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: October 1, 2025

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 Commitment to Your Privacy

Seaside Ear Nose and Throat Medical PC is committed to maintaining the privacy of your protected health information (PHI). We are required by law to maintain the privacy of PHI, to provide you with this notice of our legal duties and privacy practices, and to abide by the terms of the notice currently in effect.

How We May Use and Disclose Your Health Information

The following describes the ways we may use and disclose your PHI. Not every use or disclosure will be listed, but all permitted uses and disclosures fall within one of these categories.

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your healthcare and any related services. For example, we may share your medical information with other healthcare providers involved in your care, such as specialists, hospitals, or laboratories.

Payment

We may use and disclose your PHI to obtain payment for services provided to you. For example, we may submit claims to your insurance company or a government health program and include information about your diagnosis and treatment.

Healthcare Operations

We may use and disclose your PHI for our healthcare operations, including quality assessment, medical review, training, and business management activities necessary to operate our practice.

Other Permitted Disclosures

We may also use or disclose your PHI without your authorization in the following circumstances:

As required by law, including court orders or subpoenas
To public health authorities for disease reporting and public health activities
To report suspected abuse, neglect, or domestic violence to appropriate authorities
To comply with health oversight agency activities such as audits or investigations
To coroners, medical examiners, or funeral directors as permitted by law
To avert a serious threat to health or safety
For workers’ compensation purposes
For certain research purposes, subject to required privacy protections
To the extent authorized by and to the extent necessary to comply with laws relating to workers’ compensation and other similar programs

Uses and Disclosures Requiring Your Authorization

Other uses and disclosures of your PHI not described above will be made only with your written authorization, which you may revoke at any time in writing, except to the extent we have already taken action in reliance on your authorization. These include:

Most uses and disclosures of psychotherapy notes
Uses and disclosures of PHI for marketing purposes
Disclosures that constitute a sale of PHI
Other uses and disclosures not otherwise permitted by law

Your Rights Regarding Your Health Information

You have the following rights with respect to your PHI:

Right to Access

You have the right to inspect and receive a copy of your medical records and other PHI we maintain about you.

Right to Amend

You have the right to request that we amend PHI that you believe is inaccurate or incomplete.

Right to an Accounting

You have the right to request an accounting of certain disclosures we have made of your PHI.

Right to Restrict

You have the right to request restrictions on certain uses and disclosures of your PHI.

Right to Confidential Communications

You have the right to request that we communicate with you in a specific way or at a specific location.

Right to a Paper Copy

You have the right to receive a paper copy of this Notice of Privacy Practices upon request.

To exercise any of these rights, please contact our office in writing using the contact information below.

Our Duties

We are required by law to maintain the privacy of PHI and to provide you with this notice of our legal duties and privacy practices. We are required to abide by the terms of this notice as currently in effect. We reserve the right to change our privacy practices and this notice at any time, provided applicable law permits such changes. The updated notice will be effective for all PHI we maintain. You may request a revised copy of our Notice of Privacy Practices at any time.

Complaints

If you believe your privacy rights have been violated, you have the right to file a complaint with our practice or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

To file a complaint with the HHS Office for Civil Rights: www.hhs.gov/hipaa/filing-a-complaint

Contact Our Privacy Officer

Seaside Ear Nose and Throat Medical PC

Attention: Privacy Officer

6818 3rd Ave, Brooklyn, NY 11220

1191 Forest Ave, Staten Island, NY 10310

Phone: (917) 992-3873

Fax: (718) 759-0999