Notice of Privacy Practices
Your Health Information Privacy Rights
This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully. The privacy of your health information is important to us.
Our Legal Duty
We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information.
We must follow the privacy practices described in this Notice while it is in effect. This Notice takes effect immediately and will remain in effect until we replace it.
We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make changes in our privacy practices and the new terms of our Notice effective for all health information that we maintain, including health information we created or received before we made the changes.
Uses and Disclosures of Health Information
Treatment
We may use or disclose your health information to a physician or other healthcare provider providing treatment to you.
Payment
We may use and disclose your health information to obtain payment for services we provide to you.
Healthcare Operations
We may use and disclose your health information in connection with our healthcare operations, including quality assessment, professional review, and training programs.
Your Rights
Access
You have the right to look at or get copies of your health information, with limited exceptions. You may request that we provide copies in a format other than photocopies.
Disclosure Accounting
You have the right to receive a list of instances in which we or our business associates disclosed your health information for purposes other than treatment, payment, healthcare operations, and certain other activities.
Restrictions
You have the right to request that we place additional restrictions on our use or disclosure of your health information.
Questions and Complaints
If you want more information about our privacy practices or have questions or concerns, please contact us using the information below.
If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.
We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services.
Contact Information
Pain Physicians NY
Phone: (212) 757-0222
Email: info@painphysiciansny.com
Address: 240 East 23rd St.
New York, NY 10010
Last updated: 11/1/2024