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.

Who will follow this notice

We may use your medical information for treatment, payment, hospital operations, research or fundraising purposes as described in this notice. All employees of Park Ave Urology, P.C. follow these privacy practices.

About this notice

This notice will tell you about the ways we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information. We are required by law to:

• make sure that medical information that identifies you is kept private;
  
• give you this notice of our legal duties and privacy practices with respect to your medical information; and
  
• follow the terms of the notice that is currently in effect.

Changes to this notice

We reserve the right to change this Notice. We reserve the right to make the revised or changed Notice effective for medical information about you we already have as well as any information we receive in the future. We will post copies of the current Notice at our offices. The Notice will contain on the first page the effective date. In addition, each time you register for treatment or healthcare services as an inpatient or outpatient, we will make available copies of the current Notice. Any revisions to our Notice will also be posted on our website.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with the Hospital or with the Secretary of the Department of Health and Human Services. To file a complaint with the Park Ave Urology, P.C., please call or write to our office. You will not be penalized for filing a complaint.

Other uses of medical information

Other uses and disclosures of medical information not covered by this Notice or the laws that apply to us will be made only with your written authorization. If you provide us authorization to use or disclose medical information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. However, we may continue to use or disclose that information to the extent we have relied on your authorization. You also understand that we are unable to take back any disclosures we have already made with your authorization, and that we are required to retain our records of the care that we provided to you.