HIPAA Notice of Privacy Practices
Effective Date: [07/01/2026]
Our Commitment to Your Privacy
At Manhattan Family Care, protecting the privacy and confidentiality of your medical information is one of our highest priorities.
Federal law requires us to maintain the privacy of your Protected Health Information (“PHI”), provide you with this Notice of Privacy Practices, and follow the terms of the notice currently in effect.
Protected Health Information includes information that identifies you and relates to your past, present, or future physical or mental health condition, the healthcare services you receive, or payment for those services.
How We May Use and Disclose Your Health Information
1. Treatment
We may use and disclose your medical information to provide, coordinate, and manage your healthcare.
Examples include:
- Communicating with specialists and consulting physicians
- Ordering laboratory tests and diagnostic studies
- Prescribing medications
- Coordinating follow-up care
- Sharing information with hospitals or other healthcare providers involved in your treatment
2. Payment
We may use and disclose your health information to obtain payment for healthcare services.
Examples include:
- Billing your insurance company
- Verifying insurance eligibility
- Processing claims
- Collecting outstanding balances
- Obtaining prior authorizations
3. Healthcare Operations
We may use your information to support the operation and improvement of our medical practice.
Examples include:
- Quality improvement activities
- Staff education and training
- Licensing and accreditation reviews
- Compliance audits
- Business planning and administration
Other Permitted Uses and Disclosures
Federal law allows us to disclose health information in certain circumstances, including:
- Public health reporting
- Reporting communicable diseases
- Reporting abuse or neglect when required by law
- Health oversight activities
- Law enforcement requests as permitted by law
- Court orders and legal proceedings
- Organ and tissue donation
- Medical research under approved conditions
- Workers’ compensation claims
- Disaster relief efforts
- National security and military purposes where authorized by law
Uses That Require Your Written Authorization
We will obtain your written authorization before using or disclosing your Protected Health Information for purposes not otherwise permitted by law.
This includes most uses of psychotherapy notes, marketing communications involving remuneration, and the sale of Protected Health Information.
You may revoke your authorization at any time in writing, except to the extent that we have already acted upon it.
Your Rights Regarding Your Health Information
Right to Inspect and Obtain Copies
You have the right to inspect and obtain copies of your medical records and certain other health information maintained by Manhattan Family Care, subject to applicable legal requirements.
Reasonable copying or administrative fees may apply.
Right to Request Amendments
If you believe information in your medical record is incorrect or incomplete, you may request that we amend the record.
We may deny certain requests as permitted by law but will provide a written explanation if we do so.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures of your Protected Health Information that were made outside of treatment, payment, and healthcare operations.
Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your health information.
While we will consider all requests, we are not required to agree to every requested restriction unless required by law.
Right to Confidential Communications
You may request that we communicate with you through alternative methods or at alternative locations, such as by mail, telephone, or secure electronic communication.
We will accommodate reasonable requests whenever possible.
Right to Receive a Paper Copy
You have the right to receive a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
Right to Be Notified Following Certain Breaches
You have the right to be notified if there is a breach of your unsecured Protected Health Information as required by applicable law.
Our Responsibilities
Manhattan Family Care is required by law to:
- Maintain the privacy and security of your Protected Health Information
- Provide you with this Notice of Privacy Practices
- Follow the terms of the Notice currently in effect
- Notify you if a breach compromises the privacy or security of your information
- Comply with applicable federal and state privacy laws
Complaints
If you believe your privacy rights have been violated, you may file a complaint with Manhattan Family Care without fear of retaliation.
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
You will not be penalized or retaliated against for filing a complaint.
Changes to This Notice
We reserve the right to change this Notice of Privacy Practices at any time.
Any revised Notice will apply to all Protected Health Information maintained by Manhattan Family Care and will be made available in our office and on our website.
Contact Information
If you have questions regarding this Notice or wish to exercise your privacy rights, please contact Manhattan Family Care using the contact information listed on our website or at our office.
Acknowledgment
Patients may be asked to acknowledge receipt of this Notice of Privacy Practices as part of the registration process. Receipt of this Notice does not require you to waive any rights under federal or state law.
Thank you for placing your trust in Manhattan Family Care. We are committed to protecting the privacy, confidentiality, and security of your health information while providing high-quality, compassionate medical care.