Privacy Policy

Welcome to South Beach Medical Associates. We strive strongly to maintain and keep our patient's privacy, and we never share or distribute your information except with your consent and for the purpose of billing. 

Here are outlines of our privacy policy: 

How we collect your personal information: We gather data via various methods through which we gather data, such as from you either when you fill out the new patient registration forms online or in person, website forms such as google, cookies, email correspondence via our secure email system, via phones, texts or offline interactions.  You have the right as a patient to have your information to be kept privately and never shared with anyone except with your permission and or to billing companies for billing purposes.   

You have the right, as a patient, to be informed about your condition and the recommended surgical, medical or diagnostic procedure to be used so that you may make the decision whether or not to undergo any suggested treatment or procedure after knowing the risks and hazards involved. At this point in your care, no specific treatment plan has been recommended. This consent form is simply an effort to obtain your permission to perform the evaluation necessary to identify the appropriate treatment and/or procedure for any identified condition(s). 

This consent provides us with your permission to perform reasonable and necessary medical examinations, testing and treatment. By signing below, you are indicating that (1) you intend that this consent is continuing in nature even after a specific diagnosis has been made and treatment recommended; and (2) you consent to treatment at this office or any other satellite office under common ownership. The consent will remain fully effective until it is revoked in writing. You have the right at any time to discontinue services. 

You have the right to discuss the treatment plan with your physician about the purpose, potential risks and benefits of any test ordered for you. If you have any concerns regarding any test or treatment recommend by your health care provider, we encourage you to ask questions. 

I voluntarily request a physician, as deemed necessary, to perform reasonable and necessary medical examination, testing and treatment for the condition which has brought me to seek care at this practice. I understand that if additional testing, invasive or interventional procedures are recommended, I will be asked to read and sign additional consent forms prior to the test(s) or procedure(s). 

Authorization to Release Information: 

I hereby authorize South Beach Medical associates to: 

1. Release any information necessary to insurance carriers regarding my illness and treatments. 

2. Process insurance claims generated in the course of examination and treatment. 

3. Allow a photocopy of my signature to be used to process insurance claims for the period of lifetime. 

This order will remain in effect until revoked by me in writing. 

I have requested medical services from South Beach Medical Associates on behalf of myself and/or my dependents, and understand that by making this request, I become fully financially responsible for any and all charges incurred in the course of the treatment authorized. 

I further understand that fees are due and payable at the date that services are rendered and agree to pay all such charges incurred in full immediately upon presentation of the appropriate statement. A photocopy of this assignment is to be considered as valid as the original. 

I certify that I have read and fully understand the above statements and consent fully and voluntarily to its contents. 

What personal information we collect: Here are some examples, such as- but not limited to- your full name, date and place of birth, residential address, email address, financial institutions, marital status, social security number, employers, medical and mental histories, and other medical information you may have shared during or before your office visit.  

How we use your personal information: We may share your sensitive information with your consent with other healthcare providers for the purpose of coordinating care or referral for specialist and other services you may need, your insurance company for billing purposes or if we were requested for subpoena by law.  Such release of information may be digitally, faxed or via phone, etc.

You will be notified in writing if any breach occurred.

For Text messaging: “SMS opt-in or phone numbers for the purpose of SMS are not being shared with any third party and affiliate company for marketing purposes”