Notice of Privacy Practices

Notice of Privacy Practices — Tampa Bay Concierge Doctor, LLC.

PRIVACY NOTICE – TAMPA BAY CONCIERGE DOCTOR, LLC

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.

Who Will Follow This Notice

This Notice of Privacy Practices covers Tampa Bay Concierge Doctor, LLC (the "Company") and its employees, staff, volunteers, and other personnel involved in your care. The Company may use or disclose your medical information to carry out treatment, payment, or health care operations, or as otherwise permitted or required by law. It also describes your rights to access and control identifying medical information relating to your past, present, or future condition and care. A physician who sees you outside the Company may follow their own separate privacy notice.

The Company's Pledge Regarding Medical Information

Health information the Company receives or creates about you is "protected health information" under HIPAA (45 C.F.R. Parts 160 and 164), and the Company is committed to protecting it. The Company is required by law to keep identifying medical information private, provide you this Notice of its legal duties and privacy practices, follow the terms of the Notice currently in effect, and notify you of any unauthorized use or disclosure of your unsecured medical information.

How the Company May Use and Disclose Medical Information About You

All permitted uses and disclosures fall within the categories below; not every example is listed. Certain information — such as psychotherapy notes, some drug and alcohol information, HIV, or mental health information — receives special restrictions.

For Research — to researchers when information does not directly identify you, or when a waiver has been issued by an institutional review or privacy board that reviewed the research protocols.
For Payment — so the Company can be paid for treatment and services, for example by giving information to your health plan about care you receive or a proposed treatment.
For Health Care Operations — for activities necessary to run the Company, such as quality of care, compliance, administrative purposes, contractual obligations, grievances, or lawsuits.
To Individuals or Family Members Involved in Your Care — unless you object, to a family member, relative, close friend, or other person you identify as involved in your care, including notifying them of your location, general condition, or death.
Emergencies — to public or private disaster-relief entities so your family can be notified about your condition, status, or location; you may object in writing, and in emergencies the Company will use professional judgment.
For Company Sponsored Activities — to contact you about Company activities, including fundraising, using only contact information such as name, address, and phone number.
As Required By Law — when federal, state, or local law requires disclosure.
Workers' Compensation — for workers' compensation or similar programs providing benefits for work-related injuries or illness.
For Public Health Activities — such as preventing or controlling disease, reporting deaths, reporting abuse or neglect, reporting medication reactions or product problems, product recall notification, and disease-exposure notification.
For Health Oversight Activities — to health oversight agencies for activities authorized by law.
For Lawsuits and Disputes — in response to a court or administrative order, subpoena, discovery request, or other lawful process.
Disclosure to Law Enforcement — as authorized or required by law, for example to identify or locate a suspect or missing person, regarding crime victims in limited circumstances, deaths suspected to result from criminal conduct, crimes at the Company, or medical emergencies involving crime.
Decedents — to coroners, medical examiners, and funeral directors, and to family or others involved in your care or its payment prior to death unless you indicate otherwise; information may be used or disclosed without authorization fifty (50) years after death.
For Specialized Government Functions — to authorized federal officials for intelligence, counter-intelligence, and other national security activities.
Inmates / Individuals in Custody — to the responsible correctional institution or law enforcement official as authorized or required by law.
Threats to Health and Safety — where required to avert a serious threat to your health and safety or that of another person, limited to the relevant requirements of the law.
Marketing — the Company will not release your medical information for marketing purposes without your authorization.
Sale of Medical Information — the Company will not sell your medical information without your authorization.

Your Rights

Right to Inspect and Copy — with certain exceptions, you may inspect and receive copies of your medical information.
Amendment — if you feel your medical information is incorrect or incomplete, you may ask the Company to amend it.
Right to an Accounting of Disclosures — you may receive a list of certain disclosures the Company has made.
Right to Request Restrictions — you may request limits on information used or disclosed for treatment, payment, or operations, or disclosed to family and friends involved in your care.
Request Confidential Communications — you may ask that the Company communicate with you in a specific way or at a specific location.
Receive a Copy — you have the right to obtain a copy of this notice.

Changes to This Notice

The Company reserves the right to change the terms of this Notice at any time and to make revised terms effective for information it already holds as well as information received in the future. A copy of the current Notice will be posted.

Questions and Complaints

If you have questions or believe your privacy rights have been violated, you may file a written complaint with the Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.

Other Uses of Medical Information

Uses and disclosures not covered by this Notice or applicable law will be made only with your written permission, which you may revoke in writing at any time. Revocation stops further use or disclosure for the covered purposes, except where the Company has already acted in reliance on your permission; the Company cannot take back disclosures already made and must retain records of care provided.