Welcome Brochure

foundation. You may opt out of receiving fundraising solicitations at any time, and your decision to do so will have no impact on your treatment or payment for services. To opt out of fundraising solicitations, you may contact the Institutional Advancement Office at (212) 938-5600 or email your request, including your name

and address to advancement@sunyopt.edu. DISCLOSURES TO OTHER INDIVIDUALS

We will provide you with an opportunity to agree or object to the following uses and disclosures of your PHI (unless you are incapacitated, otherwise unable to reply, or in the case of emergency). Communication with those involved in your care: We may use and disclose your PHI to notify or assist in notifying a family member, personal representative or other person about your condition, or to provide such other information as may be needed for them to participate in your healthcare decisions, or to notify them of your death. If you are unable to agree or object to these communications, our health care professionals will use their best judgment in communicating with your family and others. Marketing: We must obtain your written authorization before we can use your PHI to communicate with you about purchasing a product or service, unless the communication is done in person. Sale of your PHI: We will not sell your PHI to a third party for marketing purposes without your written authorization. Psychotherapy Notes: With limited exception, unless treatment, payment or health care operations are involved, we will not disclose psychotherapy notes without your written authorization. OTHER SITUATIONS WHERE WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION WITHOUT AUTHORIZATION Examples of permitted uses and disclosures of your PHI include, but are not limited to, the following: Public Health Activities: We may disclose your PHI to authorized public health officials and agencies for the purpose of public health activities. These activities may include controlling or preventing disease, injury, or disability, reporting reactions to medications, products, or medical devices, or communicable disease reporting. Abuse or Neglect: We are required by law to disclose PHI to a public health authority that is authorized to receive reports of suspected child abuse and/or neglect. Health Oversight Activities: We may disclose your PHI to agencies authorized to perform health oversight activities. These activities may include audits, investigations, inspections and licensure. These activities are necessary to monitor the operation of the health care system, government benefit programs such as Medicaid and Medicare, and ensure compliance with civil rights laws. Lawsuits, Disputes, and Other Legal Matters: We may disclose your PHI in response to a court or administrative order, if you are involved in a lawsuit or

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