Overview
This notice outlines the privacy practices of Graphene PT, including how protected health information (PHI) about you may be used and disclosed, and how you can access this information.
Your Rights
- Access: You can request a copy of your medical record.
- Correction: You can ask for corrections to your medical record.
- Confidential Communications: You can request specific ways to be contacted.
- Restrictions: You can ask to limit the use or sharing of your information.
- Accounting of Disclosures: You can request a list of disclosures of your information.
- Copy of Notice: You can request a paper copy of this notice.
- Representation: You can choose someone to act on your behalf.
- Complaints: You can file a complaint if you believe your privacy rights have been violated.
Your Choices
You have choices in how your information is used and shared in certain situations, such as:
Sharing with family and friends
Disaster relief
Marketing and fundraising
Our Uses and Disclosures
Your information may be used and shared for:
- Treatment: Sharing information with other professionals treating you.
- Operations: Running our organization and improving care.
- Billing: Billing and payment processes.
- Public Health and Safety: Reporting for public health purposes.
- Research: Using information for health research.
- Legal Compliance: Complying with laws and responding to legal actions.
Responsibilities
- Privacy and Security: Maintaining the privacy and security of your PHI.
- Breach Notification: Informing you promptly if a breach occurs.
- Adherence: Following the terms of this notice.
Changes to This Notice
The terms of this notice can be changed, and the new notice will apply to all information held.
Contact Information
For more details or to exercise your rights, you can contact the Privacy Officer at:
Address: 39 Broadway, Suite 630, New York, NY 10006
Phone: 646-588-0082