information (name, address, telephone number, dates of service, age, gender, treating physician, department where you received service, health insurance status, and outcome) to contact you in the future to raise money for Orlando Health. We may also provide this information to an institutionally related foundation for the same purpose. The money raised will be used to expand and improve the services and programs we provide the community. You have the right to opt out of receiving such communications. To opt out, send an email to OrlandoHealthGiving@OrlandoHealth.com.
As Required by Law
We will disclose information about you when required to do so by federal, state or local law.
To Prevent a Serious Threat to Health or Safety
We may use and disclose information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Disclosures would only be to someone able to help prevent the threat.
SPECIAL SITUATIONS
Organ and Tissue Donation
If you are an organ donor, we may release information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ donation bank to facilitate organ or tissue donation and transplantation.
Military and Veterans
If you are a member of the armed forces, we may release information about you as required by military authorities. We may also release information about foreign military personnel to the appropriate foreign military authority.
Workers' Compensation
We may release information about you for workers' compensation or similar programs. These programs provide benefits for work-related injuries or illnesses.
Public Health Risks
We will disclose information about you for public health activities as required by law. These activities generally include the following:
To prevent or control disease, injury or disability
To report births and deaths
To report child abuse or neglect
To report reactions to medications or problems with products
To notify people of recalls of products they may be using
To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition
To notify the appropriate government authority if we believe you have been the victim of abuse, neglect or domestic violence
Health Oversight Activities
We will disclose information to a health oversight agency for activities authorized by law. These oversight activities include audits, investigations, inspections, and licensure that are necessary for the government to monitor the healthcare system, government programs, and compliance with applicable laws.
Lawsuits and Disputes
If you are involved in a lawsuit or a dispute, we may disclose information about you in response to a court or administrative order. We may also disclose information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if we are assured that reasonable efforts have been made to tell you about the request or to obtain an order protecting the information requested.
Law Enforcement
We may release information if asked to do so by a law enforcement official: (a) in response to a court order, subpoena, warrant, summons or similar process; (b) to identify or locate a suspect, fugitive, material witness, or missing person; (c) about the victim of a crime if, under certain limited circumstances, we are unable to obtain the patient agreement; (d) about a death we believe may be the result of criminal conduct; (e) about criminal conduct at the hospital; and (f) in emergency circumstances to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.
Coroners, Medical Examiners and Funeral Directors
We will release information to a coroner or medical examiner to identify a deceased person or determine the cause of death. We will also release information to funeral directors as necessary to carry out their duties.
National Security and Intelligence Activities
We may release information about you to authorized federal officials for intelligence, counterintelligence and other national security activities authorized by law.
Protective Services for the President of the United States and Others
We may disclose information about you to authorized Federal officials so they may conduct special investigations and provide protection to the President or other officials and dignitaries.
Inmates
If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release information about you to the correctional institution or law enforcement official to provide you with healthcare, to protect your and other's health and safety, or for the safety and security of the correctional institution.
YOUR RIGHTS REGARDING MEDICAL INFORMATION ABOUT YOU
You have the following rights regarding the medical information we maintain about you:
Right to Inspect and Copy
You have the right to inspect and obtain copies of medical information that may be used to make decisions about your care. (Usually, this includes medical and billing records but does not include psychotherapy notes.) To inspect and obtain a copy of medical information that may be used to make decisions about you, submit your request in writing to the contact information listed at the end of this section. You can also request copies of your records through Orlando Health’s MyChart patient portal - www.orlandohealth.com/MyChart. If you request a copy of the information, we may charge a fee for the costs of copying, mailing, labor, electronic media or other supplies associated with your request. We may deny your request to inspect and obtain a copy of your medical information in certain limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed. Another licensed healthcare professional chosen by the hospital will review your request and the denial. The person conducting the review will not be the person who denied your request. We will comply with the outcome of the review.
Right to Amend
If you feel that medical 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 Orlando Health. To request an amendment, your request must be made in writing and submitted to the contact information listed at the end of this section. You must provide a reason that supports your request. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that: (a) was not created by us, unless the person or entity that created the information is no longer available to make the amendment; (b) is not part of the medical information kept by or for the hospital; (c) is not part of the information which you would be permitted to inspect and copy; or (d) is accurate and complete.
Right to an Accounting of Disclosures
You have the right to request an accounting (list) of certain types of disclosures we have made of medical information about you. We are not required to account for certain disclosures such as: (a) disclosures you authorize; (b) disclosures to carry out treatment, payment and healthcare operations; and (c) disclosures to people involved in your care. To request an accounting of disclosures, you must submit your request in writing to the contact information listed at the end of this section:
Contact Information: Orlando Health, Health Information Management, MP 69, 1414 Kuhl Ave., Orlando, FL 32806 or email to MedicalRecords@OrlandoHealth.com.
Right to Request Restrictions
You have the right to request a restriction or limitation on our use or disclosure of information about you for treatment, payment or healthcare operations. You also have the right to request a limit on the information we disclose about you to someone who is involved in your care or the payment for your care, like a family member or friend. (For example, you could ask that we not use or disclose information about a surgery you had to a particular family member.) You may make this request orally to registration personnel and you will be designated as a “no publicity” status for that episode of care. If you (or another person on your behalf) pays in full at the time of admission for a specific health care item or service, you have the right to request, through Orlando Health’s MyChart patient portal - www.orlandohealth.com/mychart, that information with respect to that item or service, not be disclosed to your health plan for purposes of payment or healthcare operations, and we will honor that request unless the disclosure is otherwise required by law.
For all other restrictions, you must complete the Request for Restrictions on Uses and Disclosures of Protected Health Information form available at any Orlando Health admission/registration center or from the Chief Privacy Officer. You may contact the Chief Privacy Officer at the contact information listed (888) 464-6747 to request a form and one will be sent to you. Completed forms must be mailed to the Chief Privacy Officer, Orlando Health, 1414 Kuhl Ave., MP 29, Orlando, FL 32806 or email to PrivacyandInformationSecurity@OrlandoHealth.com. We will reply to you within 60 days. 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 with emergency treatment.
Right to Request Confidential Communications
You have the right to request that we communicate with you in a certain way or at a certain location. (For example, you can ask that we only contact you at work or by mail.) If you want to request confidential communication, contact a Registration or Billing Office representative at (321) 841-2596, or email to Billing@OrlandoHealth.com, Monday through Friday during regular business hours and/or during the registration process. We will not ask the reason for your request. We will accommodate all reasonable requests. Your request must include the address and/or telephone number where you want to be contacted.
Right to a Paper Copy of This Notice
You have the right to a paper copy of this notice at any time. You may obtain a copy of this notice at our website www.orlandohealth.com, or at any facility admission or registration center.
Personal Representative
If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
CHANGES TO THIS NOTICE
We reserve the right to change this notice at any time. We reserve the right to make the revised or changed notice effective for medical 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 various locations indicating the effective date. Revised copies of this notice will be provided upon request.
COMPLAINTS
If you believe your privacy rights have been violated or you disagree with a decision we made about your health information you may file a complaint with the facility Contact Orlando Health, Attn: Chief Privacy Officer, 1414 Kuhl Ave., MP 29, Orlando, FL 32806, email to: PrivacyandInformationSecurity@OrlandoHealth.com or by telephone at (888) 464-6747; or file a complaint with the Secretary of the U.S. Department of Health and Human Services, 200 Independence Avenue, S.W., Room 509F HHH Bldg., Washington, DC 20201 or online at https://ocrportal.hhs.gov/. You will not be penalized for filing a complaint.
USE OF SUBSTANCE USE DISORDER RECORDS
Records related to Substance Use Disorder (SUD) are protected by the Confidentiality of Substance Use Disorder Patient Records regulation (42 CFR Part 2) as well as the Health Insurance Portability and Accountability Act (HIPAA). These laws provide additional privacy protection similar to psychotherapy and generally require specific patient authorization for disclosure, unless the law permits otherwise. We will not use or disclose your SUD information or related testimony in legal proceedings against you without your written authorization or a valid court order. In all other situations, we will follow our privacy practices regarding the disclosure of SUD information as set forth herein. Substance use disorder information disclosed under federal law may not be redisclosed by the recipient unless further disclosure is expressly permitted by 42 CFR Part 2 or authorized by you. Orlando Health will not deny care, benefits, or services, or retaliate against you, for exercising your rights related to SUD information. Additional information on the use and disclosure of SUD records can be found in the SUD Addendum to the Notice of Privacy Practices located on the Orlando Health Notice of Privacy Practices webpage, or you may request a copy from the facility admission or registration center.
OTHER USES OF MEDICAL INFORMATION
Other uses and disclosures of information not covered by this notice or the laws that apply to us will be made only with your written permission. These include most uses and disclosures of psychotherapy notes, most uses and disclosures for marketing purposes and disclosures for which we receive remuneration in exchange for your information. Visit www.orlandohealth.com/unsubscribe to opt out of marketing communications. If you give us permission to use or disclose information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.
STATEMENT OF NONDISCRIMINATION
Orlando Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, sex, age, disability, gender identity or sexual orientation. Language services are available, free of charge. Please call (321) 841-2522 (TTY: 1 (877) 955-8773).
HEALTH INFORMATION EXCHANGE
Orlando Health participates in Health Information Exchanges (HIE) to share your health information with external healthcare providers for treatment, payment and other purposes permitted by law, including those described in this notice.
You may opt-out of Orlando Health’s HIE by doing one of the following: Send your request via email to PrivacyandInformationSecurity@OrlandoHealth.com with “Opt-Out” in the subject line; OR mail your written request, signed and dated to Orlando Health, Chief Privacy Officer, 1414 Kuhl Avenue, MP 29, Orlando, FL 32806. Include your full name, date of birth, and medical records number with your request. For questions call: (888) 464-6747. You may opt back in to the HIE at any time. You do not have to participate in the HIE to receive care.
For patients receiving services in Florida, Orlando Health participates in the Florida HIE through CRISP Shared Services, an HIE provider serving the state of Florida. As permitted by law, your health information may be shared with this exchange in order to provide faster access to information, better care coordination, and assist providers and public health officials in making more informed decisions. You may choose to opt-out and restrict access to your health information available through CRISP Shared Services by calling (877) 940-6144 or completing and submitting an Opt-Out form to Florida HIE by mail, fax or through their website at www.flhic.org.