Notice of Privacy Practices

Effective date: June 30, 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.

Dr. Hector Wiltz Dermatology ("we," "us," or "the practice") is required by law to maintain the privacy of your protected health information ("PHI"), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.

How We May Use and Disclose Your Health Information

We may use and disclose your PHI for the following purposes without your written authorization:

Treatment

We may use your PHI to provide, coordinate, and manage your dermatologic care, and we may share it with other healthcare providers involved in your treatment, such as referring physicians, laboratories, and pathologists reviewing your specimens.

Payment

We may use and disclose your PHI to obtain payment for the services we provide, including billing and collecting from you, your insurer, or another payer, and verifying coverage and obtaining prior authorization for treatment.

Healthcare Operations

We may use and disclose your PHI for the business operations of the practice, such as quality assessment, staff review and training, scheduling and appointment reminders, and general administrative activities.

Other Uses and Disclosures Permitted or Required by Law

In certain situations, the law permits or requires us to use or disclose PHI without your authorization, including: as required by law; for public health activities; to report abuse, neglect, or domestic violence; for health oversight activities; in response to a court order, subpoena, or other lawful process; for law enforcement purposes; to coroners, medical examiners, and funeral directors; for organ and tissue donation; for certain research that has been approved; to avert a serious threat to health or safety; for specialized government functions; and for workers' compensation as authorized by law.

Uses and Disclosures That Require Your Authorization

Most uses and disclosures not described in this Notice will be made only with your written authorization. This includes, in general, uses and disclosures for marketing, any sale of your PHI, and most disclosures of psychotherapy notes (if any). You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.

Your Rights Regarding Your Health Information

You have the following rights with respect to your PHI:

• Right to access. You may inspect and obtain a copy of your PHI that we maintain, in the form and format you request when readily producible. We may charge a reasonable, cost-based fee.
• Right to amend. You may request that we amend PHI you believe is incorrect or incomplete. We may deny your request under certain circumstances and will explain why in writing.
• Right to an accounting of disclosures. You may request a list of certain disclosures we have made of your PHI.
• Right to request restrictions. You may request that we restrict how we use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree, except that we must agree to restrict disclosure to a health plan for a service you paid for in full out of pocket.
• Right to confidential communications. You may request that we communicate with you about your PHI in a certain way or at a certain location (for example, by mail to a specific address). We will accommodate reasonable requests.
• Right to a paper copy of this Notice. You may obtain a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
• Right to be notified of a breach. You have the right to be notified if there is a breach of your unsecured PHI.

Our Legal Duties

We are required by law to maintain the privacy of your PHI, to provide this Notice of our duties and privacy practices, to abide by the terms of the Notice currently in effect, and to notify affected individuals following a breach of unsecured PHI. We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as any we receive in the future. A current copy will be posted in our office and on this website.

How to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with the practice or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

To complain to the practice, contact our office:
Dr. Hector Wiltz Dermatology
11760 Bird Road, Suite 451, Miami, FL 33175
Phone: 305-227-9233
Email: info@wiltzdermatology.com

To complain to the federal government:
U.S. Department of Health and Human Services, Office for Civil Rights
200 Independence Avenue, S.W., Washington, D.C. 20201
Phone: 1-877-696-6775  ·  www.hhs.gov/ocr/complaints/

Contact

For more information about this Notice or our privacy practices, or to exercise any of the rights described above, please contact our office at 305-227-9233 or info@wiltzdermatology.com.