This notification outlines the utilization and disclosure of health information and elucidates the avenues for accessing such data. Please examine it attentively, as the confidentiality of your health information is of utmost importance to us.
Our Legal Obligation:
Under applicable federal and state laws, we are mandated to uphold the privacy of your health information. This Notice serves as an explanation of our privacy practices, legal responsibilities, and your rights pertaining to your health information. The practices outlined in this Notice will be followed from its inception on 12/19/2023 and will persist until replaced.
We retain the right to modify our privacy practices and the terms of this Notice, adhering to applicable law. Any alterations will apply retroactively to all health information we maintain, irrespective of when it was created or received. Significant changes will prompt an updated Notice, available upon request.
You can request a copy of our Notice at any time by contacting us using the information provided at the end of this document.
Usage and Disclosure of Health Information:
Your health information may be used and disclosed for treatment, payment, and healthcare operations. For instance:
Treatment: Your health information may be shared with healthcare providers involved in your treatment.
Payment: Your health information may be disclosed for billing and payment purposes. Healthcare Operations: Your health information may be used for activities such as quality assessment, professional evaluations, and training programs.
Apart from the aforementioned uses, you can provide written authorization for the use or disclosure of your health information for any purpose. You have the right to revoke this authorization in writing at any time.
Family and Friends:
We may disclose your health information to family members or friends involved in your healthcare or payment with your consent.
Marketing Health-Related Services:
Your health information will not be used for marketing communications without your written authorization.
We may disclose your health information as required by law.
Abuse or Neglect:
If there is a reasonable belief that you are a victim of abuse, neglect, or domestic violence, we may disclose your health information to appropriate authorities.
Under certain circumstances, we may disclose health information to military authorities or federal officials for national security activities.
Your health information may be used for appointment reminders.
You have the right to access and obtain copies of your health information, request disclosure accounting, impose restrictions, request alternative communication, and seek amendments.
Questions and Complaints:
For more information or to address concerns, please contact us. If privacy rights are believed to be violated, complaints can be filed with us or the U.S. Department of Health and Human Services. Retaliation for filing a complaint will not occur.
Contact: Dr. Viktoryia Kazlouskaya, MD/PhD
Address: 801 Madison Avenue, 4th Floor, New York, 10065 Phone: +1 (646) 398-9104