NOTICE OF PRIVACY PRACTICES Suncoast Physical Medicine, LLC (d/b/a Suncoast SpineMed)
Our Pledge Regarding Your Health Information
We are required by federal and Florida law to maintain the privacy of your protected health information (PHI), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect. We reserve the right to change this Notice and to make the revised Notice effective for all PHI we maintain. A current copy of this Notice will be posted in our offices and available on request.
How We May Use and Disclose Your Health Information Without Your Authorization
Treatment. We may use and disclose your PHI to provide, coordinate, or manage your healthcare — for example, sharing records with a referring physician, hospital, imaging center, or specialist involved in your care.
Payment. We may use and disclose your PHI to bill and collect payment from you, your insurance company (including auto/PIP carriers), or other responsible third parties involved in payment for your care, including attorneys when applicable to your case.
Healthcare Operations. We may use and disclose your PHI for quality assessment, staff training, credentialing, licensing, audits, legal services, and other business activities necessary to run our practice.
Appointment Reminders & Health-Related Communications. We may contact you by phone, text, email, or mail regarding appointments, treatment alternatives, or other health-related information. These communications may not be secure.
As Required or Permitted by Law. We may use or disclose your PHI without your authorization when required by court order, public health activities, workers' compensation, law enforcement, or health oversight agencies.
All other uses and disclosures require your written authorization, which you may revoke at any time in writing. We will never sell your PHI or use it for marketing without your authorization.
Your Rights Regarding Your Health Information
You have the right to inspect and copy your health information, request amendments, request an accounting of disclosures, request restrictions, request confidential communications, receive a paper copy of this Notice, and be notified of any breach of your unsecured PHI.
How to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services, Office for Civil Rights at www.hhs.gov/ocr.
Contact Information
Privacy Officer Suncoast Physical Medicine, LLC (d/b/a Suncoast SpineMed)
Central Tampa (MLK): 701 W Dr. Martin Luther King Jr Blvd, Ste 4 · Tampa, FL 33603 · Ph: 813-906-0000
USF / Temple Terrace: 3010 E 138th Ave, Ste 300 · Tampa, FL 33613 · Ph: 813-668-0000
Email: info@suncoastspinemed.com