HIPAA Notice of Privacy Practices
Effective Date: January 1, 2025
Provider: Alam Medical
Address: 1755 Deer Park Avenue, Deer Park, NY 11729
Phone: (631) 778-4048
Fax: (646) 452-4617
Email: alammedicalny@gmail.com
This Notice describes how your Protected Health Information (PHI) may be used and disclosed and how you can access this information.
Please review it carefully.
Our Duties
Alam Medical is required by the Health Insurance Portability and Accountability Act (HIPAA) to:
Maintain the privacy of your PHI.
Provide you with this Notice of our legal duties and privacy practices.
Abide by the terms of the Notice currently in effect.
How We May Use and Disclose Your PHI
We may use and share your PHI without your written authorization for the following purposes:
1. Treatment
To provide, coordinate, or manage your health care and related services.
Example: sharing test results with a specialist involved in your care.
2. Payment
To obtain payment for services.
Example: submitting claims to your insurance company or verifying coverage.
3. Health Care Operations
For activities necessary to run our practice.
Example: quality assessment, staff training, internal audits, or customer service.
4. Public Health & Safety
When required by law to prevent or control disease, report adverse events, or respond to public-health emergencies.
5. Legal Requirements
To comply with federal, state, or local laws, including reporting abuse, responding to court orders, or assisting law enforcement.
6. Business Associates
To vendors who perform services on our behalf (e.g., electronic health record providers, billing services) under HIPAA-compliant Business Associate Agreements.
Uses and Disclosures Requiring Your Authorization
We will not use or disclose your PHI for marketing, sale of information, or any other purpose not listed above without your written authorization.
You may revoke an authorization at any time in writing.
Your Rights Regarding PHI
You have the right to:
Access & Copies – Request to see or obtain a copy of your medical records.
Amend – Request corrections if you believe your records are inaccurate or incomplete.
Restrict – Request limits on certain uses or disclosures (though we may not be required to agree).
Confidential Communication – Request that we contact you at a specific address or phone number.
Accounting of Disclosures – Receive a list of disclosures of your PHI made for purposes other than treatment, payment, or operations.
Paper Copy – Obtain a paper copy of this Notice at any time, even if you agreed to receive it electronically.
To exercise these rights, please submit a written request to:
Breach Notification
If a breach of your unsecured PHI occurs, we will notify you promptly as required by federal and New York State law.
Electronic Communications
If you communicate with us via email or through online forms (including appointment booking through Zocdoc), please be aware that standard email may not be fully secure.
We use HIPAA-compliant systems whenever possible and recommend avoiding detailed PHI in regular email.
Changes to This Notice
We may change this Notice at any time.
Revisions will apply to all PHI we maintain and will be posted on our website at https://alammedical.com/hipaa-notice-privacy-practices/.
The effective date at the top of this page indicates the most recent version.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Alam Medical Privacy Officer – alammedicalny@gmail.com, (631) 778-4048
U.S. Department of Health & Human Services – Office for Civil Rights (OCR)
You will not be retaliated against for filing a complaint.
This Notice explains how Alam Medical protects your health information and your rights under HIPAA.
Please review it carefully and keep a copy for your records.
