Coastal Cosmetic Center
4147 Southpoint Drive East
Jacksonville, Florida 32216
Leonard J. Spillert, M.D.
Timothy E. Fee, M.D.
Sandra Harms, Compliance Officer
PATIENT PRIVACY POLICY
Coastal Cosmetic
Center values you as a patient and
we respect your privacy. We are committed to protecting your nonpublic,
personal information and to maintaining appropriate safeguards in our
data systems to prevent unauthorized access to information stored.
Patient's medical
records are not to be released to anyone or any organization without the
express written consent of the patient, patient's guardian or by court
order.
Medical information
may be released to your insurance company. Standard information released
is diagnosis, procedure(s), operative reports and photographs as
requested by your insurance company.
We will not
disclose personal information to any non affiliated third parties without
your prior authorization, except as necessary to conduct our business or
as permitted or required by law. As required by our accrediting agency,
charts are chosen randomly to be reviewed for completion by other plastic
surgeons that have signed a confidentiality agreement with Coastal Cosmetic Center.
Before & after photographs will not be placed in our photo albums or on
our website without written consent. Written releases will be effective
for seven years. Patients may revoke consent in writing unless previous
action as taken place. The consent has no bearing on your medical care.
E-mail is not a secure medium and third parties may intercept
information exchanged via e-mail. Please consider your security before
submitting personal information on the Internet.
Privacy policies are available to all patients upon request.
All medical records will be kept for a period of seven (7) years.
Effective January 1, 2003, revised
4/8/03.
Required fields are denoted with *
Please choose one of the following options:
|
