This notice elucidates the ways in which your health information may be utilized and disclosed, as well as how you can access this information. Please review it attentively, as safeguarding the privacy of your health information is a priority for us.
We are obligated by pertinent federal and state laws to uphold the confidentiality of your health information. It is also mandated that we provide you with this Notice detailing our privacy practices, legal responsibilities, and your rights concerning your health information. We are bound to adhere to the privacy practices outlined in this Notice for its duration, effective from 04/14/03, until it is replaced.
We retain the right to modify our privacy practices and the terms of this notice at any time, subject to compliance with applicable law. These changes will be applicable to all health information we maintain, irrespective of whether it was created or received before the modifications. In the event of significant alterations to our privacy practices, we will update this notice and make the revised version available upon request.
You can request a copy of our notice at any time. For further details about our privacy practices or additional copies of this notice, please reach out to us using the contact information provided at the end of this notice.
We employ and disclose health information about you for treatment, payment, and healthcare operations. For instance:
Beyond the use of your health information for treatment, payment, or healthcare operations, you have the option to provide us with written authorization to use or disclose your health information for any purpose. Should you grant us authorization, you retain the right to revoke it in writing at any time. This revocation, however, will not impact any uses or disclosures permitted by your authorization while it was in effect. In the absence of a written authorization, we are restricted from using or disclosing your health information for any reasons other than those described in this notice.
We are obligated to disclose your health information to you, as outlined in the Patient Rights section of this notice. Additionally, your health information may be disclosed to family members, friends, or other individuals to the extent necessary to assist with your healthcare or payment, provided you give your consent.
We may use or disclose health information to notify or aid in the notification of a family member, personal representative, or another individual responsible for your care regarding your location, general condition, or death. In instances where you are present, we will afford you the opportunity to object to such uses or disclosures before proceeding. In situations of your incapacity or emergency circumstances, we will disclose health information based on a determination using our professional judgment, revealing only health information directly relevant to the person’s involvement in your healthcare. Our professional judgment and experience will guide us in making reasonable inferences in your best interest, such as allowing someone to collect filled prescriptions, medical supplies, x-rays, or similar forms of health information.
Your health information will not be utilized for marketing communications without obtaining your written authorization.
We may employ or disclose your health information when mandated to do so by law.
In instances where we reasonably suspect that you may be a potential victim of abuse, neglect, domestic violence, or other crimes, we may disclose your health information to the appropriate authorities. Such disclosure may be made to the extent necessary to prevent a serious threat to your health, safety, or that of others.
Under specific circumstances, we may disclose the health information of Armed Forces personnel to military authorities. Additionally, we may share health information with authorized federal officials for lawful intelligence, counterintelligence, and other national security activities. In certain situations, disclosure may also occur to correctional institutions or law enforcement officials having lawful custody of protected health information of inmates or patients.
To provide you with appointment reminders, we may use or disclose your health information through various means, including messages left at provided phone numbers, voicemail messages, postcards, emails, or letters.
You have the right to view or obtain copies of your health information, with some limitations. Requests for access must be made in writing, and you may choose the format, barring any impracticality on our part. A reasonable cost-based fee, covering expenses such as copies and staff time, may be charged.
You are entitled to receive a list of instances where we or our business associates disclosed your health information for purposes other than treatment, payment, healthcare operations, and certain other activities, for the past 6 years, but not before April 14, 2003. A reasonable, cost-based fee may be charged for multiple requests within a 12-month period.
You may request additional restrictions on our use or disclosure of your health information. While we are not obliged to agree, if we do, we will adhere to the agreed-upon restrictions, except in emergencies.
You have the right to request alternative means or locations for us to communicate with you about your health information. Requests must be in writing, specifying the preferred means or location, along with a satisfactory explanation of payment handling under the alternative means or location.
You can request amendments to your health information in writing, explaining why the information should be amended. We may deny requests under certain circumstances.
If you receive this notice electronically, such as on our website or via email, you have the right to request a written form.
For more information on our privacy practices or if you have questions or concerns, please contact us using the information provided. If you believe we may have violated your privacy rights, you can file a complaint with us or submit a written complaint to the U.S. Department of Health and Human Services. We will furnish the address for filing complaints upon request.
We uphold your entitlement to the confidentiality of your health information. Choosing to file a complaint with us or with the U.S. Department of Health and Human Services will not result in any form of retaliation from us.
Contact Officer: Dr. Mehrdad Hedayatnia
Address: 357 Bay Ridge Pkwy. Brooklyn, NY 11209
Phone: (718) 833-4200
E-mail: bmc@nyestetica.com
Website: https://www.nyestetica.com
