PRIVACY STATEMENT

Tampa Surgical Arts (“us”, “we”, or “our”) operates https://www.tampasurgicalarts.com (the
“Site”). This page informs you of our policies regarding the collection, use and disclosure of
Personal Information we receive from users of the Site.

We use your Personal Information only for providing and improving the Site. By using the Site, you
agree to the collection and use of information in accordance with this policy.

Information Collection And Use

While using our Site, we may ask you to provide us with certain personally identifiable information
that can be used to contact or identify you. Personally identifiable information may include, but is not
limited to your name (“Personal Information”).

Log Data

Like many site operators, we collect information that your browser sends whenever you visit our Site
(“Log Data”).

This Log Data may include information such as your computer’s Internet Protocol (“IP”) address,
browser type, browser version, the pages of our Site that you visit, the time and date of your visit,
the time spent on those pages and other statistics.

In addition, we may use third party services such as Google Analytics that collect, monitor and
analyze this …

The Log Data section is for businesses that use analytics or tracking services in websites or
apps, like Google Analytics. For the full disclosure section, create your own Privacy Policy.

Communications

We may use your Personal Information to contact you with newsletters, marketing or promotional
materials and other information that …

The Communications section is for businesses that may contact users via email (email
newsletters) or other methods. For the full disclosure section, create your own Privacy Policy.

Cookies

Cookies are files with small amount of data, which may include an anonymous unique identifier.
Cookies are sent to your browser from a web site and stored on your computer’s hard drive.

Like many sites, we use “cookies” to collect information. You can instruct your browser to refuse all
cookies or to indicate when a cookie is being sent. However, if you do not accept cookies, you may
not be able to use some portions of our Site.

Security

The security of your Personal Information is important to us, but remember that no method of
transmission over the Internet, or method of electronic storage, is 100% secure. While we strive to
use commercially acceptable means to protect your Personal Information, we cannot guarantee its
absolute security.

Changes To This Privacy Policy

This Privacy Policy is effective as of (add date) and will remain in effect except with respect to any
changes in its provisions in the future, which will be in effect immediately after being posted on this
page.

We reserve the right to update or change our Privacy Policy at any time and you should check this
Privacy Policy periodically. Your continued use of the Service after we post any modifications to the
Privacy Policy on this page will constitute your acknowledgment of the modifications and your
consent to abide and be bound by the modified Privacy Policy.

If we make any material changes to this Privacy Policy, we will notify you either through the email
address you have provided us, or by placing a prominent notice on our website.

Healthcare Disclosure Notification

Effective April 14th, 2003, the Federal Health Privacy Rule must be implemented and we must inform our patients of their rights under this law. While we have always made every effort to keep all your information confidential, we are now required to inform you of those persons or entities who may have access to your personal and health care information.

  • Employees of Tampa Surgical Arts (limited by job classification)
  • Physicians associated with your treatment or surgical procedure
  • Outside physicians or pathologists who would examine tissue removed
  • Anesthesiologists associated with the surgery center
  • Any physician or hospital to whom you are referred by our staff physicians
  • Any independent contractor working with Tampa Surgical Arts, i.e. consultants and aestheticians
  • Your health insurance provider
  • Designated family members or friends (post-surgical)
  • Accrediting agencies
  • Medical staff committees for the purpose of quality assessment and peer review
  • Licensing agencies in response to inquiries
  • Issuance of a subpoena and upon verification of authorization
  • Research – patients who are participating in a clinical study

Patient Rights

ALL PATIENTS WILL BE REQUESTED TO SIGN A CONSENT FORM ACKNOWLEDGING OUR PRIVACY PRACTICES PRIOR TO TREATMENT. Patients have the right not to sign this consent form. However, this would necessitate the physician to refuse treatment. A patient has the right to revoke the consent after receiving treatment and to request restrictions and request confidential communication.

A patient has the right to request a copy of his or her health information upon written request. The copy will be completed within 15 days of receiving request at a cost to the patient of $ 0.25 per page.

A patient has the right to examine and review his or her health information upon written request. This request will be honored within five (5) working days. A patient has the right to request an amendment to his or her health information and, if accepted, this will become a part of the complete medical record. Information and procedure to be followed can be received by contacting us at 727-738-0008.

Patients who feel their privacy with regards to personal or health care information has been compromised may contact:

  • This Office
  • The Department of Health and Human Services
  • The Federal Office of Civil Rights

Questions and Contact Information

If you would like to: access, correct, amend or delete any personal information we have about you, register a complaint, or simply want more information contact our Privacy Compliance Officer at info@tampasurgicalarts.com or by mail at Tampa Surgical Arts.

This document was last updated on November 16, 2017.

[1997 County Road 1, Dunedin, FL, 34698, United States]

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1997 County Road 1,
Dunedin, FL 34698

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727-738-0008

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