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

We are required by law to maintain the privacy of your Protected Health Information (PHI), provide this Notice, and abide by its terms.

How We Use and Disclose PHI

- **Treatment:** To provide, coordinate, or manage your health care and related services.

- **Payment:** To obtain payment or reimbursement for services provided.

- **Healthcare Operations:** For quality assessment, staff training, licensing, and compliance activities.

- **As Required by Law:** For public health, law enforcement, or other mandated reporting.

- **Other Uses/Disclosures:** Only with your written authorization.

Your Rights

- **Access:** You may request a copy of your medical records.

- **Amend:** You may request corrections to your records.

- **Accounting:** You may request a list of disclosures of your PHI.

- **Restrictions:** You may request limitations on our use/disclosure.

- **Confidential Communications:** You may request communications by alternative means (e.g., mail to P.O. Box).

- **Paper Copy:** You may request a paper copy of this Notice.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us at **health@suncoasttrimclinic.com** or with the U.S. Department of Health & Human Services, Office for Civil Rights. We will not retaliate.

Contact

Suncoast Trim Clinic LLC 

Phone: (941) 900-4290 

Email: health@suncoasttrimclinic.com 

We reserve the right to change this Notice. The updated version will be posted on our website.