Notice of Privacy Practices

Last Updated: January 13, 2025

Your Information. Your Rights. Our Responsibilities.

Griffin Concierge Medical (“GCM,” “we,” or “us”) is dedicated to protecting your health information and clearly explaining how it may be used and disclosed. This Notice of Privacy Practices outlines your rights and our responsibilities regarding your protected health information (PHI).

This notice explains how your medical information may be used, disclosed, and accessed. Please review it carefully.

Your Rights

When it comes to your health information, you have certain rights. Below is a summary of your rights and our responsibilities to help you exercise them:

  1. Get an Electronic or Paper Copy of Your Medical Records:
    1. You can request to see or obtain a copy of your medical records in electronic or paper format.
    2. We will provide these records within 30 days of your request, and a reasonable cost-based fee may apply.
  2. Request Corrections to Your Medical Records:
    1. You can ask us to correct any information you believe is inaccurate or incomplete.
    2. We will explain in writing within 60 days if we deny your request.
  3. Request Confidential Communications:
    1. You can request that we contact you in a specific way (e.g., home or office phone) or send mail to an alternate address.
    2. We will accommodate reasonable requests.
  4. Restrict What We Use or Share:
    1. You can request that we limit the use or sharing of your health information for treatment, payment, or operations.
    2. If you pay for a service out-of-pocket in full, you can request that we not share that information with your health insurer.
  5. Get a List of Those with Whom We’ve Shared Information:
    1. You can request an accounting of certain disclosures of your health information for the past six years.
    2. This list will not include disclosures of treatment, payment, or healthcare operations.
  6. Request a Copy of this Privacy Notice:
    1. You can ask for a paper copy of this notice at any time, even if you agree to receive it electronically.
  7. Choose Someone to Act for You:
    1. If you have a legal guardian or have given someone medical power of attorney, they can choose your health information.
  8. File a Complaint if You Feel Your Rights Have Been Violated:
    1. Contact us using the information below or file a complaint with the U.S. Department of Health and Human Services at http://www.hhs.gov/ocr/privacy/hipaa/complaints/.

Your Choices

In certain situations, you have the right to make choices about what information we share.

You have the right to tell us to:

  • Share your information with family, close friends, or others involved in your care.
  • Share your information during a disaster relief situation.

We will never share your information without written permission for:

  • Marketing purposes.
  • Sale of your information.
  • Sharing psychotherapy notes.

Our Uses and Disclosures

How We Typically Use or Share Your Information:

  1. For Treatment:
    1. We share your health information with healthcare providers involved in your care.
  2. For Payment:
    1. We use your information to bill and receive payment for your healthcare services.
  3. For Operations:
    1. We use and disclose your information to manage and improve our practice and services.

Other Ways We May Use or Share Your Information:

  • Public Health and Safety: To report diseases, product recalls, or suspected abuse.
  • Research: For health research purposes, subject to legal requirements.
  • Legal Compliance: To comply with federal or state laws.
  • Organ and Tissue Donation: To facilitate donation requests.
  • Law Enforcement and Government Requests: For law enforcement, workers’ compensation, and national security purposes.
  • Legal Actions: To respond to court orders or subpoenas.

Our Responsibilities

We are required by law to:

  • Maintain the privacy and security of your health information.
  • Notify you if a breach occurs that compromises your information.
  • Follow the practices described in this notice unless you are informed of changes.

Changes to This Notice

We reserve the right to update this notice. Any changes will apply to all information we have about you. Updated notices will be available at our office and on our website.

Contact Information

If you have questions or concerns about this notice, please contact:

Griffin Concierge Medical
Attn: Kelly Hood, COO
2420 W. Mississippi Avenue
Tampa, FL 33629
Phone: 813-350-9090
Fax: 813-443-5783