HIPAA Notice

We are required by law to:

• Maintain the privacy of your protected health information
• Provide you with this notice of our legal duties and privacy practices
• Follow the terms of this notice that are currently in effect
• Notify you if we are unable to agree to a requested restriction
• Accommodate reasonable requests for communication of PHI by alternative means

The following categories describe different ways we may use and disclose your health information:

Treatment

We may use your health information to provide you with medical treatment or services. This includes coordinating or managing your healthcare with other providers.

Payment

We may use and disclose your health information for payment purposes, including billing, claims management, and collection activities.

Healthcare Operations

We may use and disclose your health information for our healthcare operations, such as quality assessment, staff training, and business planning.

Appointment Reminders

We may use your information to contact you with appointment reminders or information about treatment alternatives.

Research

We may use your information for research purposes with your authorization or as permitted by law.

You have the following rights regarding your health information:

• Right to Access — You have the right to inspect and copy your health information
• Right to Amend — You have the right to request an amendment to your health information
• Right to an Accounting — You have the right to receive an accounting of certain disclosures
• Right to Request Restrictions — You have the right to request restrictions on how we use your information
• Right to Confidential Communication — You have the right to request confidential communications
• Right to a Paper Copy — You have the right to obtain a paper copy of this notice

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

To file a complaint:

• Contact our Privacy Officer: info@doctorhanna.com
• Call: 212-794-0080
• Write: Manhattan Reproductive Medicine, P.C., Attn: Privacy Officer

We reserve the right to change the terms of this notice at any time. The new notice will be effective for all protected health information we maintain at that time. We will provide you with a revised notice if there is a material change to this notice.