Upstate Physicians Medical Weight Loss Services is committed to maintaining the privacy and security of your Protected Health Information (PHI) in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This HIPAA Privacy Policy describes how we may use and disclose your PHI, your rights concerning your PHI, and our obligations.

1. Our Responsibilities

  • Maintain the privacy and security of your PHI.
  • Inform you of our legal duties and privacy practices regarding your health information.
  • Abide by the terms of this notice.
  • Notify you in the event of a breach of your unsecured PHI.

2. How We May Use and Disclose Your PHI

  • For treatment – to provide, coordinate, or manage your health care services.
  • For payment – to bill and collect payment for the services provided to you.
  • For health care operations – to improve our services and ensure quality care.
  • As required by law – when required by federal, state, or local law.
  • To public health authorities – for health oversight activities and reporting.
  • To law enforcement – for legal processes or if required to prevent a serious threat to health or safety.

3. Your Rights Regarding Your PHI

  • Right to inspect and copy – You can request access to your health records.
  • Right to request an amendment – You may request changes to your records if they are incorrect.
  • Right to an accounting of disclosures – You can request a list of certain disclosures we’ve made of your PHI.
  • Right to request restrictions – You may request limitations on how we use or share your PHI.
  • Right to request confidential communications – You can request to be contacted in a specific way.
  • Right to a copy of this notice – You may request a paper or electronic copy at any time.

4. Complaints

  • If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of Health and Human Services.
  • To file a complaint with Upstate Physicians Medical Weight Loss Services, contact us at:
  • Email: info@upstatemdweightloss.com
  • Phone: 716-389-0000
  • You will not be penalized for filing a complaint.

5. Changes to This HIPAA Policy

  • We reserve the right to change this policy. Any changes will apply to all PHI we maintain.
  • A revised notice will be posted on our website and made available upon request.

6. Contact Information