NOTICE OF PRIVACY PRACTICES

Effective: September 2023
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.
If you have any questions about this Notice of Privacy Practices, please contact Catheryne Leon/Cynthia Leon at 91 Broadway Suite 1&3, Greenlawn New York 11740 or at 646-236-5620. This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or conditions and related health care services. We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of this Notice at any time. Any revised Notice would be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice by calling the office
and requesting that a revised copy be sent to you in the mail. A copy of the current Notice of Privacy Practices will be prominently displayed in our office at all times.
USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION
Uses and Disclosures of Protected Health Information
We may use or disclose your protected health information to third parties including, but not limited to, your insurance company and your other health care providers for treatment, payment or operational purposes without your written authorization, as allowed under law.
Treatment: We will use and disclose your protected health information to provide, coordinate or manage your health care and any related treatment. This includes the coordination or management of your health care with a third party that already has obtained your permission to have access to your protected health information. For example, we would disclose your protected health information, as necessary, to your primary care physician. We also may disclose protected health information to other specialist physicians who may be treating you.
Payment: Your protected health information will be used, as needed, to obtain payment for your health care services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the out of network health care services we provide for you, determining your eligibility or coverage for
insurance benefits, reviewing services provided to you for medical necessity and undertaking utilization review activities.
Health Care Operations: We may use or disclose, as needed, your protected health information in order to support the business activities of our Practice. These activities include, but are not limited to, quality assessment activities,
employee review activities, licensing, and conducting or arranging for other business activities. For example, we may disclose your protected health information to an accreditation agency which performs chart audits. In addition,
we may use a sign-in sheet at the registration desk where you will be asked to sign your name. We may use or disclose your protected health information, as necessary, to contact you to remind you of your scheduled appointment. We will share your protected health information with third party “business associates” that perform various activities for our Practice (e.g., computer consulting company, law firm or other consultants). Whenever an arrangement between our office and a business associate involving the use or disclosure of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information.
We may use or disclose your protected health information, as necessary, to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. You may contact our office to request that these materials not be sent to you.
Uses and Disclosures of Protected Health Information Based upon Your Written Authorization
Other uses and disclosures of your protected health information will be made only with your written authorization,
unless otherwise permitted or required by law as described below. You may revoke your authorization at any time,in writing, except to the extent that Practice has taken an action in reliance on the use or disclosure indicated in the
authorization.
The following uses and disclosures will be made only with your authorization:
 Uses and disclosures for marketing purposes;
 Uses and disclosures that constitute the sale of PHI;
 Most uses and disclosures of psychotherapy notes (if Practice maintains psychotherapy notes); and
 Other uses and disclosures not described in the notice

Other Permitted and Required Uses and Disclosures That May Be Made With Your Permission or Opportunity to Object Others Involved in Your Health Care: If you agree, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person’s involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based upon our professional judgment.
Information to your family members: Unless prior preference is expressed to Practice, a deceased patient’s health
information may be disclosed to a distributee, executor or administrator of the decedent as allowed, and in accordance with applicable law.