EH CENTER NY INC. HIPAA Notice

NOTICE OF HIPAA PRIVACY PRACTICES

Effective Date: November 5, 2024

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW THIS NOTICE CAREFULLY.

You may be asked to provide your health information to us. Any health information you provide to us is subject to the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). HIPAA requires us to ask each of our patients to acknowledge receipt of our Notice of HIPAA Privacy Practices (“this Notice”).

You acknowledge receipt of this Notice by clicking on the “I Acknowledge Receipt of the Notice of HIPAA Privacy Practices” button on our website.

This Notice applies to the following organization(s):

EH CENTER NY INC. (doing business as elitehealthcenternyc.com (Elite Health Center NYC)) (“we,” “us,” or “our“) operate as a single Affiliated Covered Entity under HIPAA.

For information concerning this Notice or our privacy practices, please contact support@elitehealthcenter.com.

NOTICE SUMMARY:

Your Rights. You have the right to:

  • Get a copy of your medical record
  • Correct your medical record
  • Request confidential communications
  • Ask us to limit the health information we share
  • Get a copy of this Notice
  • Choose someone to act for you
  • File a complaint if you believe your privacy rights have been violated

Your Choices. You have some choices in the way that we use and share information as we:

  • Answer questions from your family and friends
  • Market our services

Our Uses and Disclosures. We may use and share your information as we:

  • Treat you
  • Run our organization
  • Bill for our services to you
  • Help with public health and safety issues
  • Do research
  • Comply with the law
  • Address workers’ compensation, law enforcement, and other government requests
  • Respond to lawsuits and legal actions

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Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

  • Get an electronic or paper copy of your medical record
      1. You can ask to see or get an electronic copy of, or get a paper copy of your medical record and other health information we have about you. You can download your medical intake form via IntakeQ or send an email to support@elitehealthcenter.com.
      2. We do not maintain physical clinical locations, so seeing or getting a copy of your medical records in-person is not possible.
      3. We will provide a copy or a summary of your health information, usually within thirty (30) days of your request.
  • Ask us to correct your medical record
      1. You can ask us to correct health information about you that you think is incorrect or incomplete. Please contact support@elitehealthcenter.com or call us at (347) 577-9787.
      2. We may say “no” to your request, but we’ll tell you why in writing within sixty (60) days.
  • Request confidential communications
      1. You can ask us to contact you in a specific way. For example, you can ask us to contact you by email instead of by cell phone. Please contact support@elitehealthcenter.com or call us at (347) 577-9787.
      2. We will say “yes” to all reasonable requests.
  • Ask us to limit what we use or share
      1. You can ask us not to use or share certain health information for treatment, payment, or our operations. Please contact support@elitehealthcenter.com or call us at (347) 577-9787. We are not required to agree to your request, and we may say “no” if it would affect your care.
      2. If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
  • Get a copy of this Notice
      1. This Notice is available on our website. You can ask for a copy of this Notice at any time, even if you have agreed to receive this Notice electronically. Please contact support@elitehealthcenter.com or call us at (347) 577-9787. We will promptly provide you with a copy in Adobe PDF or Microsoft Word format, assuming you provide us a valid email address. If instead you prefer a paper copy, we can have it mailed to you, assuming you provide us a valid mailing address.
      2. We do not maintain physical clinical locations, so asking for a paper copy of this Notice in-person is not possible.
  • Choose someone to act for you
      1. If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. Please contact support@elitehealthcenter.com or call us at (347) 577-9787.
      2. We will make sure the person has this authority and can act for you before we take any action.
  • File a complaint if you feel your rights are violated
    1. You can complain if you feel we have violated your rights, by sending a letter to EH CENTER NY INC. (elitehealthcenternyc.com (Elite Health Center NYC)), 245 Fifth Ave, 3rd Floor, New York, NY 10016, or contacting support@elitehealthcenter.com.
    2. You can file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting https://www.hhs.gov/hipaa/filing-a-complaint/index.html.
    3. We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, please contact support@elitehealthcenter.com or call us at (347) 577-9787. Tell us what you want us to do, and we will follow your instructions.

  • In the following cases, you have both the right and choice to tell us to: (i) share health information with your family, close friends, or others involved in your care; (ii) share health information in a disaster relief situation; and (iii) include your health information in a hospital or clinic directory.
  • If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your health information if we believe it is in your best interest. We may also share your health information when needed to lessen a serious and imminent threat to health or safety.
  • We never share your health information unless you give us written permission.

Our Uses and Disclosures

  • How do we typically use or share your health information? We typically use or share your health information in the following ways.
      1. To treat you. We can use your health information and share it with other professionals who are treating you. Example: Your primary care provider asks our provider about your overall health condition.
      2. To run our organization. We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: We use health information about you to manage your treatment and services.
      3. To bill for our services to you. We can use and share your health information to bill and get payment from health plans or other entities. Example: We give information about you to your health insurance plan so it will pay for your services.
  • How else can we use or share your health information? We are allowed or required to share your health information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html.
  • Help with public health and safety issues. We can share health information about you for certain situations such as: (i) preventing disease; (ii) helping with product recalls; (iii) reporting adverse reactions to medications; (iv) reporting suspected abuse, neglect, or domestic violence; and (v) preventing or reducing a serious threat to anyone’s health or safety. In addition:
      1. We must report to government officials in charge of collecting specific information related to births, deaths, and certain diseases and infections.
      2. Where required by law we must report information about patients with certain conditions, such as HIV/AIDS and cancer, to central registries.
      3. We also are required to report information about immunizations to certain people exposed to communicable diseases and to employers in connection with occupational health and safety matters.
  • Do research. We can use or share your information for health research.
  • Comply with the law. We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
  • Address workers’ compensation, law enforcement, and other government requests. We can use or share health information about you: (i) for workers’ compensation claims; (ii) for law enforcement purposes or with a law enforcement official; (iii) with health oversight agencies for activities authorized by law; and (iv) for special government functions such as military, national security, and presidential protective services.
  • Respond to lawsuits and legal actions. We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities.

We are required by law to maintain the privacy and security of your protected health information. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. In addition:

  • We must follow the duties and privacy practices described in this Notice and give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind by contacting support@elitehealthcenter.com.

Changes to the Terms of this Notice

We reserve the right to revise this Notice at any time. We will make the revised version of this Notice available on our website. The date this Notice was last revised is identified under the title above. By continuing to access our services for your treatment after revisions to this Notice are made available on our website, you accept the revised Notice unless we are required by law to obtain your acceptance some other way. To obtain a copy of the revised Notice, please refer to Section 1, Paragraph (f) above.

Our Privacy Officer

You may contact us by sending a letter to EH CENTER NY INC. (elitehealthcenternyc.com (Elite Health Center NYC)), 245 5th Avenue, 3rd Floor, New York , NY 10016, or contacting support@elitehealthcenter.com.