NOTICE OF PRIVACY PRACTICES

Dr. Valerie Camarano PsyD PLLC
447 Broadway, 2nd Floor #1391
New York, NY 10013
Phone: (929) 277-7087
Email: drvalerie@valeriecamaranopsyd.com
Website: www.valeriecamaranopsyd.com

Effective Date: April 7, 2025

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

I. MY PLEDGE REGARDING HEALTH INFORMATION

Your health information is personal, and I am committed to protecting your privacy. I maintain a record of the care and services you receive, which is necessary for quality care and compliance with legal and ethical obligations.

This notice applies to all records of your care created by this practice. It explains how I may use and disclose your information, outlines your rights, and details my responsibilities under federal law.

I am legally required to:

  • Keep your protected health information (PHI) private

  • Provide you with this notice of privacy practices

  • Comply with the terms of this notice

  • Notify you in the event of a breach involving your PHI

  • Update this notice as needed and make it available to you in my office and on my website

II. HOW I MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

For Treatment, Payment, and Health Care Operations:

I may use or disclose your PHI without written authorization for treatment, payment, and health care operations. Examples include:

  • Consulting with or referring to another health provider

  • Billing you or your insurance provider

  • Administrative tasks such as scheduling and record-keeping

Disclosures made for treatment purposes are not limited by the “minimum necessary” standard, as health care providers require complete information to ensure quality care.

III. USES AND DISCLOSURES THAT REQUIRE YOUR AUTHORIZATION

The following activities require your written permission:

  1. Psychotherapy Notes – unless for treatment, training, legal defense, compliance, or as required by law.

  2. Marketing Purposes – I will not use your PHI for marketing without your explicit written consent.

  3. Sale of PHI – I will never sell your PHI.

You may revoke your authorization in writing at any time, unless I have already acted based on your consent.

IV. USES AND DISCLOSURES THAT DO NOT REQUIRE YOUR AUTHORIZATION

I may use or disclose your PHI without your authorization under certain circumstances, including:

  • When required by law

  • To report abuse, neglect, or threats to safety

  • For public health and oversight activities

  • In legal proceedings (e.g., court orders or subpoenas)

  • For law enforcement purposes

  • To coroners or medical examiners

  • For approved research

  • For certain government functions (e.g., national security)

  • For workers’ compensation claims

  • To remind you of appointments or inform you of services I offer

V. DISCLOSURES REQUIRING THE OPPORTUNITY TO OBJECT

In some cases, I may disclose your PHI to family members, friends, or others involved in your care or payment. You will have the opportunity to object or limit this disclosure. If you are not present or unable to communicate, I may use professional judgment in determining what is in your best interest.

VI. YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the right to:

  1. Request Restrictions – on how your information is used or disclosed. I may not be required to agree, except in cases where you fully self-pay for a service.

  2. Request Confidential Communications – such as contacting you only at a specific address or phone number.

  3. Access Your Record – You may request an electronic or paper copy of your records (excluding psychotherapy notes) within 30 days. Reasonable fees may apply.

  4. Request an Amendment – If you believe your information is incorrect or incomplete, you may request a correction. If denied, you’ll receive a written explanation within 60 days.

  5. Receive an Accounting of Disclosures – A list of certain disclosures made in the past six years (excluding those made for treatment, payment, and operations).

  6. Receive a Copy of This Notice – in paper or electronic format, even if you agreed to receive it electronically in the past.

VII. COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with me or with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.

To file a complaint or ask questions, contact:

Dr. Valerie Camarano PsyD PLLC
447 Broadway, 2nd Floor #1391
New York, NY 10013
Email: drvalerie@valeriecamaranopsyd.com
Phone: (929) 277-7087