Notice of Privacy Practices

Broward Ambulatory Surgical Center

Effective Date: October 20, 2025

This notice explains how your medical information may be used and disclosed, and how you can access that information. Please read it carefully.

Your Privacy Rights Under HIPAA

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) protects the privacy of your health information and gives you important rights regarding how your medical information is used and shared. All records and information that can identify you—whether written, electronic, or spoken—must be kept confidential.

This notice describes how Broward Ambulatory Surgical Center may use and disclose your Protected Health Information (PHI) for purposes of treatment, payment, and health care operations, and outlines your rights regarding your information.

How We May Use and Disclose Your Health Information

Your health information may be used or shared by your physician, our staff, or others involved in your care for the following reasons:

1. Treatment

We may use or share your information to provide and coordinate your medical care. For example, we may share your information with another doctor or specialist involved in your treatment to ensure continuity of care.

2. Payment

We may use or disclose your information as needed to obtain payment for services provided. For example, your insurance company may require certain details to approve or process claims for your care.

3. Health Care Operations

We may use your information to manage our practice and improve our services. These activities include quality assessment, staff evaluations, training, and other administrative purposes.

We may also:

  • Use a sign-in sheet at the reception area
  • Call your name in the waiting room
  • Leave appointment reminders by phone, voicemail, or mail

If you prefer that we contact you in a different way, please inform our office.

Other Uses and Disclosures Permitted by Law

We may use or disclose your PHI without your written authorization in certain circumstances, including:

  • When required by law
  • For public health and disease control activities
  • To report abuse, neglect, or domestic violence
  • For health oversight investigations
  • To comply with FDA requirements
  • For legal or law enforcement proceedings
  • To coroners, funeral directors, and organ donation programs
  • For research approved by an ethics board
  • For workers’ compensation claims
  • For military, national security, or inmate situations as required by law

We are also required to disclose information to you and to the U.S. Department of Health and Human Services when requested to ensure HIPAA compliance.

Any other use or disclosure of your information will only occur with your written authorization, which you may revoke at any time in writing.

Your Rights Regarding Your Health Information

You have the following rights concerning your PHI:

1. Right to Inspect and Copy

You may review and obtain a copy of your medical records. Certain records, such as psychotherapy notes or information compiled for legal proceedings, may be excluded as permitted by law.

2. Right to Request Restrictions

You may request limits on how we use or share your information for treatment, payment, or operations. While we will consider all requests, we are not required to agree to them if doing so would affect your care.

3. Right to Confidential Communications

You may request that we contact you in a specific way (e.g., at a different phone number or address). We will accommodate reasonable requests.

4. Right to Amend

If you believe your records are inaccurate or incomplete, you may request an amendment. If your request is denied, you have the right to submit a statement of disagreement, which will be added to your record.

5. Right to an Accounting of Disclosures

You may request a list of certain disclosures we have made of your health information, except for those made for treatment, payment, or operations.

6. Right to 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 Be Notified of a Breach

You have the right to be notified if your unsecured health information is ever compromised.

Changes to This Notice

Broward Ambulatory Surgical Center reserves the right to update or change this Notice of Privacy Practices at any time. The revised notice will be posted in our facility and available upon request.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Privacy Officer
Broward Ambulatory Surgical Center
12250 Miramar Blvd,
Miramar, Florida 33025
Phone: (954) 248-2250

U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, SW
Washington, D.C. 20201
Phone: 1-800-368-1019
TDD: 1-800-537-7697
Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf