Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Notice status and privacy contact

Your rights

You have the right to:

• inspect or obtain an electronic or paper copy of health information we maintain about you, subject to applicable law;
• ask us to correct or amend information you believe is incorrect or incomplete;
• ask us to contact you in a reasonable alternative way or at a different location;
• ask us to limit certain uses or disclosures of your information;
• require us, in applicable circumstances, not to disclose to a health plan information about an item or service you paid for in full out of pocket;
• request an accounting of certain disclosures;
• receive a paper copy of this notice at any time;
• have a legally authorized personal representative exercise applicable privacy rights for you; and
• file a privacy complaint without retaliation.

Contact the Park Slope Eye Privacy Contact if you want to exercise a privacy right. We will respond within the time and in the manner required by applicable law.

How we may use and share health information

We may use or disclose protected health information as permitted or required by HIPAA and other applicable law, including for:

• Treatment: for example, sharing relevant information with another health professional involved in your care.
• Payment: for example, sending information to a health or vision plan to obtain payment for covered services.
• Health care operations: for example, using information for quality improvement, staff training, and other lawful practice operations.
• Other uses or disclosures permitted or required by law: including certain public-health and safety activities, health oversight, workers’ compensation, law-enforcement or judicial processes, and disclosure to the U.S. Department of Health and Human Services for HIPAA compliance and enforcement.

Written authorization is required when HIPAA or another applicable law requires it, including for most uses or disclosures of psychotherapy notes, uses or disclosures for marketing, and disclosures that constitute a sale of protected health information. Other uses or disclosures not described in this notice will be made only with your authorization unless otherwise permitted or required by law. You may revoke an authorization in writing as permitted by law.

To the extent we maintain substance use disorder patient records protected by 42 CFR Part 2, those records will not be used or disclosed in civil, criminal, administrative, or legislative investigations or proceedings against you unless you provide written consent or a court order and subpoena authorize the use or disclosure as required by law.

Some information may receive greater protection under state or federal law. New York law provides additional protection for confidential HIV-related information, and we follow those stricter disclosure limits when they apply.

Our responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will notify you as required by law if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in the notice currently in effect and make the notice available as required by law.
• We will not use or disclose your protected health information other than as described in the operative notice or as otherwise permitted or required by law unless you authorize us in writing.

Questions and complaints

For privacy questions, requests, or complaints, contact the Park Slope Eye Privacy Contact at Info@ParkSlopeEye.com or 347-560-8393.

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights using the complaint information at HHS.gov. Park Slope Eye will not retaliate against you for filing a complaint.

Changes to this notice

Park Slope Eye may change the terms of its Notice of Privacy Practices as permitted by law. The current notice will be available on this website, upon request, and in the office as required by law.

Website privacy is separate: This HIPAA notice concerns protected health information maintained by the practice. For information about ordinary website technology and third-party links, see the Website Privacy Policy.