Last updated: September 17, 2024
You have the following rights regarding your health information:
Request an electronic or paper copy of your medical record and other health information we maintain. A reasonable, cost-based fee may apply.
Request correction of health information you believe is incorrect or incomplete. We may deny requests in writing within 60 days with an explanation.
Request we contact you via specific methods or at a specific address. We will accommodate all reasonable requests.
Request we not use or share certain health information for treatment, payment, or operations. We are not always required to agree.
Request a list of those with whom we've shared your information over the prior six years. One free accounting per year; additional requests may incur a fee.
File a complaint with us at (813) 308-9489 or with the U.S. Department of Health and Human Services. We will never retaliate against you for filing a complaint.
For certain health information, you can tell us your choices about what we share. You have the right and choice to tell us to:
If you are unable to communicate your preference (for example, if you are unconscious), we may share your information if we believe it is in your best interest. We may also share information when necessary to prevent a serious and imminent threat to health or safety.
We may contact you for fundraising efforts, but you can request not to be contacted again at any time.
Consumer data will not be shared or transferred between organizations unless explicitly stated. To stop receiving future communications, you can opt out by texting STOP, QUIT, END, REVOKE, OPT OUT, CANCEL, or UNSUBSCRIBE to any message you receive from us.
We use your health information and may share it with other professionals treating you — for example, a specialist we refer you to.
We may use and share your health information to operate our practice, improve your care, and contact you when necessary.
We use and share your health information to bill and receive payment from health plans or other entities — for example, billing your dental insurance for a cleaning.
We are allowed or required to share your information in other ways — usually in ways that contribute to the public good. We must meet many conditions in the law before sharing your information for these purposes. These include:
We can use or share your information for health research, subject to applicable laws and ethical standards.
We will share information if state or federal laws require it, including with the Department of Health and Human Services to verify compliance with federal privacy law.
We can share health information with organ procurement organizations if applicable.
We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
We can use or share health information for workers' compensation claims, law enforcement purposes, health oversight agencies, and special government functions such as military, national security, and presidential protective services. We may also share information in response to a court or administrative order, or in response to a subpoena.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html
We can change the terms of this notice at any time. Changes will apply to all information we maintain about you. The updated notice will be available upon request, in our office, and on this website.
Email communication via our website may not be done through a secure platform. Although it is unlikely, there is a possibility that information you include in your submission can be intercepted and read by parties other than the intended recipient. To protect your confidential information, please do not include personal identifying information such as your birth date or personal medical information in any emails or website submissions you send to us.
If you have questions about this Privacy Policy or wish to exercise your rights, please contact us: