Legal
HIPAA 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.
Effective Date: January 1, 2024
This Notice of Privacy Practices describes the privacy practices of Integrative Psychiatry of Manhattan, PC and its affiliated providers (collectively, “Integrative Psych,” “we,” or “us”). We are required by law to maintain the privacy of your protected health information (PHI) and to provide you with this notice of our legal duties and privacy practices with respect to PHI.
Our Duties
We are required by law to: (1) maintain the privacy of your PHI; (2) provide you with notice of our legal duties and privacy practices with respect to PHI; (3) notify you following a breach of unsecured PHI; and (4) abide by the terms of our Notice currently in effect.
How We Use and Disclose Your Health Information
Treatment: We may use or disclose your PHI to provide, coordinate, or manage your mental health treatment and any related services. This includes sharing information with other health care providers who are involved in your care, such as your primary care physician, specialists, or other mental health providers.
Payment: We may use and disclose your PHI for billing and payment purposes. This includes generating superbills, providing billing information to our payment processors, and sharing information with your insurance company when you seek out-of-network reimbursement.
Health Care Operations: We may use and disclose your PHI for our health care operations, including quality assessment and improvement, clinical training programs, licensing, credentialing, accreditation, and business planning.
Psychotherapy Notes: We will obtain your written authorization before using or disclosing psychotherapy notes (detailed session notes kept separately from your general medical record), except in limited circumstances required by law.
Uses and Disclosures Requiring Your Authorization
Other than the uses described above, we will use or disclose your PHI only with your written authorization. If you provide authorization, you may revoke it at any time in writing — except to the extent that we have already taken action in reliance on it.
We will not sell your PHI, use it for marketing without your authorization, or disclose it in a way that constitutes a sale of PHI under applicable law.
Special Protections for Certain Health Information
Certain categories of health information are afforded heightened privacy protections under federal and state law, including mental health information, substance use treatment records (42 CFR Part 2), HIV/AIDS information, and genetic information. We comply with all applicable additional restrictions on the use and disclosure of such information.
Your Rights Regarding Your Health Information
Right to Inspect and Copy: You have the right to inspect and obtain a copy of your PHI that is maintained in a designated record set. To request access, contact our Privacy Officer in writing. We may charge a reasonable fee for copies.
Right to Amend: You have the right to request an amendment to your PHI if you believe it is inaccurate or incomplete. We may deny such requests in certain circumstances.
Right to an Accounting of Disclosures: You have the right to request a list of the disclosures we have made of your PHI, other than disclosures for treatment, payment, and health care operations, or those you authorized.
Right to Request Restrictions: You have the right to request restrictions on how we use or disclose your PHI. We are not required to agree to a restriction except when you request that we not disclose PHI to your health plan for services you paid for out-of-pocket in full.
Right to Confidential Communications: You have the right to request that we communicate with you about your health information in a certain way or at a certain location. We will accommodate reasonable requests.
Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice at any time, even if you received it electronically.
How to Exercise Your Rights or File a Complaint
To exercise any of the rights described above, or to file a complaint about our privacy practices, please contact our Privacy Officer:
Privacy Officer
Integrative Psychiatry of Manhattan, PC
154 W 14th St, New York, NY 10011
Email: info@psych-nyc.com
Phone: (646) 893-8935
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at www.hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.
Changes to This Notice
We reserve the right to change the terms of this Notice and to make the new notice provisions effective for all PHI that we maintain. If we make material changes, we will post the revised Notice on our website and make it available in our office. The effective date appears at the top of this document.