NOTICE OF PRIVACY PRACTICES

For CNY Family Care, LLP
(Referred to in this document as “we” or “us”)

Important Notice

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 of Privacy is being provided to you as a requirement of the Health Insurance Portability and Accountability Act (HIPAA).

It describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment, or health care operations, and for other purposes permitted or required by law. It also explains your rights to access and control your PHI in certain cases.

Your protected health information means any written or oral health information, including demographic data that can identify you. This is health information created or received by your health care provider that relates to your past, present, or future physical or mental health condition; the provision of health care related to your condition; or the payment for the health care provided to you.

I. Uses and Disclosures of Protected Health Information Without Your Authorization

We may use your PHI for:

  • Treatment – To provide, coordinate, or manage your health care and related services.

  • Payment – To obtain payment for services provided.

  • Health Care Operations – For quality improvement, employee review, training, accreditation, and administrative purposes.

These disclosures may be made in writing, orally, by fax, or electronically.

II. Uses and Disclosures Beyond Treatment, Payment, and Health Care Operations (Permitted Without Authorization)

Federal privacy rules allow certain uses and disclosures without your permission, such as:

  • When legally required by federal, state, or local law.

  • For public health activities, including reporting disease, birth, death, or product safety issues.

  • To report abuse, neglect, or domestic violence as authorized by law.

  • For health oversight activities (audits, investigations, inspections).

  • In judicial or administrative proceedings as ordered by a court.

  • For law enforcement purposes, including reporting certain injuries or locating persons.

  • To coroners, funeral directors, or for organ donation purposes.

  • For research, when approved by an institutional review board.

  • To address a serious threat to health or safety.

  • For specified government functions (military, national security).

  • For workers’ compensation compliance.

  • Through a Health Information Exchange Organization or Qualified Health Information Network (QHIN) for coordinated care.

III. Uses and Disclosures Permitted Without Authorization But With Opportunity to Object

We may disclose PHI to your family or close personal friends if it is directly relevant to their involvement in your care, unless you object.

IV. Uses and Disclosures Which Require Your Authorization

We will obtain your written authorization for:

  • Most uses of psychotherapy notes.

  • Marketing purposes.

  • Sale of PHI.

  • Any other uses not described in this Notice.

You may revoke authorization in writing at any time, except when we have already acted in reliance on it.

V. Your Rights

You have the right to:

  1. Inspect and copy your PHI (with certain legal exceptions).

  2. Access your electronic health information as required by law.

  3. Request restrictions on uses/disclosures of your PHI.

  4. Receive confidential communications by alternative means/locations.

  5. Request amendments to your PHI.

  6. Receive an accounting of disclosures (with certain limits).

  7. Obtain a paper copy of this Notice at any time.

  8. Receive notice of a breach of your unsecured PHI.

VI. Our Duties

We are required by law to:

  • Maintain the privacy of your PHI.

  • Provide this Notice of our duties and practices.

  • Abide by the terms of this Notice until changed.

We reserve the right to amend this Notice and make changes effective for all PHI we maintain. Updated Notices will be available upon request and posted in our facility.

VII. Complaints

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

VIII. Contact Information

Privacy Officer: Melissa Zaborsky
Phone: 315-463-1600
Address:
CNY Family Care, LLP
4939 Brittonfield Parkway
East Syracuse, NY 13057

IX. Effective Date

This Notice is effective August 11, 2025.