Introduction: Welcome to this website and/or application (“Site”), which is registered to APC and/or its affiliates (“we,” “our,” or “us”).
Please review the following Privacy Policy (“Policy”) that governs your use of our Site. Please note that with each use of our Site, you unconditionally agree to follow and be bound by this Policy. If you do not agree to these terms, you should not review information on or use the Site. Although you may bookmark a particular portion of this Site and/or bypass this Policy, your use of this Site still binds you to the terms of this Policy.
Acceptance of Policy: You agree to the terms and conditions of this Policy. This Policy, together with the Terms of Use, constitutes the entire and only agreement between us and you, and supersedes all prior or contemporaneous agreements, representations, warranties, and understandings with respect to the Site and the subject matter herein. We reserve the right to update or modify this Policy at any time without prior notice. Your use of the Site following any such change constitutes your unconditional agreement to follow and be bound by the Policy as amended. For this reason, you should review this Policy whenever you use this Site.
Personal Information Collected by this Site: There may be some instances where we ask you for personally identifiable information, including, without limitation, your name, mailing address, phone number, email address, primary health insurance, and credit card information. We may use this information:
To confirm your registration or appointment.
To fulfill your request for a promotional item.
To fulfill your request for a physician referral.
To respond to your Customer Service Center inquiries.
To keep you updated on services, events, or other information that may be of interest to you.
For other purposes permitted herein.
We do not ask for medical information and we ask that you do not provide any through this Site. You can opt-out of electronic communications from APC by clicking the “unsubscribe” link at the bottom of any email.
Disclosure of Personally Identifiable Information: In general, APC will not disclose information that identifies or can be used to identify you personally (such as name, address, names of relatives, birth date, telephone numbers, fax numbers, email addresses, social security numbers, and health plan beneficiary numbers) to any third party without your consent, except when required to do so by law. Notwithstanding the foregoing, APC may disclose your name, address, and/or email address to our third party partners solely for marketing purposes and other purposes permitted pursuant to this Policy.
Remarketing: When you use our websites or applications, we may collect certain information by automated means, using third-party Web analytics services such as Google Analytics and Google AdWords Remarketing. These technologies use cookies to collect information that may be used to serve you advertisements across the Internet and to provide data that will help us improve our websites and applications. You can learn more about Google’s use of cookies and opt out by visiting Google’s Ad Settings, or you can download an opt-out browser add-on. You can also learn more about your options for opting out of internet-based advertising by visiting the Network Advertising Initiative or the Digital Advertising Alliance.
Security: The importance of security is a top priority for us. We exercise great care in providing secure transmission of your information from your Internet connection to our servers. We use our best efforts to ensure the security of information submitted by users. When collecting credit card information, we offer secured-server transactions that encrypt your information in transit in an effort to prevent interception of such information. When we collect other information from our users, it is stored in an area where the general public does not have access to it. While we have made great efforts to protect your information, we cannot ensure or warrant the security of any information you transmit to us, and you do so at your own risk. Therefore, please note that no data transmission over the Internet can be guaranteed to be 100 percent secure, and APC will not be held liable should a third party illegally obtain your personal information.
Links to Other Websites: This Site contains links to other websites. APC is not responsible for the privacy practices or the content of other websites. You should be aware that such third parties may request and record registration information about you. We cannot guarantee your privacy on other websites, and we do not have control over their privacy policies or content.
Indemnification: You agree to indemnify, defend, and hold us and our parents, subsidiaries, affiliates, employees, directors, officers, and agents (collectively, the “Indemnified Parties”) harmless from any liability, loss, claim and expense, including attorneys’ fees, related to your violation of this Policy and/or use of the Site.
Disclaimer: The information from or through the Site is provided “as-is” and “as available,” and all warranties, express or implied, are disclaimed, including without limitation, the disclaimer of any implied warranties of merchantability, fitness for a particular purpose, and non-infringement. The information and services may contain bugs, errors, viruses, problems, or other limitations. You agree that we have no liability whatsoever for your use of any information or service. In particular, but not as a limitation thereof, we are not liable for any direct, indirect, special, incidental or consequential damages (including, without limitation, damages for loss of business, loss of profits, litigation), whether based on breach of contract, breach of warranty, tort (including negligence), product liability, or otherwise, even if advised of the possibility of such damages. The negation of damages set forth herein are fundamental elements of the basis of the bargain between us and you. The Site would not be provided without such limitations. No advice or information, whether oral or written, obtained by you from us through the Site shall create any warranty, representation, or guarantee not expressly stated in this Policy.
Limitation of Liability: Under no circumstances and under no legal or equitable theory, whether in tort, contract, strict liability, or otherwise, shall we or any of the Indemnified Parties be liable to you or to any other person for any direct, indirect, special, incidental, or consequential losses or damages of any nature arising out of or in connection with the use of or the inability to use the Site, including with limitation, damages for lost profits, loss of goodwill, loss of data, work stoppage, accuracy of results, or computer failure or malfunction, even if our authorized representative has been advised of or should have known of the possibility of such damages.
Miscellaneous: This Policy shall be treated as though it were executed and performed in Hillsborough County, Florida, and shall be governed by and construed in accordance with the laws of the State of Florida, without regard to conflict of law principals. Any cause of action by you with respect to the Site (and/or any information, goods or services related thereto) must be instituted within one (1) year after the cause of action arose or be forever waived and barred. All legal proceedings arising out of or in connection with this Policy shall be brought solely in Hillsborough County, Florida. You expressly submit to the exclusive jurisdiction of said courts and consent to extraterritorial service of process. All actions shall be subject to the limitations set forth in the Disclaimer Section and Limitation of Liability Section of this Policy. The language in this Policy shall be interpreted as to its fair meaning and not strictly against either party. Should any part of this Policy be held invalid or unenforceable, that portion shall be construed consistent with applicable law and the remaining portions shall remain in full force and effect. This Policy, together with the Terms of Use, constitutes the entire and only agreement between us and you and supersedes any and all prior or contemporaneous agreements, representations, warranties and understandings with respect to the Site and the subject matter of this Policy. To the extent that anything in or associated with the Site is in conflict or inconsistent with this Policy, this Policy shall take precedence. Our failure to enforce any provision of this Policy shall not be deemed a waiver of such provision nor of the right to enforce such provision. WE RESERVE THE RIGHT TO UPDATE OR MODIFY THIS POLICY AT ANY TIME WITHOUT PRIOR NOTICE. YOUR USE OF THE SITE FOLLOWING ANY SUCH CHANGE CONSTITUTES YOUR UNCONDITIONAL AGREEMENT TO FOLLOW AND BE BOUND BY THE POLICY AS AMENDED. FOR THIS REASON, YOU SHOULD REVIEW THIS POLICY WHENEVER YOU USE THIS SITE.
Financial Statement
Financial Policy We will contact you prior to your procedure to discuss your co-payment, co-insurance, deductible or cash payments. It is your responsibility to know and understand what your insurance will cover. All balances are due prior to the day of the procedure. We do not sponsor any payment plans. We do accept all major credit cards, Cash and Checks. We do not provide any Charity Services. General Insurance Information: Your insurance policy is an agreement between you and your insurance company. Our relationship is with you, not your insurance company. Therefore, all charges are ultimately your responsibility, regardless of your insurance status. We will bill your insurance claim for you; however, all fees collected prior to date of service and any quotes regarding such fees are estimated based on the information available to the Center at the time of service. The Center relies on information provided by the responsible party regarding insurance coverage, information from the responsible party’s insurance company, and procedure fees associated with the CPT codes scheduled and provided to the Center by the patient’s surgeon. There may be additional charges, should the surgeon perform a procedure that is different from or in addition to what was scheduled. This quote is only an estimate for the surgical facility fees. This estimate for surgical facility charges does not include the fees for the: Physician Anesthesia Laboratory Pathology Some Implants/Lenses These entities may or may not participate with your health insurance. You may request a personalized estimate of charges or any other information needed. Contact information is supplied:
Brittany Buchanan
APC
1921 W Dr. Martin Luther King Jr. Blvd.
Tampa, FL 33607
Phone: (813) 876-7600
Fax: (813) 873-0101
[email protected]
Laboratory and Pathology Services are rarely used at our facility. If you have questions, please ask your surgeon and the lab or pathologist used can be discussed. If you have any questions regarding the content of this policy or to request a personalized estimate from the APC,
please contact us at (813) 876-7600
APC Nondiscrimination Notice
APC complies with applicable Federal civil rights laws and does not discriminate on the basis of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression. APC does not exclude people or treat them differently because of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression. Our health plans are also subject to the section 1557 nondiscrimination requirements and will be operated accordingly.
APC
• Provides free auxiliary aids and services to people with disabilities to communicate effectively with us, such as:
• Qualified sign language interpreters, video remote interpreting or other aids for hearing impaired individuals
• Written information in multiple formats including large print, audio, accessible electronic formats, or other formats for visually
Impaired individuals
• Provides free language services to people whose primary language is not English, such as:
o qualified interpreters or a language line
o information written in other languages
If you need these services, contact APC’s Civil Rights Coordinator
Brittany Buchanan at (813) 876-7600
If you believe that APC has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with:
Brittany Buchanan
APC
1921 W Dr. Martin Luther King Jr. Blvd.
Tampa, FL 33607
Phone: (813) 876-7600
Fax: (813) 873-0101
[email protected]
You can file a grievance in person or by mail, fax or email. If you need help filing a grievance,
Brittany Buchanan is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html
SPANISH
South Tampa Surgery Center cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-813-873-8700.
FRENCH CREOLE
South Tampa Surgery Center konfòm ak lwa sou dwa sivil Federal ki aplikab yo e li pa fè diskriminasyon sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks.
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-813-873-8700.
VIETNAMESE
South Tampa Surgery Center tuân thủ luật dân quyền hiện hành của Liên bang và không phân biệt đối xử dựa trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính.
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-813-873-8700.
PORTUGUESE
South Tampa Surgery Center cumpre as leis de direitos civis federais aplicáveis e não exerce discriminação com base na raça, cor, nacionalidade, idade, deficiência ou sexo.
ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-813-873-8700.
CHINESE
South Tampa Surgery Center 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年齡、殘障 或性別而歧視任何人。
注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-813-873-8700。
TAGALOG
Sumusunod ang South Tampa Surgery Center sa mga naaangkop na Pederal na batas sa karapatang sibil at hindi nandidiskrimina batay sa lahi, kulay, bansang pinagmulan, edad, kapansanan o kasarian.
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa
1-813-873-8700.
RUSSIAN
South Tampa Surgery Center соблюдает применимое федеральное законодательство в области гражданских прав и не допускает дискриминации по признакам расы, цвета кожи, национальной принадлежности, возраста, инвалидности или пола. ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-813-873-8700.
ARABIC
يلتزم [(Center Name بقوانين الحقوق المدنية الفدرالية المعمول بها ولا يميز على أساس العرق أو اللون أو الأصل الوطني أو السن أو الإعاقة أو الجنس.
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم (رقم هاتف الصم والبكم: 1-318—378-0078
ITALIAN
South Tampa Surgery Center è conforme a tutte le leggi federali vigenti in materia di diritti civili e non pone in essere discriminazioni sulla base di razza, colore, origine nazionale, età, disabilità o sesso.
ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero
1-813-873-8700.
GERMAN
South Tampa Surgery Center erfüllt geltenden bundesstaatliche Menschenrechtsgesetze und lehnt jegliche Diskriminierung aufgrund von Rasse, Hautfarbe, Herkunft, Alter, Behinderung oder Geschlecht ab.
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-813-873-8700.
KOREAN
South Tampa Surgery Center 은(는) 관련 연방 공민권법을 준수하며 인종, 피부색, 출신 국가, 연령, 장애 또는 성별을 이유로 차별하지 않습니다.
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다.
1-813-873-8700 번으로 전화해 주십시오.
POLISH
South Tampa Surgery Center postępuje zgodnie z obowiązującymi federalnymi prawami obywatelskimi i nie dopuszcza się dyskryminacji ze względu na rasę, kolor skóry, pochodzenie, wiek, niepełnosprawność bądź płeć.
UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-813-873-8700.
GUJARATI
South Tampa Surgery Center લાગુ પડતા સમવાયી નાગરિક અધિકાર કાયદા સાથે સુસંગત છે અને જાતિ, રંગ, રાષ્ટ્રીય મૂળ, ઉંમર, અશક્તતા અથવા લિંગના આધારે ભેદભાવ રાખવામાં આવતો નથી.
સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-813-873-8700
THAI
South Tampa Surgery Center ได้ปฏิบัติตามรัฐบัญญัติด้านสิทธิ์ที่เหมาะสม และไม่ได้แบ่งแยกทางชาติพันธุ์ สีผิว เชื้อชาติ อายุ ความทุพพลภาพ หรือเพศ
ียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร
1-813-873-8700.