SEABREEZE DIRECT PRIMARY CARE LLC

NOTICE OF PRIVACY PRACTICES

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.

OUR RESPONSIBILITY

Seabreeze Direct Primary Care LLC (“the Practice” or “We”) is committed to protecting the privacy of your medical

information. Your care/treatment is recorded in a medical record that is considered protected health information (“PHI”).

To best meet your medical needs, We share your PHI with the providers and facilities involved in your care. We share

your information only to the extent necessary to collect payment for services We provide and to conduct our business

operations. Practice staff is trained to be sensitive to the privacy and confidentiality of your PHI. Except as outlined below,

We will not use or disclose your PHI for any other purpose unless you have signed a Medical Record Release

Authorization form.

USES AND DISCLOSURE OF YOUR PHI

We may use and share your PHI in the following ways without requiring your authorization. It should be noted that while

not every use or disclosure will be listed, each of the ways we are permitted to use or disclose information will fall into one

of the following areas:

  • To provide, coordinate or manage your medical treatment and services. For instance, providers involved in your

care, will use information in your medical record to plan a course of treatment for you that may include procedure,

medications, tests, etc. We may also disclose your PHI to institutions and individuals outside of the Practice that

are or will be providing treatment to you.

  • To bill and receive payment for the treatment and services you received. For instance, we may forward

information regarding your medical procedures and treatment to your employer to arrange payment for the

services provided to you or we may use your information to prepare a bill to send to you or to the person

responsible for your payment.

  • To run our practice, improve your care, and contact you when necessary. For example, we may use your PHI in

order to conduct an evaluation of treatment and services we provide.

  • We may use your PHI to remind you about appointments and from time to time, to communicate with you about

treatment alternatives and other health-related benefits and service that may be of interest to you.

  • For workers’ compensation or similar programs.

  • For public health safety issues such as preventing disease, helping with product recall, reporting adverse

reactions to medications, reporting suspected abuse, neglect, or domestic violence.

  • For a health oversight agency.

  • In response to a court order, subpoena, or warrant and to law enforcement officials in certain limited

circumstances.

RIGHTS THAT YOU HAVE

When it comes to your health information, you have certain rights. This section explains your rights and some of our

responsibilities to help you.

  • You can ask to see or get an electronic or paper copy of your medical record, by filling out a Medical Record

Authorization form and submitting it to our office. We will provide a copy of your medical record within 30 days of

your request.

  • You can ask us to correct your medical record if you think it is incorrect or incomplete. You will need to complete a

Health Information Amendment form and submit it to our office. We may decline your request, but we’ll tell you

why in writing within 60 days.

  • You can ask us not to share certain medical record information for treatment or payment.

  • You can ask us to communicate with you by email or standard SMS messaging

  • You can ask us to contact you in a certain way or at a certain location.

  • You can ask for an accounting of the times we have shared your medical record for the last 6 years, who we

shared it with and why.

  • You can ask for a paper copy of this notice at any time.

  • You can choose someone to whom information may be disclosed or if someone is your legal guardian, that

person can make choices about your medical record.

BREACH NOTIFICATION

We are required to notify you in writing of any breach of your unsecured PHI as soon as possible, but in any event, no

later than 60 days after we discovered the breach.

At times it may be necessary for us to provide your PHI to one or more outside persons or organizations who assist us

with our payment/billing activities and healthcare operations. In each case, we require these business associates and any

of their subcontractors, to appropriately safeguard the privacy of your information.

OUR NOTICE OF PRIVACY PRACTICE

We are required by law to maintain the privacy of our patients’ PHI. We are required to abide by the terms of this Notice of

Privacy Practice so long as it remains in effect. We reserve the right to change the terms of this Notice of Privacy Practice

as necessary. You may receive a copy of any revised notice at any of our clinic locations.

This Notice of Privacy Practice is effective June 27, 2025.

COMPLAINTS

If you have any questions about this Notice or if you think that we have not respected the privacy of your protected health

information, please do not hesitate to contact Practice by email at the following email address:

leannabrooke7@gmail.com.

SEABREEZE DIRECT PRIMARY CARE LLC

CODE OF CONDUCT

To provide a safe and healthy environment, Seabreeze Direct Primary Care LLC (“Practice”) expects

patients, their family members and others who are present during Practice’s treatment of Patient to refrain

from unacceptable behaviors that are disruptive or pose a threat to the rights or safety of Practice’s

provider (“Provider”). Accordingly, Practice has the following expectations of Patient (“you”):

  • Provider will discontinue a Patient visit if required personnel are not present such as Patient’s

legal guardian, or if during a home visit, there are safety concerns or interference caused by pets

or other individuals.

  • If you have any questions about the care you received from Practice and Provider or are unhappy

with the service received, please speak to Provider prior to his departure. If the services were

rendered through telemedicine, please send a text to Provider, or send an email to Practice so

that any clarifications about your care or the services you received can be addressed.

  • Practice strives to provide all patients with the necessary time and quality of care they deserve. In

order to accomplish this, Practice requests that you communicate all issues that you wish to

discuss with Provider at the time your appointment is scheduled. This will ensure that an

appropriate amount of time can be allotted to address your concerns. Failure to do so may result

in Practice scheduling you for another visit.

  • Questions about the program services, agreements, and fees should either be discussed over the

phone with Provider or addressed in an email sent to Practice at: leannabrooke7@gmail.com.

Patient may also discuss these issues when they come into the office for an appointment.

  • Practice follows a zero-tolerance policy for aggressive or harassing behavior directed by patients

and/or their family members or friends against Provider or other Practice representatives.

  • Please be courteous with the use of your cell phone and other electronic devices. When Provider

arrives for Patient’s visit, please set the ringer to vibrate before storing away.

  • Audio or visual recording of visits are not permitted.

The following behaviors are prohibited:

  • Displaying firearms or any weapon

  • Intimidating or harassing behavior towards Provider or other Practice representatives.

  • Making threats of violence through phone calls, letters, voicemail, email or other forms of written,

verbal or electronic communication

  • Physically assaulting or threatening to inflict bodily harm

  • Making verbal threats to harm or destroy property

  • Making menacing or derogatory gestures

  • Making racial or cultural slurs or other derogatory remarks

Violations of any of the aforementioned policies will subject Patient to termination from Practice.