Notice of Privacy Practices
Your Information, Your Rights. Our Responsibilities.
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.
This notice explains how we fulfill our commitment to respect the privacy and confidentiality of your protected health information. This notice tells you about the ways we may use and share your protected health information, as well as the legal obligations we have regarding your protected health information. The notice also tells you about your rights under federal and state laws. The notice applies to all records held by the SUNY Plattsburgh facilities and programs listed at the top of this notice, regardless of whether the record is written, computerized or in any other form. We are required by law to make sure that information that identifies you is kept private and to make this notice available to you.
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get An Electronic or Paper Copy of Your Medical Record
You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Under New York law, you can ask to see or get a copy of psychotherapy notes, except for certain personal notes and observations of your counselor. We will provide you a copy or summary unless your counselor determines that giving you a copy might cause harm to you or others.
- Ask Us To Correct Your Medical Record
- Request Confidential Communications
- Ask Us To Limit What We Use or Share
- Get A List of Those With Whom We've Shared Information
- Get A Copy of This Privacy Notice
- Choose Someone to Act For You
- File a Complaint If You Feel Your Rights are Violated
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In These Cases, You Have Both the Right & Choice to Tell Us to:
Share information with your family, close friends or others involved in your care
Share information in a disaster relief situation
Include your information in a hospital directory (we do not maintain a hospital directory.)
*If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
- In These Cases We Never Share Your Information Unless You Give Us Written Permission
- In the Case of Fundraising
How do we typically use or share your health information? We typically use or share your health information in the following ways:
Our Uses & Disclosures
We are allowed or required to share your information in other ways – usually in ways
that contribute to the public good, such as public health and research. We have to
meet many conditions in the law before we can share your information for these purposes.
For more information see: https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html.
How Else We Can Use or Share Your Health Information
Help With Public Health & Safety Issues
We can share health information about you for certain situations such as:
- Preventing disease
- Helping with product recalls
- Reporting adverse reactions to medications
- Reporting suspected abuse, neglect, or domestic violence (We are required by law to report)
- Preventing or reducing a serious threat to anyone’s health or safety
- Do Research
- Comply with the Law
- Respond To Organ & Tissue Donation Request
- Work with Medical Examiner or Funeral Director
- Address Workers’ Compensation, Law Enforcement & Other Government Requests
- Respond to Lawsuits & Legal Actions
- Incidental Use
- General Consent
- We are required by law to maintain the privacy and security of your protected health information.
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties and privacy practices described in this notice and give you a copy of it.
- We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see: hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.
Effective Date of this Notice
This notice is effective as of Dec. 18, 2015.