Privacy Policy

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

If you have any questions about this Notice please contact our Privacy Officer who is Norma Marriott.

This Notice of Privacy Practices describes how North Shore Medical Accelerator, P.C. may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. "Protected health information" is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.

North Shore Medical Accelerator, P.C. is required to abide by the terms of this Notice of Privacy Practices. North Shore Medical Accelerator, P.C. may change the terms this notice, at any time. Any new notice that North Shore Medical Accelerator, P.C. issues will be effective for all protected health information that our Practice maintains at that time. You may receive a copy of any revised Notice of Privacy Practices by accessing our website www.cancer-radiation.com, calling our office and requesting that a revised copy be sent to you in the mail or asking for one at the time of your next appointment.

1. Uses and Disclosures of Protected Health Information

Your protected health information for purposes involving treatment, payment and health care operations may be used and disclosed by North Shore Medical Accelerator, P.C. (s) physicians, the office staff and others outside of North Shore Medical Accelerator, P.C. that are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of North Shore Medical Accelerator, P.C.

Following are examples of the types of uses and disclosures of your protected health care information that constitute treatment, payment and health care operations. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that may be made by North Shore Medical Accelerator, P.C. once you have become a patient of North Shore Medical Accelerator, P.C.

Treatment: North Shore Medical Accelerator, P.C. will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with a third party that has already obtained your permission to have access to your protected health information.

For example, North Shore Medical Accelerator, P.C. would disclose your protected health information, as necessary, to a home health agency that provides care to you. North Shore Medical Accelerator, P.C. will also disclose protected health information to other physicians who may be treating you. For example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you.

In addition, North Shore Medical Accelerator, P.C. may disclose your protected health information from time-to-time to another physician or health care provider (e.g., a specialist or laboratory) who, at North Shore Medical Accelerator, P.C. request becomes involved in your care by providing assistance with your health care diagnosis or treatment.

Payment: Your protected health information will be used, as needed, to obtain payment for your health care services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services North Shore Medical Accelerator, P.C. recommends for you such as: making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessity, and undertaking utilization review activities.

For example, obtaining approval for a hospital stay may require that your relevant protected health information be disclosed to the health plan to obtain approval for the hospital admission.

Healthcare Operations: North Shore Medical Accelerator, P.C. may use or disclose, as-needed, your Protected health information in order to support the business activities of North Shore Medical Accelerator, P.C. These activities include, but are not limited to, quality assessment activities, employee review activities, training of medical students, licensing, marketing, and conducting or arranging for other business activities.

For example, North Shore Medical Accelerator, P.C. may disclose your protected health information to medical school students that see patients at our office. In addition, we may use a sign-in sheet at the registration desk where you will be asked to sign your name. North Shore Medical Accelerator, P.C. may also call you by name in the waiting room when your physician is ready to see you. North Shore Medical Accelerator, P.C. may use or disclose your protected health information, as necessary, to contact you to remind you of your appointment.

North Shore Medical Accelerator, P.C. will share your protected health information with third part "business associates" that perform various activities (e.g., billing, transcription services) for North Shore Medical Accelerator, P.C. Whenever an arrangement between North Shore Medical Accelerator, P.C. and a business associate involves the use or disclosure of your protected health information, North Shore medical Accelerator, P.C. will have a written contract that contains terms that will protect the privacy of your protected health information.

North Shore Medical Accelerator, P.C. may use or disclose your protected health information, as necessary, to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. North Shore Medical Accelerator, P.C. may also use and disclose your protected health information for other marketing activities. For example, your name and address may be used to send you a newsletter about our Practice and the services we offer. North Shore Medical Accelerator, P.C. may also send you information about products or services that North Shore Medical Accelerator, P.C. believes may be beneficial to you.

You may contact Norma Marriott to request that these materials not be sent to you.

Uses and Disclosures of Protected Health Information Based Upon Your Written Authorization
Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law as described below. You may revoke this authorization, at any time, in writing, except to the extent that North Shore Medical Accelerator, P.C. has taken an action in reliance on the use or disclosure indicated in the authorization.

Other Permitted and Required Uses and Disclosures That May Be Made With Your Authorization or Opportunity to Object.

North Shore Medical Accelerator, P.C. may use and disclose your protected health information in the following instances. You have the opportunity to agree or object to the use or disclosure of all or part of your protected health information. If you are not present or able to agree or object to the use or disclosure of the protected health information, then North Shore Medical Accelerator, P.C. may use professional judgment, to determine whether the disclosure is in your best interest. In this case, only the protected health information that is relevant to your health care will be disclosed.

Others Involved in Your Healthcare: Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person's involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death. Finally, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your health care.

Emergencies: We may use or disclose your protected health information in an emergency treatment situation.

Other Permitted and Required Uses and Disclosures That May Be Made Without Your Authorization or Opportunity to Object
We may use or disclose your protected health information in the following situations without your consent or authorization. These situations include:

Required By Law: We may use or disclose your protected health information to the extent that the use or disclosure is required by law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, as required by law, of any such uses or disclosures.

Public Health: We may disclose your protected health information for public health activities and purposes to a public health authority that is permitted by law to collect or receive the information. The disclosure will be made for the purpose of controlling disease, injury or disability. We may also disclose your protected health information, if directed by the public health authority, to a foreign government agency that is collaborating with the public health authority.

Communicable Diseases: We may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.

Health Oversight: We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws.

Abuse or Neglect: We may disclose your protected health information to a public health authority that is authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your protected health information if we believe that you have been a victim of abuse, neglect or domestic violence to the governmental entity or agency authorized to receive such information. In this case, the disclosure will be made consistent with the requirements of applicable federal and state laws.

Food and Drug Administration: We may disclose your protected health information to a person or company required by the Food and Drug Administration to report adverse events, product defects or problems, biologic product deviations, track products; to enable product recalls; to make repairs or replacements, or to conduct post marketing surveillance, as required.
Legal Proceedings: We may disclose protected health information in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal (to the extent such disclosure is expressly authorized), in certain conditions in response to a subpoena, discovery request or other lawful process.

Law Enforcement: We may also disclose protected health information, so long as applicable legal requirements are met, for law enforcement purposes. These law enforcement purposes include (1) legal processes and otherwise required by law, (2) limited information requests for identification and location purposes, (3) pertaining to victims of a crime, (4) suspicion that death has occurred as a result of criminal conduct, (5) in the event that a crime occurs on the premises of the practice, and (6) medical emergency (not on North Shore Medical Accelerator, P.C. (s) premises) and it is likely that a crime has occurred.

Coroners, Funeral Directors, and Organ Donation: We may disclose protected health information to a coroner or medical examiner for identification purposes, determining cause of death or for the coroner or medical examiner to perform other duties authorized by law. We may also disclose protected health information to a funeral director, as authorized by law, in order to permit the funeral director to carry out their duties. We may disclose such information in reasonable anticipation of death. Protected health information may be used and disclosed for cadaveric organ, eye or tissue donation purposes.

Research: We may disclose your protected health information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your protected health information.

Criminal Activity: Consistent with applicable federal and state laws, we may disclose your protected health information, if we believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. We may also disclose protected health information if it is necessary for law enforcement authorities to identify or apprehend an individual.

Military Activity and National Security: When the appropriate conditions apply, we may use or disclose protected health information of individuals who are Armed Forces personnel (1) for activities deemed necessary by appropriate military command authorities; (2) for the purpose of a determination by the Department of Veterans Affairs of your eligibility for benefits, or (3) to foreign military authority if you are a member of that foreign military services. We may also disclose your protected health information to authorized federal officials for conducting national security and intelligence activities, including for the provision of protective services to the President or others legally authorized.

Workers' Compensation: Your protected health information may be disclosed by us as authorized to comply with workers' compensation laws and other similar legally-established programs.
Inmates: We may use or disclose your protected health information if you are an inmate of a correctional facility and your physician created or received your protected health information in the course of providing care to you.

Required Uses and Disclosures: Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500 et. seq.

2. Your Rights

The following is a statement of your rights with respect to your protected health information and a brief description of how you may exercise these rights.

You have the right to inspect and copy your protected health information. This means you may inspect and obtain a copy of protected health information about you that is contained in a designated record set for as long as we maintain the protected health information. A "designated record set" contains medical and billing records and any other records that North Shore Medical Accelerator, P.C. uses for making decisions about you.

Under federal law, however, you may not inspect or copy the following records; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to law that prohibits access to protected health information. Depending on the circumstances, a decision to deny access may be reviewable. In some circumstances, you may have a right to have this decision reviewed. Please contact Norma Marriott, if you have questions about access to your medical record.

You have the right to request a restriction of your protected health information. This means you may ask North Shore Medical Accelerator, P.C. not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested and to whom you want the restriction to apply.

North Shore Medical Accelerator, P.C. is not required to agree to a restriction that you may request. If North Shore medical Accelerator, P.C. believes it is in your best interest to permit use and disclosure of your protected health information, your protected health information will not be restricted. If North Shore Medical Accelerator, P.C. does agree to the requested restriction, North Shore medical Accelerator, P.C. may not use or disclose your protected health information in violation of that restriction unless the it is needed to provide emergency treatment. With this in mind, please discuss any restriction you wish to request with North Shore Medical Accelerator, P.C. You may request a restriction by contacting North Shore Medical Accelerator, P.C. (s) Privacy Coordinator, Norma Marriott.

You have the right to request to receive confidential communications from North Shore Medical Accelerator, P.C. by alternative means or at an alternative location. North Shore Medical Accelerator, P.C. will accommodate reasonable requests. North Shore Medical Accelerator, P.C. may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. North Shore Medical Accelerator, P.C. will not request an explanation from you as to the basis for the request. Please make this request in writing to Norma Marriott.

You may have the right to have your physician amend your protected health information. This means you may request an amendment of protected health information about you in a designated record set for as long as we maintain this information. In certain cases, North Shore Medical Accelerator, P.C. may deny your request for an amendment. If North Shore Medical Accelerator, P.C. denies your request for amendment, you have the right to file a statement of disagreement with us and North Shore Medical Accelerator, P.C. may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. Please contact Norma Marriott to determine if you have questions about amending your medical record.

You have the right to receive an accounting of certain disclosures North Shore Medical Accelerator, P.C. has made, if any, of your protected health information. This right applies to disclosures for purposes other than: (1) disclosures made pursuant to an authorization signed by you or (2) disclosures for treatment, payment or healthcare operations of North Shore Medical Accelerator, P.C. as described in this Notice of Privacy Practices.

You have the right to receive specific information regarding these disclosures that occurred after April 14, 2003. You may request a shorter timeframe. The right to receive this information is subject to certain exceptions, restrictions and limitations.

You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice electronically.

3. Complaints

You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by North Shore Medical Accelerator, P.C. You may file a complaint with North Shore Medical Accelerator, P.C. by notifying
Norma Marriott of your complaint. North Shore Medical Accelerator, P.C. will not retaliate against you for filing a complaint.

You may contact Norma Marriott at (631) 864-5600 or NSMA@aol.com for further information about the complaint process.

This notice was published and becomes effective on April 14, 2003.

This Web site is dedicated to providing the highest quality information. To ensure that, each section is reviewed by physicians with expertise in the area presented. However, the medical information is informational only and should not be used in place of advice from a medical professional. We make no representations or warranties about the suitability of this information for use for any particular purpose. All information is provided "as is" without express or implied warranty.

No medical advice or referrals: The information posted here should not be considered medical advice and is not intended to replace consultation with a qualified healthcare professional.

No literature or Web searches: We do not conduct searches of the medical literature or of information contained on the World Wide Web for persons accessing this site and requesting such searches.

Note about links: For the convenience of our users, this site provides links to relevant Web sites. We are not responsible for the content contained on the Web pages found at these links.