Caution!

Visiting this web site requires a newer version of Netscape Communicator.

Visit Microsoft's Web site to obtain the newest version of Internet Explorer, or visit Netscape's Web site to obtain the newest version of Netscape Communicator.

Visiting this web site without first upgrading your browser may result in unreliable behavior.













COMPANY



Home


Contact Us


Links.


Privacy Notice


Patient Care / Safety Concerns


Intimidating and Disruptive Behavior


Medical Emergency Team (MET)

Additional Resources



Services


Treatment Team


Psychology Externships

INTERACTIVE



Calendar


Document Folders

COMMUNICATIONS







Sitemap




    Patient Rights

Gracie Square Hospital  
420 East 76th Street   
New York , NY 10021  

info@nygsh.org  




Your Rights Regarding Your Protected Health Information

You have the following rights regarding protected health information we maintain about you:

  • Right to Inspect and Copy: You have the right to inspect and copy protected health information that may be used to make decisions about your care. Usually, this includes medical and billing records. This right does not include: psychotherapy notes; information compiled for use in a legal proceeding; or certain information maintained by laboratories. In order to inspect and copy protected health information that may be used to make decisions about you, you must submit your written request to the Director of Medical Records; see address on the first page of this Notice. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other supplies associated with your request. We may deny your request to inspect and copy in certain limited circumstances. If you are denied access to protected health information, you may request that the denial be reviewed by writing to the Director of Medical Records. A licensed healthcare professional will conduct the review. We will comply with the outcome of the review.

  • Right to Amend: If you think that protected health information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for the Hospital. To request an amendment, your request must be made in writing and submitted to the Director of Medical Records; see address on the first page of this Notice. In addition, you must give a reason that supports your request. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that: was not created by us, unless the person or entity that created the information is no longer available to make the amendment; is not part of the protected health information kept by or for the Hospital; is not part of the information that you would be permitted to inspect and copy; or is accurate and complete. We will provide you with written notice of action we take in response to your request for amendment.

  • Right to an Accounting of Disclosures: You have the right to request an "accounting of disclosures." This is a list of certain disclosures we made of your protected health information. We are not required to account for any disclosures you specifically requested or for disclosures related to treatment, payment, healthcare operations, or made pursuant to an authorization signed by you. To request an accounting of disclosures, you must submit your request in writing to the Director of Medical Records; see address on the first page of this Notice. Your request must state a time period, which may not be longer than six years and may not include dates before April 14, 2003. We will attempt to honor your request. If you request more than one accounting in any 12-month period, we may charge you for our reasonable retrieval, list preparation, and mailing costs. We will notify you of the costs involved and you may choose to withdraw or modify your request at that time before any costs are incurred.

  • Right to Request Restrictions: You have the right to request a restriction or limitation on the protected health information we use or disclose about you for treatment, payment or health care operations. You also have a right to request a limit on other disclosures of protected health information that you have otherwise authorized. To request a restriction, you must submit your written request to the Patient Relations Department; see address on the first page of this Notice. We are not required to agree to your request. If we agree to your request, we will comply with your request unless the information is needed to provide you emergency treatment.

  • Right to Request Confidential Communications: You have the right to request that we communicate with you about treatment matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. To request confidential communications, you must submit your written request to the Patient Relations Department; see address on the first page of this Notice. We will not ask you the reason for your request. Your request must specify how or where you wish to be contacted. We will accommodate reasonable requests.

  • Right to a Paper Copy of This Notice: You have the right to a paper copy of this Notice at your first treatment encounter at the Hospital. You may get an additional copy of this Notice at any time by contacting Patient Relations Department; see address on the first page of this Notice. You may also download a copy from this website.








For further information Contact Us at Gracie Square Hospital
212-988-4400 or Email Us at info@nygsh.org


Home  |  Contact Us  |  Links.  |  Privacy Notice  |  Patient Care / Safety Concerns  |  Intimidating and Disruptive Behavior  |  Medical Emergency Team (MET)  |  Services  |  Treatment Team  |  Psychology Externships  |  Calendar  |  Document Folders  |   | 



Sign In