Notice of Privacy Practices

Effective Date: 01/01/2025

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.

I. Our Commitment to Your Privacy

Our practice is dedicated to maintaining the privacy of your personal health information. We are required by law to maintain the confidentiality of your health information, provide you with this notice of our legal duties and privacy practices concerning your health information, and follow the terms of the notice currently in effect.

II. How We May Use and Disclose Medical Information About You

1. For Treatment: We may use medical information about you to provide, coordinate, or manage your medical treatment or services. This may involve communication with other health care providers regarding your treatment and the coordination and management of your health care with others involved in your care.
2. For Payment: We may use and disclose medical information about you to bill and collect payment for the services we provided to you.
3. For Health Care Operations: We may use and disclose medical information about you for operational purposes. These uses and disclosures are necessary to run the practice and ensure that all of our patients receive quality care.
4. Disclosures Required By Law
5. Public Health Risks
6. Research

III. Your Rights Regarding Medical Information About You

You have the following rights regarding the medical information we maintain about you:

1. Right to Inspect and Copy: You have the right to inspect and copy medical information that may be used to make decisions about your care.
2. Right to Amend: If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information.
3. Right to an Accounting of Disclosures: You have the right to request an accounting of certain disclosures we have made of your medical information.
4. Right to Request Restrictions: You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or health care operations.
5. Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
6. All requests must be made in writing.

IV. Changes to This Notice

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future.

V. Complaints

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

VI. Contact Information

For more information about our privacy practices, or to file a complaint, please contact: Privacy Officer Julia Woody

A Center For Dermatology, Cosmetic and Laser Surgery
4600 Military Trail, Suite #107, Jupiter, FL 33458
Ph.: (561)427-2000; e-mail: julia@drvitulli.com

VII. Acknowledgement of Receipt of This Notice

We will request that you sign a form acknowledging receipt of this notice. Our intent is to make you aware of the possible uses and disclosures of your protected health information and your privacy rights.