Notice of Privacy Practices

Notice of Privacy Practices

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.

This Notice of Privacy Practices ("Notice") describes how Managed Mental Health ("MMH," "we," "our," or "us") may use and disclose your Protected Health Information ("PHI"), how we protect that information, and the rights you have concerning your health information. It applies to the PHI we create and keep about your care at both of our offices — Hialeah and Plantation — including care delivered by telehealth.

We are required by law to maintain the privacy and security of your PHI, provide you with this Notice describing our legal duties and privacy practices, notify you following certain breaches of unsecured PHI, and follow the terms of the Notice currently in effect.

1. What Is Protected Health Information?

Protected Health Information, or “PHI,” generally includes individually identifiable information relating to your physical health; mental or behavioral health; diagnosis; treatment; counseling or therapy; medications; medical history; treatment plans; payment for healthcare; health insurance coverage; appointment history; and other healthcare services. PHI may exist in written, electronic, verbal, photographic, audio, or other forms.

2. How We May Use and Disclose Your Health Information

Federal law permits MMH to use or disclose your PHI for certain purposes without obtaining a separate written authorization from you.

Treatment. We may use or disclose your PHI to provide, coordinate, or manage your healthcare and related services. For example, your therapist may share relevant information with a psychiatric provider, primary care physician, specialist, hospital, pharmacy, or another healthcare professional involved in your treatment when permitted by law. Because mental and behavioral health information may be subject to additional confidentiality protections, MMH will comply with any applicable federal or Florida law that provides greater privacy protection.

Payment. We may use and disclose your PHI to obtain payment for healthcare services provided to you — for example, to Medicare, Medicaid, a Medicare Advantage organization, a Medicaid managed care organization, a commercial health plan, another third-party payer, or a billing or collection service acting on our behalf. These disclosures may be necessary to determine eligibility, obtain authorization, submit claims, coordinate benefits, appeal payment determinations, or collect amounts properly due.

Healthcare Operations. We may use and disclose your PHI for activities necessary to operate our practice and maintain the quality of services we provide, including quality assessment and improvement, clinical supervision, compliance activities, credentialing, licensing, auditing, risk management, staff training, business planning, patient-safety activities, accreditation, legal and professional consultation, and general healthcare administration.

3. Business Associates

MMH may contract with outside individuals or organizations that perform services on our behalf and require access to PHI — for example, billing companies, electronic health record vendors, information technology providers, accountants, attorneys, consultants, document-storage companies, collection agencies, cloud-service providers, and other vendors. When required by law, these organizations are considered Business Associates and are contractually required to appropriately safeguard your PHI.

4. Mental and Behavioral Health Information

MMH recognizes the particularly sensitive nature of mental and behavioral health information. We will use and disclose mental and behavioral health information only as permitted by HIPAA and other applicable federal and Florida confidentiality laws. When another applicable law provides greater privacy protection than HIPAA, MMH will follow the more protective requirement.

5. Psychotherapy Notes

HIPAA provides additional protection for certain psychotherapy notes maintained separately from the remainder of the medical record. Except for limited circumstances permitted by law, MMH will obtain your written authorization before using or disclosing psychotherapy notes. Your authorization may generally be revoked in writing at any time, except to the extent MMH has already acted in reliance on the authorization or as otherwise provided by law.

6. Substance Use Disorder Records

Certain records relating to substance use disorder (“SUD”) diagnosis, treatment, or referral for treatment may be protected by 42 C.F.R. Part 2 in addition to HIPAA. If MMH creates, receives, or maintains records protected by Part 2, MMH will use and disclose those records only as permitted by applicable law and any required patient consent. Part 2 records, and testimony describing the contents of those records, generally may not be used against a patient in civil, criminal, administrative, or legislative proceedings unless the requirements of federal law — including any required written consent or qualifying court order — have been satisfied. Federal HIPAA Notice of Privacy Practices requirements were revised to address Part 2-protected SUD records, with compliance required beginning February 16, 2026.

7. Other Uses and Disclosures Permitted or Required by Law

MMH may use or disclose PHI without your written authorization when permitted or required by law, including under circumstances such as the following. Florida law limits several of these more tightly than federal law does, and where it does, we follow the stricter Florida rule.

  • Public Health Activities. We may disclose PHI to authorized governmental or public-health authorities for legally permitted activities such as disease prevention, reporting, investigation, surveillance, or other public-health functions.
  • Abuse, Neglect, or Domestic Violence. We may disclose information to an appropriate governmental authority when required or permitted by applicable law concerning suspected abuse, neglect, exploitation, or domestic violence. Florida law makes mental health professionals mandatory reporters: we must immediately report suspected abuse, abandonment, or neglect of a child (Fla. Stat. § 39.201), and suspected abuse, neglect, or exploitation of a vulnerable adult (Fla. Stat. § 415.1034), to the Florida central abuse hotline, based on reasonable suspicion alone. Florida law also removes therapist-patient privilege entirely in these matters, including for related testimony (Fla. Stat. §§ 39.204, 415.1045(3)).
  • Health Oversight Activities. We may disclose PHI to authorized health oversight agencies for activities including audits, investigations, inspections, licensing, credentialing, or regulatory proceedings.
  • Judicial and Administrative Proceedings. We may disclose PHI in response to a valid court order, subpoena, discovery request, or other lawful process when applicable legal requirements are satisfied. If your records are sought by subpoena in a Florida civil or criminal action, Florida law requires that the subpoena issue from a court and that the party seeking the records first give proper notice to you or your legal representative (Fla. Stat. § 456.057(7)(a)3) — stricter than the federal default. Additional protections may apply to mental-health, psychotherapy, and substance-use-disorder records.
  • Law Enforcement. We may disclose PHI to law-enforcement officials when permitted or required by law.
  • Serious Threat to Health or Safety. When permitted by applicable law and professional standards, we may disclose necessary information to prevent or reduce a serious and imminent threat to the health or safety of you or another person. Under Florida law, if you communicate a specific threat of serious bodily injury or death to an identified or readily available person and your clinician judges you appear to have the intent and ability to carry it out imminently, Florida law permits your clinician to warn the person threatened and requires notification to a law-enforcement agency (Fla. Stat. § 491.0147).
  • Workers’ Compensation. We may disclose PHI when authorized by and necessary to comply with workers’ compensation or similar programs.
  • Coroners, Medical Examiners, and Funeral Directors. We may disclose PHI to coroners, medical examiners, or funeral directors when permitted by law and necessary for them to perform their authorized duties.
  • Organ and Tissue Donation. When applicable, PHI may be disclosed to organizations involved in organ, eye, or tissue donation and transplantation.
  • Research. We may use or disclose PHI for research when the research has received the approvals or waivers required by applicable law or when you have provided an appropriate authorization.
  • Governmental and National Security Functions. PHI may be disclosed for certain specialized governmental functions when specifically authorized by law.
  • Required by Law. MMH will disclose your PHI when federal, state, or local law requires us to do so.

Legal Proceedings and the Psychotherapist-Patient Privilege

Florida gives you a privilege to prevent disclosure of communications made for diagnosis or treatment of your mental or emotional condition (Fla. Stat. § 90.503), covering both our licensed counselors and our psychiatric advanced practice registered nurses. It does not apply in three situations: proceedings to compel hospitalization, court-ordered examinations, and any case in which you yourself put your mental or emotional condition at issue, such as some custody, disability, or personal injury claims.

If More Than One Person Is in Therapy Together

Managed Mental Health provides couples and family therapy. Florida law adds a protection here that federal law does not: when more than one person in a family is receiving therapy, records and communications from that therapy may be released only if each family member agrees to the release, in writing (Fla. Stat. § 491.0147(1)(b)). One participant cannot authorize release of the shared record on their own.

8. Family Members, Friends, and Others Involved in Your Care

When permitted by law, we may disclose information directly relevant to your healthcare or payment for your healthcare to a family member, close personal friend, caregiver, or another person you identify as being involved in your care. When you are present and able to make decisions, we will ordinarily seek your agreement or provide you with an opportunity to object when required. If you are unable to communicate your preferences, we may use professional judgment and applicable law to determine whether disclosure is in your best interests. Because mental-health information can be subject to heightened protections, not every disclosure that HIPAA might otherwise permit will necessarily be made by MMH.

9. Uses and Disclosures Requiring Your Written Authorization

Except as otherwise permitted or required by law, MMH will obtain your written authorization before using or disclosing PHI for purposes not described in this Notice, including most uses and disclosures of psychotherapy notes, uses and disclosures of PHI for certain marketing purposes, a sale of PHI, and other uses or disclosures for which authorization is required by law. Florida law is broader than federal law here: any use of your information to solicit or market the sale of goods or services requires a specific written release (Fla. Stat. § 456.057(7)(b)).

You may revoke an authorization in writing at any time, except to the extent MMH has already acted in reliance upon it or as otherwise limited by law.

Florida law also limits what happens to your information after we disclose it: a third party that receives information from your medical record is prohibited from disclosing it further without your express written consent (Fla. Stat. § 456.057(11)).

10. Fundraising

If MMH uses PHI to contact you for fundraising purposes as permitted by law, you have the right to tell us that you do not wish to receive further fundraising communications. MMH will not condition treatment or payment upon your decision regarding fundraising communications.

11. Your Privacy Rights

You have important rights regarding your PHI. To exercise any of them, contact us using the information at the bottom of this page.

  • Right to Inspect and Obtain a Copy of Your Health Information. You may request to inspect or obtain a copy of PHI maintained in a designated record set about you, including an electronic or paper copy when applicable. Certain information may not be subject to the HIPAA right of access, including separately maintained psychotherapy notes and certain information prepared in reasonable anticipation of or for use in legal proceedings; we may deny an access request in limited circumstances permitted by law, and certain denials may be subject to review. Florida law adds two protections: we will not condition your records on payment of an outstanding balance for services (Fla. Stat. § 456.057(6)), and any copying charge is capped at the actual cost of copying, including reasonable staff time (Fla. Stat. § 456.057(17)). If you ask us in writing, complete psychiatric records will be sent directly to a subsequent treating psychiatrist.
  • Right to Request an Amendment. If you believe information in your medical or billing record is incorrect or incomplete, you may request that MMH amend the information, in writing, explaining the reason for the requested amendment. MMH may deny the request under circumstances permitted by law, including when we did not create the information or when we determine that the existing record is accurate and complete. If your request is denied, you may have the right to submit a written statement of disagreement.
  • Right to Request Restrictions. You may ask MMH not to use or disclose certain PHI for treatment, payment, or healthcare operations. In most circumstances, MMH is not required to agree to your requested restriction. Special right when you pay in full: if you pay in full out of pocket for a healthcare item or service, you may request that MMH not disclose PHI concerning that item or service to your health plan for payment or healthcare operations purposes; when the legal requirements for this restriction are satisfied, MMH must honor it unless disclosure is otherwise required by law.
  • Right to Request Confidential Communications. You may request that MMH communicate with you about your health information in a particular manner or at a particular location — for example, only at a particular telephone number, mailing address, or other approved communication method. We will accommodate reasonable requests as required by law.
  • Right to an Accounting of Certain Disclosures. You may request a list, or “accounting,” of certain disclosures MMH has made of your PHI. Certain disclosures, including many made for treatment, payment, or healthcare operations, are excluded from the HIPAA accounting requirement. Florida law is broader here: we keep a record of all disclosures to third parties, including the purpose of each request (Fla. Stat. § 456.057(11)).
  • Right to a Paper Copy of This Notice. You have the right to receive a paper copy of this Notice at any time, even if you previously agreed to receive the Notice electronically.
  • Right to Choose a Personal Representative. If another individual has legal authority to make healthcare decisions on your behalf, such as a legal guardian, healthcare surrogate, or other legally authorized personal representative, that person may exercise applicable privacy rights on your behalf, subject to applicable law.
  • Right to Be Notified of a Breach. You have the right to receive notice of certain breaches of unsecured PHI when notification is required by law.

12. Minors and Personal Representatives

In most cases a parent or legal guardian controls the health information of a child under 18 and may see and request that child's records. Florida law creates important exceptions.

Under Fla. Stat. § 394.4784, a minor 13 or older who is experiencing an emotional crisis to the degree that they perceive a need for professional assistance may consent on their own to outpatient diagnostic and evaluation services, and to crisis intervention services such as individual psychotherapy, group therapy, counseling, or other verbal therapy, for up to two visits in any one-week period before a parent or guardian's consent is required for further services. Providing these services this way is at the treating professional's discretion, not an entitlement the minor can demand. That statute expressly does not extend to medication or other somatic treatment — so the consent rules can differ between our therapy services and our psychiatry and medication management services for the same adolescent.

Separately, if a parent or guardian cannot be reached after a reasonable attempt, Florida law lets certain other adults — a stepparent, grandparent, or adult sibling, in a set order of priority — consent to a minor's care, but expressly not to psychotropic medication (Fla. Stat. § 743.0645). A parent has a right to inspect records of care provided that way.

13. Electronic Communications and Telehealth

MMH may communicate with you electronically when appropriate, including through patient portals, telephone, text messaging, email, telehealth platforms, and other approved electronic systems. We use reasonable administrative, technical, and physical safeguards to protect PHI. However, certain forms of electronic communication may carry privacy risks. MMH may ask you to confirm your preferred method of communication and may use secure communication methods where appropriate.

14. Appointment Reminders and Health-Related Communications

MMH may use your contact information to provide appointment reminders, scheduling communications, follow-up communications, information about treatment alternatives, care coordination information, or other health-related services that may be relevant to your care.

15. Our Responsibilities

Managed Mental Health is required to: maintain the privacy and security of your PHI; provide you with this Notice explaining our legal duties and privacy practices; follow the terms of the Notice currently in effect; provide appropriate safeguards for your PHI; notify you following a breach of unsecured PHI when notification is required by law; respect your privacy rights under applicable law; and comply with additional federal or state confidentiality protections when they are more restrictive than HIPAA. Florida law also requires medical-record owners to establish policies, standards, and procedures protecting the confidentiality and security of medical records (Fla. Stat. § 456.057).

16. Changes to This Notice

MMH reserves the right to change the terms of this Notice and its privacy practices as permitted by law. Any revised Notice may apply to PHI we already maintain as well as PHI received or created after the revised Notice becomes effective. If we materially change our privacy practices, we will revise this Notice as required by law. The current Notice will be available at our offices, upon request, and on our website.

17. Questions or Complaints

If you have questions regarding this Notice, would like to exercise your privacy rights, or believe your privacy rights have been violated, please contact our Privacy Officer at Managed Mental Health by phone at our Hialeah office, (786) 233-6721, or our Plantation office, (954) 666-5942, by email at [email protected], or by mail at 4445 West 16th Avenue, Suite 100, Hialeah, FL 33012, or 4101 NW 4th St, Suite 401, Plantation, FL 33317.

You may file a complaint with MMH without fear of retaliation. MMH will not retaliate against you, deny treatment, or otherwise penalize you because you filed a privacy complaint in good faith.

18. Complaints to the U.S. Department of Health and Human Services

You may also file a complaint regarding HIPAA or applicable federal substance-use-disorder confidentiality requirements with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue, S.W., Washington, D.C. 20201; toll-free (800) 368-1019; TDD (800) 537-7697; or electronically through the HHS Office for Civil Rights Complaint Portal at ocrportal.hhs.gov. Filing a complaint with HHS will not affect your right to receive treatment from MMH, and MMH will not retaliate against you for exercising your privacy rights.

19. More Protective Privacy Laws

This Notice describes MMH's obligations principally under HIPAA and other applicable privacy laws. Certain mental-health, behavioral-health, substance-use-disorder, and other health information may be protected by federal or Florida laws that impose stricter confidentiality requirements than HIPAA. When another applicable law provides greater protection to your information, Managed Mental Health will comply with the more protective legal requirement.

20. Effective Date

This Notice is effective August 12, 2026. Managed Mental Health reserves the right to revise this Notice in accordance with applicable law.

In an emergency, do not rely on this website

This website is not a crisis service and is not monitored around the clock. If you are experiencing a mental health emergency, are in crisis, or are thinking about harming yourself or someone else, call or text 988 (the Suicide & Crisis Lifeline, available in English and Spanish, 24/7), call 911, or go to your nearest emergency room.

Please don't send medical information through this website

This website is not a secure channel for protected health information. Please do not include medical information, symptoms, diagnoses, or treatment details in the contact form or in any email or message sent through this Site. If you have questions about your privacy rights or your records, please call our Hialeah office at (786) 233-6721 or our Plantation office at (954) 666-5942, or write to [email protected].

This Notice is separate from our other notices

This Notice of Privacy Practices governs protected health information collected in the course of your care. It is separate from our Privacy Policy, which explains what information this website collects and how that information is handled, and separate again from our Notice of Nondiscrimination and Language Assistance, which explains your civil rights and how to get a free interpreter. The free language-assistance notice required to appear here under 45 CFR § 92.11(c)(5)(ii) is included immediately below, in English and in Florida's most common languages spoken by people with limited English proficiency.

Free language assistance and communication support

This notice is included here because 45 CFR § 92.11(c)(5)(ii) requires it to appear in our Notice of Privacy Practices. It says the same thing in each language: help understanding this document, and every other part of your care, is free.

ATTENTION: If you speak a language other than English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call ⁦786-233-6721 / 954-666-5942⁩ (TTY: ⁦711⁩) or speak to your provider.

EspañolSpanish
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al ⁦786-233-6721 / 954-666-5942⁩ (TTY: ⁦711⁩) o hable con su proveedor.
Kreyòl AyisyenHaitian Creole
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd aladispozisyon w gratis pou lang ou pale a. Èd ak sèvis siplemantè apwopriye pou bay enfòmasyon nan fòma aksesib yo disponib gratis tou. Rele nan ⁦786-233-6721 / 954-666-5942⁩ (TTY: ⁦711⁩) oswa pale avèk founisè w la.
ViệtVietnamese
LƯU Ý: Nếu bạn nói tiếng Việt, chúng tôi cung cấp miễn phí các dịch vụ hỗ trợ ngôn ngữ. Các hỗ trợ dịch vụ phù hợp để cung cấp thông tin theo các định dạng dễ tiếp cận cũng được cung cấp miễn phí. Vui lòng gọi theo số ⁦786-233-6721 / 954-666-5942⁩ (Người khuyết tật: ⁦711⁩) hoặc trao đổi với người cung cấp dịch vụ của bạn.
Português do BrasilBrazilian Portuguese
ATENÇÃO: Se você fala português, serviços gratuitos de assistência linguística estão disponíveis para você. Auxílios e serviços auxiliares apropriados para fornecer informações em formatos acessíveis também estão disponíveis gratuitamente. Ligue para ⁦786-233-6721 / 954-666-5942⁩ (TTY: ⁦711⁩) ou fale com seu provedor.
中文Traditional Chinese
注意:如果您說中文,我們可以為您提供免費語言協助服務。也可以免費提供適當的輔助工具與服務,以無障礙格式提供資訊。請致電 ⁦786-233-6721 / 954-666-5942⁩(TTY:⁦711⁩)或與您的提供者討論。
中文Simplified Chinese
注意:如果您说中文,我们将免费为您提供语言协助服务。我们还免费提供适当的辅助工具和服务,以无障碍格式提供信息。致电 ⁦786-233-6721 / 954-666-5942⁩(文本电话:⁦711⁩)或咨询您的服务提供商。
FrançaisFrench
ATTENTION : Si vous parlez Français, des services d'assistance linguistique gratuits sont à votre disposition. Des aides et services auxiliaires appropriés pour fournir des informations dans des formats accessibles sont également disponibles gratuitement. Appelez le ⁦786-233-6721 / 954-666-5942⁩ (TTY : ⁦711⁩) ou parlez à votre fournisseur.
TagalogTagalog
PAALALA: Kung nagsasalita ka ng Tagalog, magagamit mo ang mga libreng serbisyong tulong sa wika. Magagamit din nang libre ang mga naaangkop na auxiliary na tulong at serbisyo upang magbigay ng impormasyon sa mga naa-access na format. Tumawag sa ⁦786-233-6721 / 954-666-5942⁩ (TTY: ⁦711⁩) o makipag-usap sa iyong provider.
РУССКИЙRussian
ВНИМАНИЕ: Если вы говорите на русский, вам доступны бесплатные услуги языковой поддержки. Соответствующие вспомогательные средства и услуги по предоставлению информации в доступных форматах также предоставляются бесплатно. Позвоните по телефону ⁦786-233-6721 / 954-666-5942⁩ (TTY: ⁦711⁩) или обратитесь к своему поставщику услуг.
العربيةArabic
تنبيه: إذا كنت تتحدث اللغة العربية، فستتوفر لك خدمات المساعدة اللغوية المجانية. كما تتوفر وسائل مساعدة وخدمات مناسبة لتوفير المعلومات بتنسيقات يمكن الوصول إليها مجانًا. اتصل على الرقم ⁦786-233-6721 / 954-666-5942⁩ (⁦711⁩) أو تحدث إلى مقدم الخدمة.
ItalianoItalian
ATTENZIONE: se parli Italiano, sono disponibili servizi di assistenza linguistica gratuiti. Sono inoltre disponibili gratuitamente ausili e servizi ausiliari adeguati per fornire informazioni in formati accessibili. Chiama l'⁦786-233-6721 / 954-666-5942⁩ (tty: ⁦711⁩) o parla con il tuo fornitore.
DeutschGerman
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlose Sprachassistenzdienste zur Verfügung. Entsprechende Hilfsmittel und Dienste zur Bereitstellung von Informationen in barrierefreien Formaten stehen ebenfalls kostenlos zur Verfügung. Rufen Sie ⁦786-233-6721 / 954-666-5942⁩ (TTY: ⁦711⁩) an oder sprechen Sie mit Ihrem Provider.
한국어Korean
주의: 한국어를 사용하시는 경우 무료 언어 지원 서비스를 이용하실 수 있습니다. 이용 가능한 형식으로 정보를 제공하는 적절한 보조 기구 및 서비스도 무료로 제공됩니다. ⁦786-233-6721 / 954-666-5942⁩(TTY: ⁦711⁩)번으로 전화하거나 서비스 제공업체에 문의하십시오.
POLSKIPolish
UWAGA: Osoby mówiące po polsku mogą skorzystać z bezpłatnej pomocy językowej. Dodatkowe pomoce i usługi zapewniające informacje w dostępnych formatach są również dostępne bezpłatnie. Zadzwoń pod numer ⁦786-233-6721 / 954-666-5942⁩ (TTY: ⁦711⁩) lub porozmawiaj ze swoim dostawcą.
ગુજરાતીGujarati
ધ્યાન આપો: જો તમે ગુજરાતી બોલતા હો તો મફત ભાષાકીય સહાયતા સેવાઓ તમારા માટે ઉપલબ્ધ છે. યોગ્ય ઑક્ઝિલરી સહાય અને ઍક્સેસિબલ ફૉર્મેટમાં માહિતી પૂરી પાડવા માટેની સેવાઓ પણ વિના મૂલ્યે ઉપલબ્ધ છે. ⁦786-233-6721 / 954-666-5942⁩ (TTY: ⁦711⁩) પર કૉલ કરો અથવા તમારા પ્રદાતા સાથે વાત કરો.
ไทยThai
หมายเหตุ: หากคุณใช้ภาษา ไทย เรามีบริการความช่วยเหลือด้านภาษาฟรี นอกจากนี้ ยังมีเครื่องมือและบริการช่วยเหลือเพื่อให้ข้อมูลในรูปแบบที่เข้าถึงได้โดยไม่เสียค่าใช้จ่าย โปรดโทรติดต่อ ⁦786-233-6721 / 954-666-5942⁩ (TTY: ⁦711⁩) หรือปรึกษาผู้ให้บริการของคุณ

Translations published by the U.S. Department of Health and Human Services, Office for Civil Rights, under 45 CFR § 92.11. Our full Notice of Nondiscrimination and Language Assistance explains your civil rights and how to file a complaint.

If you are in crisis or need support right now, call or text 988 (Suicide & Crisis Lifeline — available in English and Spanish, 24/7) or call 911. You are never alone.

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