Notice of Privacy Practices
Citrus Urgent Care, PLLC | Effective date: November 10, 2026
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Your Rights
- Get an electronic or paper copy of your medical record and other health information. We generally provide a copy or summary within 30 days, subject to lawful extensions, and may charge a reasonable cost-based fee.
- Ask us to correct information you believe is incorrect or incomplete. If we deny your request, we will explain why in writing, generally within 60 days.
- Request that we contact you in a particular way or at a different address. We will accommodate reasonable requests.
- Ask us to limit uses or disclosures for treatment, payment, or operations. We do not have to agree to most restrictions. If you pay in full out of pocket for a service, we will honor a request not to disclose information about that service to your health plan for payment or operations unless disclosure is required by law.
- Request an accounting of certain disclosures of your health information for the prior six years. Some disclosures, including most for treatment, payment, and operations, are excluded. One accounting per 12 months is free; a reasonable cost-based fee may apply for additional requests.
- Receive a paper copy of this notice at any time, even if you agreed to receive it electronically.
- Have an authorized personal representative exercise your rights, subject to verification of authority and applicable law.
- File a privacy complaint with us or with the U.S. Department of Health and Human Services without retaliation.
Your Choices
You may tell us your preferences about sharing information with family members, friends, or others involved in your care or payment, and in disaster-relief situations. If you cannot express a preference, we may share information when we believe it is in your best interest or to prevent a serious and imminent threat to health or safety, as permitted by law.
We generally require your written authorization for uses or disclosures for marketing, sale of protected health information, and most disclosures of psychotherapy notes. If we undertake fundraising communications, you may opt out. If Part 2 records are used for fundraising, we will provide the advance notice and choice required by law. You may revoke an authorization in writing, except to the extent we have already acted on it.
How We Use and Disclose Your Information
Treatment: We may use or disclose information to providers, laboratories, imaging services, pharmacies, and other professionals involved in your care.
Payment: We may disclose information to insurers, billing vendors, or others to obtain payment for services.
Health care operations: We may use information for quality improvement, training, administration, auditing, and contacting you about your care.
Other legally permitted or required purposes: Subject to applicable conditions, we may disclose information for public health and safety, reporting suspected abuse or neglect, health oversight, research, legal compliance, organ donation, coroners and funeral directors, workers’ compensation, law enforcement and other governmental functions, and court or administrative proceedings.
Special Protections for Substance Use Disorder Records
If we receive or maintain records protected by 42 CFR Part 2, those records have additional protections. Such records, or testimony describing them, generally cannot be used or disclosed in civil, criminal, administrative, or legislative proceedings against you without your written consent or a qualifying court order accompanied by a subpoena or other legal requirement compelling disclosure, as applicable. Other Part 2 requirements may govern consent and redisclosure.
Our Responsibilities
We are required by law to maintain the privacy and security of protected health information, provide this notice, follow its terms, and notify affected individuals following a breach of unsecured protected health information as required by law. We will not use or disclose information outside this notice unless authorized by you or otherwise permitted or required by law.
Changes to This Notice
We may change this notice and make revised terms effective for information we already maintain. The current notice will be available at our office, upon request, and on our website.
Questions, Requests, and Complaints
Privacy Officer: Kiran Syed, Director of Operations
Organization: Citrus Urgent Care, PLLC
Email: support@citrusurgentcare.net
Telephone: (407) 542-9910
Website: www.citrusurgentcare.net
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights, 200 Independence Avenue SW, Washington, DC 20201; telephone 1-877-696-6775; www.hhs.gov/hipaa/filing-a-complaint/. We will not retaliate against you for filing a complaint.
Additional Privacy Protections
Some health information, including certain mental health, HIV-related, genetic, reproductive health, or other sensitive records, may receive additional protections under applicable federal or Florida law. We follow those laws where they impose stricter limits on use or disclosure.