Notice of Privacy Practices (HIPAA)
Effective Date: July 1, 2026
Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED, HOW YOU CAN ACCESS THIS INFORMATION, AND YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION. PLEASE REVIEW IT CAREFULLY.
At Icon Medical, protecting your privacy is one of our highest priorities. We understand that your medical information is personal, and we are committed to safeguarding your Protected Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other applicable federal and Florida laws.
This Notice explains how we may use and disclose your medical information, your rights regarding your health information, and our legal responsibilities as a healthcare provider.
Our Responsibilities
Icon Medical is required by law to:
- Maintain the privacy and security of your Protected Health Information (PHI).
- Provide you with this Notice of Privacy Practices.
- Follow the privacy practices described in this Notice.
- Notify you promptly if a breach occurs that may have compromised the privacy or security of your health information.
- Comply with all applicable federal and state privacy laws.
How We May Use and Disclose Your Health Information
Federal law permits healthcare providers to use and disclose Protected Health Information without your written authorization for specific purposes.
Treatment
We may use and disclose your health information to provide, coordinate, and manage your medical care. This may include communication with specialists, laboratories, pharmacies, imaging centers, hospitals, or other healthcare providers involved in your treatment.
Healthcare Operations
We may use your information to operate our practice and improve the quality of care we provide. Examples include quality assessment, staff training, accreditation, licensing, auditing, compliance activities, and business management.
Payment
Although Icon Medical operates as a concierge primary care practice, your health information may be used or disclosed as necessary to process membership fees, collect payment for healthcare services, or perform related financial activities when applicable.
Please note: Our public website is not used to process payments or collect Protected Health Information.
Appointment Reminders and Practice Communications
We may contact you regarding:
- Appointment reminders
- Follow-up visits
- Annual wellness examinations
- Preventive health recommendations
- Test results
- Practice announcements
Communication may occur by telephone, voicemail, email, text message, patient portal, or mail using the contact information you provide.
Individuals Involved in Your Care
Unless you object, we may disclose relevant health information to family members, caregivers, or others involved in your care or payment for your care when appropriate.
Public Health Activities
We may disclose health information as required for public health reporting, disease prevention, reporting communicable diseases, adverse events, or other activities authorized by law.
Health Oversight Activities
We may disclose information to governmental agencies responsible for licensing, certification, audits, inspections, investigations, or other oversight activities.
Legal Requirements
We may disclose your information when required by federal or state law, court order, subpoena, or other lawful legal process.
Law Enforcement
Certain disclosures may be made to law enforcement officials when permitted or required by law.
Workers’ Compensation
We may disclose medical information as authorized by workers’ compensation or similar programs established by law.
Research
Your information may be used or disclosed for approved research activities when permitted by law and when appropriate privacy protections are in place.
Serious Threat to Health or Safety
We may disclose information when necessary to help prevent or lessen a serious and imminent threat to your health or safety or the health and safety of others.
Uses That Require Your Written Authorization
We will obtain your written authorization before using or disclosing your Protected Health Information for purposes not otherwise permitted by law.
Examples include:
- Most marketing communications
- Sale of Protected Health Information
- Certain uses of psychotherapy notes
- Any other use not specifically permitted by HIPAA
You may revoke your authorization at any time by submitting a written request, except to the extent we have already relied upon your authorization.
Your Rights
As a patient, you have the following rights regarding your Protected Health Information.
Right to Inspect and Obtain Copies
You have the right to inspect and request copies of your medical records and certain billing records maintained by Icon Medical, subject to applicable legal limitations.
Right to Request an Amendment
If you believe information in your medical record is inaccurate or incomplete, you may request that it be corrected or amended.
Right to Request Restrictions
You may request restrictions on how we use or disclose your health information. While we will consider all requests, we are not required to agree to every requested restriction except where required by law.
Right to Request Confidential Communications
You may request that we communicate with you by alternative means or at alternative locations whenever reasonably possible.
Right to Receive an Accounting of Disclosures
You have the right to request a list of certain disclosures of your Protected Health Information made by our practice.
Right to Receive a Paper Copy
You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
Right to Choose Someone to Act on Your Behalf
If you have granted someone medical power of attorney or another person is legally authorized to act for you, that individual may exercise your privacy rights on your behalf.
Website Privacy
Our website, https://iconmeddpc.com, is intended to provide information about our practice and allow prospective patients to request an introductory Meet & Greet consultation.
The website does not:
- Accept online payments
- Collect medical histories
- Receive Protected Health Information (PHI)
- Provide medical advice
- Establish a physician-patient relationship
Please do not submit confidential medical information through any website contact form. Once you become a patient, our office will provide secure methods for communicating Protected Health Information.
Changes to This Notice
We reserve the right to revise this Notice of Privacy Practices at any time. Updated versions will be posted in our office and on our website. Any revised Notice will apply to all Protected Health Information maintained by Icon Medical.
Questions or Complaints
If you have questions regarding this Notice or believe your privacy rights have been violated, please contact us.
Privacy Officer
Icon Medical
7013 South Tamiami Trail
Sarasota, FL 34231
Phone: (941) 999-0241
Email: Send Your Request Here
You may also file a complaint with the Office for Civil Rights, U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.
Contact Information
Icon Medical
7013 South Tamiami Trail
Sarasota, FL 34231
Website: https://iconmeddpc.com
Phone: (941) 999-0241
Email: Send Your Request Here
Effective Date: July 1, 2026
This Notice of Privacy Practices applies to all healthcare services provided by Icon Medical unless replaced by a revised Notice.