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 maintain the
privacy of your protected health information and provide
you with notice of our legal duties and privacy practices
with respect to protected health information.
This notice is effective as of April 14, 2003 and
we are required to abide by the terms of the Notice
of Privacy Practices currently in effect. We reserve
the right to change the terms of our Notice of Privacy
Practices and to make the new notice provisions effective
for all protected health information that we maintain.
We will post and you may request a written copy of
a revised Notice of Privacy Practices from this office.
You have recourse if you feel that your
privacy protections have been violated. You have the
right to file a formal written complaint with us at
the address below, or with the Department of Health &
Human Services, Office of Civil Rights, about violations
of te provisions of this notice or the policies and
procedures of our office. We will not retaliate against
you for filing a complaint. Please contact us for more
information:
For more information about HIPAA or to
file a complaint:
The
U.S. Department of Health & Human Services, Office
of Civil Rights, 200 Independance Avenue, S.W. Washington,
D.C. 20201
(202) 619-6775
Town Total Health
6
East 32 Street
5th
Floor
New
York, NY 10016
(212)
213-5570