NOTICE OF PRIVACY PRACTICES (HIPAA)

Effective Date: September 22, 2025

This Notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.

Our Duties

Suncoast Trim Clinic LLC is required by law to:

  • Maintain the privacy of your Protected Health Information (“PHI”)
  • Provide you with this Notice of Privacy Practices
  • Follow the terms of this Notice currently in effect
  • Notify you if a breach occurs that may compromise the privacy or security of your PHI
  • Use or disclose only the minimum necessary PHI to accomplish the intended purpose, except for disclosures made for treatment, disclosures made to you, or as otherwise permitted or required by law

Protected Health Information (“PHI”) includes information that identifies you and relates to your physical or mental health, health care services you receive, or payment for those services.

How We Use and Disclose Protected Health Information (PHI)

We may use and disclose your PHI for the following purposes:

Treatment

To provide, coordinate, or manage your healthcare and related services, including telehealth consultations, prescriptions, referrals, and care coordination.

Payment

To bill and receive payment for healthcare services provided, including eligibility verification, billing, claims processing, and collection activities.

Healthcare Operations

For clinic operations such as quality assessment, training, licensing, audits, compliance activities, and business management.

As Required by Law

To comply with federal, state, or local laws, regulations, court orders, subpoenas, or lawful requests from law enforcement or regulatory agencies.

Business Associates

We may share PHI with trusted third-party vendors (“Business Associates”) that assist us in providing services, such as pharmacies, laboratories, electronic medical record platforms, telehealth platforms, billing vendors, or secure communication tools. These parties are legally required to safeguard your PHI.

Special Situations

We may disclose PHI in emergency situations to prevent a serious threat to health or safety, for workers’ compensation claims, or for public health reporting, as permitted by law.

Other Uses and Disclosures

Any other use or disclosure of your PHI not described in this Notice will be made only with your written authorization. You may revoke such authorization at any time in writing, except to the extent that action has already been taken based on your authorization.

Marketing and Sale of PHI

  • We do not sell your PHI.
  • We do not use your PHI for marketing purposes without your written authorization.

Your Rights Regarding Your PHI

You have the right to:

  • Access: Request a copy of your PHI
  • Amend: Request corrections to your PHI if you believe it is incorrect or incomplete
  • Accounting of Disclosures: Request a list of certain disclosures of your PHI
  • Restrictions: Request limits on how your PHI is used or disclosed (we are not required to agree to all requests)
  • Confidential Communications: Request communication by alternative means or locations
  • Paper Copy: Request a paper copy of this Notice at any time

To exercise these rights, please contact us using the information below.

Electronic Communications & Telehealth

We may communicate with you electronically, including by email, text message, patient portals, and secure telehealth platforms. While we take reasonable safeguards to protect your information, electronic communications may involve some level of risk.

By using our services, you consent to receive healthcare services via telehealth where clinically appropriate, in accordance with applicable laws and regulations.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Suncoast Trim Clinic LLC – Privacy Officer
Email: health@suncoasttrimclinic.com
Phone: (941) 900-4290

You may also file a complaint with the U.S. Department of Health & Human Services, Office for Civil Rights:
Website: https://www.hhs.gov/ocr
Phone: 1-800-368-1019

We will not retaliate against you for filing a complaint.

Contact Information

Suncoast Trim Clinic LLC
Sarasota County, Florida
Phone: (941) 900-4290
Email: health@suncoasttrimclinic.com
Privacy Officer: Suncoast Trim Clinic Privacy Officer

Changes to This Notice

We reserve the right to change this Notice of Privacy Practices at any time. Any updated version will be posted on our website and made available upon request. The revised Notice will apply to all PHI we maintain.