Privacy Policy

HIPAA Privacy Policy
Effective Date: June 17,2025

Fuse Mind & Body

This Privacy Policy describes how your medical information may be used and disclosed, and how you can access this information. Please review it carefully.

Your Rights

You have the right to:

Access your medical records: Request electronic or paper copies, which we will provide within 30 days. A reasonable fee may apply.
Correct your medical records: If information is inaccurate or incomplete, you may request a correction.
Request confidential communications: You can ask us to contact you in specific ways or send mail to a different address.
Limit what we use or share: You may request limits on what we share for treatment, payment, or healthcare operations. We will honor all reasonable requests unless legally required to share the information.
Request an accounting of disclosures: You can request a list of when and with whom we shared your information, excluding disclosures for treatment, payment, and operations.
Obtain a copy of this notice: You may request a paper copy at any time.
Appoint someone to act for you: A legally authorized representative may exercise your rights.
File a complaint: If you believe your rights have been violated, you can contact us or the U.S. Department of Health and Human Services. We will not retaliate for filing a complaint.

Your Choices

You may tell us how to:

Share information with family, friends, or others involved in your care
Include your information in a facility directory or emergency situation

We will never share your information for:

Marketing purposes
Sale of personal health information
Most sharing of psychotherapy notes
…unless you give us written permission.

You may also opt out of fundraising communications.

Our Uses and Disclosures

We may use and share your information to:

Treat you – Share with other healthcare providers for coordination of care.
Run our organization – Improve operations, conduct quality assessments, and contact you when necessary.
Bill for your services – Share information with insurers for payment processing.

We are also permitted or required to share your information:

For public health and safety (e.g., reporting disease, abuse, or medication issues)
For research (under strict privacy safeguards)
To comply with the law
With organ procurement organizations
With medical examiners or funeral directors
For workers’ compensation, law enforcement, and government functions
In response to court orders or subpoenas

Our Responsibilities

We are legally required to maintain the privacy and security of your protected health information (PHI).
We will notify you promptly if a data breach occurs that may have compromised your information.
We will not share your information outside the uses listed above without your written authorization.
You may revoke your authorization at any time in writing.

Changes to This Notice

We may change the terms of this notice. The new policy will apply to all existing and future medical information and will be available in our office and on our website.

Contact Us

If you have questions or complaints, please contact:

Fuse Mind & Body

175 Memorial Highway Suite 1-1

New Rochelle, NY 10801

914-460-4891

You may also file a complaint with the U.S. Department of Health & Human Services: