Notice of Privacy Practices
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.
Effective date: August 17, 2026
Adele Reising Acupuncture is required by law to protect the privacy of your health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
This notice applies to all of the records of your care held by this practice, whether kept on paper, electronically, or communicated orally.
How we may use and disclose your health information
We may use and disclose your health information for the following purposes without asking your permission each time.
Treatment
Providing, coordinating, or managing your care, including acupuncture, cupping, tui na, moxibustion, herbal medicine, and the other services we offer. This includes sharing information with other providers involved in your care, such as your physician, when it is relevant to your treatment.
Payment
Obtaining payment for your care — verifying your insurance coverage, billing your plan, and pursuing unpaid balances.
Health care operations
Running the practice: reviewing the quality of our care, auditing our records, training, and administrative work of the same kind.
Appointment reminders and treatment information
We may contact you by telephone, text, mail, or email to remind you of an appointment, to reschedule, or to tell you about treatment options and health-related services we provide.
People involved in your care
We may share information with a family member, friend, or anyone else you identify, to the extent they are involved in your care or in paying for it. If you are present, we will give you the opportunity to object. If you are not present or are unable to agree, we will use our professional judgment about what is in your best interest.
Disclosures we may make without your authorization
The law permits or requires us to disclose your health information in the following circumstances.
- When required by federal, state, or local law.
- To public health authorities, for purposes such as preventing or controlling disease.
- To health oversight agencies for audits, investigations, and inspections.
- In response to a court or administrative order. In response to a subpoena or discovery request from another party in a dispute, we will disclose information only after making reasonable efforts to notify you or to obtain an order protecting the information.
- To law enforcement officials, where the law requires it.
- To a coroner or medical examiner, to identify a deceased person or determine a cause of death, and to funeral directors as necessary for them to carry out their duties.
- To organizations that handle organ, eye, or tissue donation and transplantation, if you are a donor.
- To prevent a serious and imminent threat to your health or safety, or to that of another person or the public. We will disclose only to someone able to help prevent the threat.
- For workers’ compensation and similar programs.
- To military authorities, if you are a member of the armed forces, and to federal officials for lawful intelligence, national security, and protective services.
- To a correctional institution or law enforcement official, if you are in custody, where necessary for your health and safety, the safety of others, or the operation of the institution.
Uses that always require your written permission
We will not use or disclose your health information for any of the following without your written authorization.
- Marketing. We will not use your information to market a product or service to you where we are paid by a third party to do so.
- Sale of your information. We will not sell your health information.
- Anything else not described in this notice.
If you give us written authorization, you may withdraw it at any time, in writing. Withdrawing it stops any further use or disclosure, but it cannot undo anything we have already done in reliance on it.
Your rights
You may exercise any of these rights by writing to our Privacy Officer at the address at the end of this notice.
To see and receive a copy of your records
You may inspect and obtain a copy of the health information we use to make decisions about your care. If we hold your records electronically, you may ask for an electronic copy, and you may ask us to send a copy to a person you name. We may charge a reasonable, cost-based fee.
To ask us to correct your records
If you believe something in your record is wrong or incomplete, you may ask us to amend it. We may decline, and if we do we will tell you why in writing, and you may file a statement of disagreement which we will keep with your record.
To ask us to limit what we use or share
You may ask us to restrict how we use or disclose your information, including what we share with family members. We are not required to agree to such a request, but if we do agree we will abide by it unless you tell us otherwise in writing.
There is one restriction we must honor. If you pay for a service in full, out of your own pocket, you may tell us not to share information about that service with your health plan, and we will not do so — unless the law requires us to.
To ask us to contact you differently
You may ask us to reach you at a particular telephone number or address, or by a particular means. We will accommodate any reasonable request, and we will not ask you why.
To receive a list of disclosures
You may ask for an accounting of the disclosures we have made of your health information, other than those for treatment, payment, and health care operations, and other than those you authorized. The accounting covers the six years before your request.
To be notified if your information is breached
If your unsecured health information is involved in a breach, we will notify you as the law requires.
To receive a paper copy of this notice
You may ask for a paper copy at any time, even if you agreed to receive it electronically.
Our duties
We are required by law to maintain the privacy of your health information, to give you this notice, to abide by its terms while it is in effect, and to notify you if a breach occurs.
We may change this notice, and any change will apply to information we already hold as well as to information we receive afterward. The current version will always be posted in our office and on our website, and you may ask us for a copy.
If you believe your privacy has been violated
You may complain to us, in writing, at the address below. You may also complain to the Office for Civil Rights at the U.S. Department of Health and Human Services.
We will not retaliate against you, and your care will not be affected in any way, for making a complaint.
Office for Civil Rights, U.S. Department of Health and Human Services, 200 Independence Avenue S.W., Washington, D.C. 20201. Telephone 1-877-696-6775. Complaints may also be filed at www.hhs.gov/ocr/privacy/hipaa/complaints.
Contact
Privacy Officer
Adele Reising Acupuncture
37 East 28th Street, 5th Floor, Suite 500
New York, NY 10016
646 336 1280 · info@adelereising.com