Notice of Privacy Practices

Effective Date: August 24, 2026

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.

Your Rights

You have the right to:

• Get a copy of your paper or electronic medical record
• Ask us to correct your medical record
• Request confidential communications
• Ask us to limit the information we use or share
• Obtain a list of certain disclosures of your health information
• Get a paper copy of this Notice of Privacy Practices
• Choose someone to act for you
• File a complaint if you believe your privacy rights have been violated

Your Choices

For certain health information, you may tell us your preferences about what we share. These choices may include sharing information with family members, close friends, or others involved in your care or payment for your care, and sharing information in a disaster relief situation. If you are unable to tell us your preference, we may share information when permitted by law if we believe it is in your best interest or when necessary to lessen a serious and imminent threat to health or safety.

In certain situations, such as marketing or the sale of your health information, we will obtain your written authorization when required by law.

Psychotherapy Notes

If we maintain psychotherapy notes as defined by HIPAA separately from your medical record, most uses and disclosures of those psychotherapy notes require your written authorization, except as otherwise permitted or required by law.

We May Use and Disclose Your Health Information

We may use and disclose your protected health information as permitted or required by law, including for:

Treatment

We may use and share your health information with other health care professionals involved in your treatment.

Payment

We may use and share your health information to bill and obtain payment from health plans or other entities, when applicable.

Health Care Operations

We may use and share your health information to operate the practice, improve care, and manage our services.

We may also use or disclose health information when permitted or required by law for purposes such as public health and safety, health oversight, responding to legal proceedings, law-enforcement purposes, workers’ compensation, and other government functions.

Certain mental health information and substance-use-disorder records may be subject to additional confidentiality protections under federal law and New York State law. When those laws provide greater privacy protection than HIPAA, we will follow the more protective law.

Your Rights in More Detail

Get an electronic or paper copy of your medical record
You may ask to see or obtain a copy of your medical record and other health information we maintain about you. We will provide a copy or summary as required by law and may charge a reasonable, cost-based fee when permitted.

Ask us to correct your medical record

You may ask us to correct information that you believe is incorrect or incomplete. We may deny the request in certain circumstances, but we will explain the reason in writing.

Request confidential communications

You may ask us to contact you in a specific way or at a specific location. We will accommodate reasonable requests as required by law.

Ask us to limit what we use or share

You may ask us not to use or share certain health information for treatment, payment, or health care operations. We are not always required to agree to your request. If you pay for a health care item or service out of pocket in full, you may ask us not to share information about that item or service with your health plan for purposes of payment or health care operations, and we will agree unless a law requires us to share that information.

Get a list of disclosures

You may request an accounting of certain disclosures of your health information made during the period permitted by law.

Get a copy of this Notice

You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

Choose someone to act for you

If you have given someone legal authority to act for you, that person may exercise your privacy rights as permitted by law.

File a complaint

You may contact Dr. Patrick if you believe your privacy rights have been violated. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

We will not retaliate against you for filing a complaint.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.

We will notify you as required by law if a breach occurs that may have compromised the privacy or security of your information.

We must follow the duties and privacy practices described in this Notice while it is in effect.

We will not use or disclose your information other than as described in this Notice unless you authorize us to do so in writing or unless otherwise permitted or required by law. You may revoke an authorization in writing as permitted by law.

Changes to This Notice

We may change the terms of this Notice, and the changes may apply to all health information we maintain about you. A revised Notice will be available upon request, at the office, and on this website.

Privacy Contact

Lisa M. Patrick, M.D.
2 Overhill Road, Suite 230
Scarsdale, NY 10583
(914) 574-5393
lpatrickmd@outlook.com