Effective Date: February 27, 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.
Our Commitment to Your Privacy
Anna Massage Therapy P.C. is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of your protected health information (PHI), to provide you with this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
We reserve the right to change our privacy practices and the terms of this notice. If we make a material change to our privacy practices, we will post the revised notice in our office and on our website.
How We Use and Disclose Your Information
We may use and disclose your health information for the following purposes without your written authorization:
Treatment: To provide, coordinate, and manage your health care and related services, including sharing information with other providers involved in your care.
Payment: To bill and collect payment for the services we provide, including submitting claims to your insurance company (NYSHIP, HSA/FSA, No-Fault carriers) and verifying coverage.
Healthcare Operations: For internal administration, quality assurance, staff training, and business management activities necessary to run our practice.
As Required by Law: To comply with federal, state, or local law, including reporting to public health authorities and law enforcement when legally required.
Research: Under specific conditions with proper safeguards in place, your de-identified information may be used for research purposes.
Special Protections for Sensitive Information
Certain categories of health information receive enhanced legal protections. We will not disclose the following information for the purpose of investigating or imposing liability without your explicit written authorization:
Reproductive Healthcare Information: Any information related to reproductive health services you have received.
Substance Use Disorder Records: Records relating to the diagnosis or treatment of substance use disorders, protected under federal law (42 CFR Part 2).
Mental Health Information: Psychotherapy notes and certain mental health records receive additional protections beyond standard PHI.
Your Rights Regarding Your Health Information
You have the following rights with respect to your protected health information. To exercise any of these rights, please submit a written request to our Privacy Officer.
Right to Access: You have the right to inspect and obtain a copy of your health information that we maintain. We may charge a reasonable fee for copies.
Right to Request Restrictions: You may request that we restrict how we use or disclose your information for treatment, payment, or operations. We are not required to agree, but if we do, we are bound by that agreement.
Right to Request Amendment: If you believe your health information is incorrect or incomplete, you may request an amendment. We may deny the request under certain circumstances.
Right to an Accounting of Disclosures: You may request a list of certain disclosures we have made of your health information during the six years prior to your request.
Right to Confidential Communications: You may request that we communicate with you about health matters in a certain way or at a certain location (e.g., only by email, not by phone).
Right to Revoke Authorization: If you have given us written authorization to use or disclose your information for a specific purpose, you may revoke that authorization in writing at any time.
Right to a Paper 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.
Breach Notification
In the event of a breach of unsecured protected health information, we will notify you as required by the HIPAA Breach Notification Rule. You will be notified within 60 days of our discovery of the breach. The notification will include a description of the breach, the types of information involved, steps you should take to protect yourself, and what we are doing to investigate and prevent future breaches.
How to File a Complaint
If you believe your privacy rights have been violated, you have the right to file a complaint with us or with the U.S. Department of Health and Human Services (HHS). We will not retaliate against you for filing a complaint.
To file a complaint with us, contact our Privacy Officer (see below).
To file a complaint with HHS, visit www.hhs.gov/ocr/privacy or call 1-800-368-1019.
Privacy Officer — Anna Oh, L.M.T.
Anna Massage Therapy P.C. · 1040 Old County Rd, Suite 22, Plainview, NY 11803
Phone: (347) 738-3251 ·
Fax: (516) 324-3250 ·
Email: amtpc1004@gmail.com