Notice of Privacy Practices
Effective Date: January 1, 2024
Address: 1350 Avenue of the Americas, 2nd Floor, New York, NY 10019
Contact: info@lincolnsqcoaching.com or (212) 320-8973 x2007
This Notice Describes How Your Protected Health Information (PHI) May Be Used and Disclosed and How You Can Access This Information. Please Review It Carefully.
Our Commitment to Your Privacy
Lincoln Square Coaching LLC ("we", "us", or "our") is committed to maintaining the privacy of your Protected Health Information ("PHI"). This Notice outlines how we may use and disclose your PHI to provide services, obtain payment, and manage our operations, as well as your rights related to that information.
Uses and Disclosures of PHI
We may use or disclose your PHI for the following purposes:
- Treatment: To provide, coordinate, or manage your vocational rehabilitation or related services, including consultations and referrals.
- Payment: To bill and receive payment for services, including insurance claims and account collections.
- Health Care Operations: For quality improvement, staff training, business administration, and service evaluation.
Other Permitted or Required Disclosures
We may use or disclose your PHI without your written authorization in the following situations:
- Required by Law
- Public Health Activities
- Health Oversight Activities
- Judicial and Administrative Proceedings
- Law Enforcement
- Coroners, Medical Examiners, and Funeral Directors
- Organ and Tissue Donation
- Research (with IRB approval or authorization)
- To Avert Serious Threats to Health or Safety
- Specialized Government Functions
- Workers’ Compensation Compliance
Your Rights Regarding PHI
You have the right to:
- Access your PHI
- Request Amendments to incorrect or incomplete information
- Request an Accounting of disclosures
- Request Restrictions on certain uses/disclosures
- Request Confidential Communications in a specific manner/location
- Receive a Paper Copy of this Notice at any time
Changes to This Notice
We reserve the right to update this Notice. Revisions will be posted on our website and made available upon request.
Questions or Complaints
If you believe your privacy rights have been violated, you may file a complaint with Lincoln Square Coaching LLC or the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
Contact: Joseph Amodeo
Email: joseph@lincolnsqcoaching.com
Mailing Address: 1350 Avenue of the Americas, 2nd Floor, New York, NY 10019