Your Health Information Privacy 

What You Need to Know

Patient forms

At Pain Management Specialists of NY, protecting your personal health information is not just our legal duty—it’s our promise. This page explains how we use and share your health data, and outlines your rights regarding that information.

For more information, please click on a category below:

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📜 Our Privacy Commitment

As a healthcare provider, we follow strict federal and New York State laws to maintain the confidentiality of your health records. This Privacy Notice describes:

  • How we use your health information
  • When we may share it
  • Your rights as our patient

This policy will remain active until updated. We may revise this notice when needed, in line with legal requirements. Any updates may apply to both past and future information in our records.

Need a copy? You can request one anytime—just reach out using the contact information below.

🔐 How We Use & Share Your Health Information

We may use or disclose your health information for these purposes:

  1. Treatment

To coordinate and provide care, we may share your records with your doctors, specialists, or other healthcare professionals involved in your treatment.

  1. Payment

We use your health information to bill you or your insurance and to process payments for services rendered.

  1. Healthcare Operations

We may use your data for essential internal functions, including:

  • Quality improvement
  • Credentialing and licensing
  • Staff training and evaluation
  • Administrative audits and accreditation
✉️ Additional Uses & Disclosures

We’ll only use or share your information outside of treatment, payment, or operations with your written permission, unless otherwise permitted or required by law.

With Your Consent

We may share relevant information with your family or others involved in your care or helping to pay for it.

In Emergencies or When You’re Unable to Consent

We may disclose information to those involved in your care if you’re incapacitated or in an emergency. We will use our professional judgment to decide what’s in your best interest.

For Public Interest and Legal Reasons

We may disclose your information if:

  • Required by law
  • You are a victim of abuse, neglect, or domestic violence
  • There is a serious threat to your health or safety—or that of others
  • For national security, intelligence, or military operations
  • You are in custody, and disclosure is necessary to law enforcement or correctional institutions

For Appointment Reminders

We may contact you with appointment reminders via phone, text, voicemail, email, letter, or other methods you provide.

We Do Not Sell or Market Your Info

We do not use your health data for marketing without your explicit, written permission.

🧾 Your Privacy Rights

You have several rights under HIPAA and New York State law. These include:

🔍 Access Your Health Records

You can request to view or receive copies of your medical records. We accommodate requests for electronic formats when possible.

Fees may apply:

  • $0.75 per page
  • Postage (if mailed)

📜 Request a Disclosure Log

You can ask for a record of non-routine disclosures (not related to treatment, payment, or operations) for the past six years. If you request more than one log per year, a fee may be charged.

🔒 Request Limits on Use or Sharing

You may ask us to restrict how your information is used or disclosed. While we aren’t required to agree, if we do, we’ll honor your request except in emergencies or as required by law.

📬 Ask for Confidential Communications

You can ask us to contact you a certain way (e.g., by phone or email) or at a specific place (e.g., home or work). All requests must be in writing.

✏️ Request Changes to Your Records

If you believe your health information is incorrect or incomplete, you can request a correction. We may deny the request, but you’ll receive a written explanation.

📄 Get a Paper Copy

Even if you received this policy online, you can request a printed copy at any time.

🗣️ Questions or Concerns?

If you believe your privacy rights have been violated or have questions about our practices, please contact us directly:

Pain Management Specialists of NY
📍 Queens | Manhattan | Bronx
📞 718-932-1740
🌐 www.PainInNY.com
📧 Send us an emai
📬 25-15 Crescent Street, 2nd Floor, Astoria, NY 11102
🧑‍⚕️ Contact Officer: Dr. Ari B. Lerner

You also have the right to file a complaint with the U.S. Department of Health and Human Services. We’ll provide the necessary details upon request—and you will never be penalized for doing so.

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Why Choose Us?

Convenient Locations

in the New York metropolitan area

Board Certification

in pain management and anesthesiology

State-of-the-art Facilities

offering advanced diagnostics,
onsite procedures, and comprehensive physical therapy

Timely Appointments

often the same day

Minimally Invasive

wide range of innovative,
treatment options

Knowledgeable

friendly and helpful staff

Contact Us to Schedule an Appointment

Schedule an appointment with a skilled, knowledgable medical professional at Pain Management Specialists of New York.

We offer same-day appointments with morning, afternoon and evening hours available, ensuring flexibility with your schedule. Se habla español.

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