PATIENT PRIVACY POLICY

Jacksonville Cosmetic
Surgery Center
A.H. Nezami, M.D.
904-399-5061

Baptist Medical Center
820 Prudential Drive
Suite 702
Jacksonville, FL 32207

Harbor Village, Salon La Vie
13475 Atlantic Blvd, suite 39
Next to Queens Harbor,
Atlantic Beach 32225

PATIENT PRIVACY POLICY

The Jacksonville Cosmetic Surgery Center values you as a patient and we respect your privacy. We are committed to protecting your nonpublic, personal information and to maintaining appropriate safeguards in our data systems to prevent unauthorized access to information stored.

Patient's medical records are not to be released to anyone or any organization without the express written consent of the patient, patient's guardian or by court order.

Medical information may be released to your insurance company. Standard information released is diagnosis, procedure(s), operative reports and photographs as requested by your insurance company.

We will not disclose personal information to any non affiliated third parties without your prior authorization, except as necessary to conduct our business or as permitted or required by law. As required by our accrediting agency, charts are chosen randomly to be reviewed for completion by other plastic surgeons that have signed a confidentiality agreement with The Jacksonville Cosmetic Surgery Center,

We will never disclose your personal information for promotional purposes and we do not sell your information to third parties.

Before & after photographs will not be placed in our photo albums or on our website without written consent. Written releases will be effective for seven years. Patients may revoke consent in writing unless previous action as taken place. The consent has no bearing on your medical care.

E-mail is not a secure medium and third parties may intercept information exchanged via e-mail. Please consider your security before submitting personal information on the Internet.

Privacy policies are available to all patients upon request.

All medical records will be kept for a period of seven (7) years.

Effective January 1, 2003, revised 4/8/03.

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Jacksonville Cosmetic
Surgery Center
A.H. Nezami, M.D.
904-399-5061

Baptist Medical Center
820 Prudential Drive
Suite 702
Jacksonville, FL 32207

Harbor Village, Salon La Vie
13475 Atlantic Blvd, suite 39
Next to Queens Harbor,
Atlantic Beach 32225

Please fill out the form above and
click here to send your information to our
practice over the web digitally.

Jacksonville Cosmetic
Surgery Center
A.H. Nezami, M.D.
904-399-5061

Baptist Medical Center
820 Prudential Drive
Suite 702
Jacksonville, FL 32207

Harbor Village, Salon La Vie
13475 Atlantic Blvd, suite 39
Next to Queens Harbor,
Atlantic Beach 32225