HIPAA Privacy Notice (Notice of Privacy Practices)
Effective Date: March 1, 2026
This Notice of Privacy Practices (“Notice”) describes how The Burg Concierge may use and disclose your protected health information (“PHI”) and how you can access this information. Please review it carefully.
Our Commitment to Your Privacy
The Burg Concierge is committed to protecting the privacy of your medical information. We are required by law to:
- Maintain the privacy and security of your PHI
- Provide you with this Notice of our legal duties and privacy practices
- Follow the terms of the Notice currently in effect
- Notify you if a breach occurs that may have compromised the privacy or security of your information
PHI includes information about your health condition, medical care, and payment for healthcare services that can identify you.
How We May Use and Disclose Your Health Information
Under HIPAA, we are permitted to use and disclose your PHI for certain purposes, including the following:
1) Treatment
We may use and share your PHI to provide, coordinate, or manage your healthcare, including sharing information with other healthcare providers involved in your care.
Example: Sharing lab results with a specialist you are referred to.
2) Payment
We may use and disclose PHI as needed for billing, payment, and collection activities.
Example: Sharing information with an insurance company for reimbursement.
Note: Some concierge practices operate on a membership basis. If applicable, payment information may be used to process membership fees, invoices, or receipts.
3) Healthcare Operations
We may use and share your PHI to support our day-to-day operations and improve quality of care.
Examples include: quality assessment, training, auditing, licensing, business planning, and administrative support.
Other Uses and Disclosures Permitted or Required by Law
We may disclose PHI without your authorization in certain situations, including:
Public Health and Safety
- Reporting certain diseases or vaccinations
- Preventing or controlling disease
- Reporting adverse reactions to medications
Abuse, Neglect, or Domestic Violence
We may report PHI to appropriate authorities if we believe you may be a victim.
Health Oversight Activities
Disclosures to government agencies for oversight of the healthcare system.
Legal Proceedings
We may disclose PHI in response to:
- court orders
- subpoenas
- administrative requests, as permitted by law
Law Enforcement
Disclosures may be made to law enforcement as required by law.
Coroners, Medical Examiners, and Funeral Directors
PHI may be disclosed as needed for identification or investigation.
Workers’ Compensation
We may disclose PHI for workers’ compensation claims as allowed by law.
Uses and Disclosures That Require Your Written Authorization
We will not use or share your PHI for the following purposes unless you give written permission:
- Marketing purposes (with limited exceptions allowed by law)
- Sale of your PHI
- Most sharing of psychotherapy notes
You may revoke your authorization at any time in writing.
Your Rights Regarding Your Health Information
You have important rights regarding your PHI. To exercise these rights, submit your request in writing using the contact information at the end of this Notice.
1) Right to Access Your Records
You may request to inspect or obtain an electronic or paper copy of your medical record and other PHI we have about you.
We will provide a copy (or summary) within the time required by law and may charge a reasonable, cost-based fee.
2) Right to Request Corrections
If you believe information in your record is incorrect or incomplete, you may request a correction.
We may deny the request in certain situations (for example, if the record was not created by us or is accurate as written), but we will provide a written explanation.
3) Right to Request Confidential Communications
You may request that we contact you in a specific way (e.g., only by phone, only by mail) or at a specific location.
We will accommodate reasonable requests.
4) Right to Request Restrictions
You may ask us not to use or share certain PHI for treatment, payment, or operations. We are not required to agree to all restrictions, but if we do, we will follow the agreement unless emergency care is needed.
5) Right to an Accounting of Disclosures
You may request a list of certain disclosures we have made of your PHI (excluding disclosures for treatment, payment, healthcare operations, and other exclusions allowed by law).
6) Right to Receive a Paper Copy of This Notice
You may request a paper copy of this Notice at any time, even if you agreed to receive it electronically.
7) Right to Choose Someone to Act for You
If you have given someone medical power of attorney or legal guardianship, that person may exercise your rights and make choices about your PHI.
How We Protect Your Information
We use administrative, physical, and technical safeguards to protect your PHI. However, no method of electronic transmission or storage is 100% secure.
If we communicate with you electronically (email/text), there may be additional risks. You may request alternative communication methods at any time.
Changes to This Notice
We reserve the right to change this Notice. Any changes will apply to PHI we already have as well as new PHI created or received in the future.
The updated Notice will be posted on our website and available upon request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us and/or with the U.S. Department of Health and Human Services.
You will not be retaliated against for filing a complaint.
Contact Information (Privacy Officer)
If you have questions about this Notice or want to exercise your rights, contact:
The Burg Concierge
Attn: Privacy Officer
Address: 147 2nd Ave S, Suite 404 St. Petersburg, FL 33701
Phone: (727) 238-5015
Email: Contact Us Here
File a Complaint with HHS (U.S. Department of Health and Human Services)
You may file a complaint with the Office for Civil Rights (OCR):
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: hhs.gov/ocr