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Privacy Policy

Saratoga Springs Plastic Surgery, PC Notice of Privacy Practices

Our medical office is a HIPAA compliant organization. This notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.

If you have any questions about this Notice please contact: our Privacy Officer who is Jennifer Torebka.

This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services. We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice, at any time. Any revisions of this notice will be posted on our web site The new notice will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with a paper copy of any revised Notice of Privacy Practices.

1. Uses and Disclosures of Protected Health Information

Uses and Disclosures of Protected Health Information
Following are examples of the types of uses and disclosures of your protected health care information that the physician’s office may make. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that may be made by our office.

We will share your health information with third party “business associates” that perform various activities (e.g., billing, transcription services) for the practice. Whenever an arrangement between our office and a business associate involves the use or disclosure of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information. We may use or disclose your protected health information, as necessary, to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. We may also use and disclose your protected health information for other marketing activities. For example, your name and address may be used to send you a newsletter about our practice and the services we offer. We may also send you information about products or services that we believe may be beneficial to you. You may contact our Privacy Contact to request that these materials not be sent to you.

Uses and Disclosures of Protected Health Information Based upon Your Written Authorization
Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law as described below. You may revoke this authorization, at any time, in writing, except to the extent that your physician or the physician’s practice has taken any action in reliance on the use or disclosure indicated in the authorization.

Other Permitted and Require Uses and Disclosures That May Be Made With Your Consent, Authorization or Opportunity to Object
We may use and disclose your protected health information in the following instances. You have the opportunity to agree or object to the use or disclosure of all or part of your protected health information If you are not present or able to agree or object to the use or disclosure of the protected health information, then your physician may, using professional judgment, determine whether the disclosure is in your best interest. In this case, only the protected health information that is relevant to your health care will be disclosed.

Other Permitted and Required Uses and Disclosures That May Be Made Without Your Consent, Authorization or Opportunity to Object
We may use or disclose your protected health information in the following situations without your consent or authorization. These situations include:

2. Your Rights

Following is a statement of your rights with respect to your protected health information and a brief description of how you may exercise these rights.

3. Complaints

You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our privacy officer in writing of your complaint. We will not retaliate against you for filing a complaint.

You may contact our Privacy Officer Jennifer Torebka toll free at 888-884-4448 (toll free) or at 518-583-4019 for further information about the complaint process.

This notice was published and becomes effective on April 14, 2003.

To schedule a consultation
Call 1-888-884-4448
or
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