This is a representative template — replace with the agency’s current published text before production use.
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.
Our responsibilities
We are required by law to maintain the privacy of your protected health information (PHI), provide this notice of our duties and privacy practices, and follow the terms of the notice currently in effect.
How we may use and disclose your health information
- For treatment — to coordinate and provide your home care.
- For payment — to obtain authorization and reimbursement for services.
- For operations — to run and improve our services and train staff.
Your rights
- Inspect and request a copy of your health information.
- Request corrections or restrictions on certain uses and disclosures.
- Receive a list of certain disclosures we have made.
- File a complaint without fear of retaliation.
Contact
To exercise your rights or ask questions, call (718) 713-0005.
Questions about this notice? We're here to help.
(718) 713-0005