State and Federal laws require Westchester Health Associates, PLLC (“WHA”) to maintain the privacy of your health information and to inform you about our privacy practices by providing you with this Notice of Privacy Practices (this “Notice”). We must follow the privacy practices as described below. This Notice was last updated on September, 2013 in effect until it is amended or replaced by us.
It is our right to change our privacy practices provided law per permits the changes. Before we do so, this Notice will be amended to reflect the changes and we will make the new Notice available and distribute it as require.
You may request a copy of our current Notice at any time by contacting our Privacy Officer, Angela Mulroy, R.N. Contact information is provided below. You have a right to obtain a paper copy of this Notice upon request.
We are committed to protecting the privacy of your health information and only using ad disclosing it as described herein. In the event that there is a Breach of your health information, you will be notified in writing.
There are certain ways in which we use and disclose your health information in the normal course of operations. For these uses and disclosures, the law does not require us to seek written authorization from you first. The purposes for which we may use your health information without an authorization are as follows:
For other types of uses and disclosures of your health information, we will first seek written authorization from you. For example, only after we obtain a written authorization from you will we: use or obtain your psychotherapy notes (with certain limited exceptions, such as use by the originator of the notes to carry out your treatment); use or disclose your health information for marketing purposes; or sell your health information. You may also provide us with a written authorization asking us to disclose certain health information to other parties, such as family members not involved in your care or your employer.
Access: Upon written request, you have the right to inspect and/or obtain copies of your health information (and that of an Individual for whom you are a parent or legal guardian). There will be some limited exceptions. If you wish to examine your health information, you will need to complete and submit an appropriate request form. Contact our Privacy Officer for a copy of the form. You may also request access by sending us a letter to the address at the end of this Notice. Once approved, an appointment can be made to review your records. If you request a copy of your medical record, WHA reserves the right to charge for reasonable costs of producing and, if applicable, mailing such copies. You may also request a summary or explanation of your health information.
Amendment: You have the right to amend your health information, if you feel it is inaccurate or incomplete. Your request for an amendment must be in writing and must include an explanation of which information should be amended in which specific way (s). Under certain circumstances, your request may be denied.
Non-Routine Disclosures: You have the right to receive a list of non-routine disclosures we have made of your health care information. Requests may be for specific time periods within the six year period prior to the date of request. Such an accounting of disclosures will not include, by way of example, disclosures made for the purposes of treatment, payment, and health care operations, nor will such an accounting including disclosure made directly to you per your request.
Restrictions: You have the right to request that we place additional restrictions on your use or disclosure of your health information. We generally do not have to agree to these additional restrictions, but if we do, we will abide by our agreement. If you request that WHA restrict disclosures of your health information to a health plan where the disclosures are for payment or health care operations and pertain to a health care item or service for which you have already paid in full, then WHA must agree to such request. Please contact our Privacy Officer if you want to further restrict access to your health care information. This request must be submitted in writing.
Confidential Communications: You have the right to receive confidential communications of your health information. For example, you may request that WHA contact you with appointment reminders or test results on your cell phone instead of your home phone.
WHA must accommodate reasonable requests to receive communications of health information by alternative means or at alternative locations.
You have the right to file a complaint with us if you feel we have not complied with our Privacy Policies. Your complaint should be directed to our Privacy Officer, as should any questions about this notice. If you feel we may have violated your privacy rights, you may request a Complaint Form from our Privacy Officer and submit your complaint to us in writing. Please find contact information below.
If you believe that we have violated your privacy rights. You may also file a complaint with the U.S. Department of Health and Human Services.
WHA will not retaliate against you in any way for issuing a complaint.
Practice Name: Westchester Health Associates
Privacy Officer: Angela Mulroy R.N.
Address: 60 Goldens Bridge Road Katonah, New York 10536