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.
We are required by law to protect the privacy of health information that may reveal your identity, and to provide you with a copy of this notice, which describes the health information privacy practices of our hospital, its medical staff, and affiliated healthcare providers that jointly provide healthcare services with our hospital. You will also be able to obtain your own copy by calling our office at 646-227-2056 or asking for one at the time of your next visit.
If you have any questions about this notice or would like further information, please contact the Privacy Officer at 646-227-2056.
WHO WILL FOLLOW THIS NOTICE?
Memorial Hospital provides healthcare to patients jointly with physicians and other healthcare professionals and organizations. The privacy practices described in this notice will be followed by:
- Any healthcare professional who treats you at any of our locations
- All employees, medical staff, trainees, students, or volunteers at any of our locations
- Any business associates of our hospital (which are described further below)
PERMISSIONS DESCRIBED IN THIS NOTICE
This notice will explain the different types of permission we will obtain from you before we use or disclose your health information for a variety of purposes. The three types of permissions referred to in this notice are:
- A general written consent, which we must obtain from you in order to use and disclose your health information so that we may treat you, obtain payment for that treatment, and conduct our business operations. We must obtain this general written consent the first time we provide you with treatment or services. This general written consent is a broad permission that does not have to be repeated each time we provide treatment or services to you.
- An opportunity to object, which we must provide to you before we may use or disclose your health information for certain purposes. In these situations, you will have an opportunity to object to the use or disclosure of your health information in person, over the phone, or in writing.
- A written authorization, which will provide you with detailed information about the persons who may receive your health information and the specific purposes for which your health information may be used or disclosed. We are only permitted to use and disclose your health information described on the written authorization in ways that are explained on the written authorization form you have signed. A written authorization will have an expiration date.
Learn more about our privacy practices.