Legalese and your privacy
Sherpaa does not replace the existing primary care physician relationship. Sherpaa is not an insurance product nor a prescription fulfillment warehouse.
Sherpaa physicians reserve the right to deny care for potential misuse of services.
We do not prescribe DEA controlled substances, non-therapeutic drugs and certain other drugs which may be harmful because of their potential for abuse.
Sherpaa does not guarantee that a prescription will be written. Sherpaa operates subject to state regulations.
Sherpaa is dedicated to maintaining the privacy of your protected health
information (‘PHI’). PHI is information about you that may be used to identify you (such as your name, social security number or address), and that relates to (a) your past, present or future physical or mental health or condition, (b) the provision of healthcare to you, or (c) your past, present, or future payment for the provision of healthcare. In conducting its business, Sherpaa will receive and create records containing your PHI. Sherpaa is required by law to maintain the privacy of your PHI and to provide you with notice of its legal duties and privacy practices with respect to your PHI.
Sherpaa must abide by the terms of this Notice while it is in effect. Sherpaa reserves the right to change the terms of this notice at any time, as long as the changes are in compliance with applicable law. If Sherpaa changes the terms of this Notice, the new terms will apply to all PHI that it maintains, including PHI that was created or received before such changes were made. If Sherpaa changes this Notice, it will post the new Notice on its Web site.
Uses and Disclosures of PHI Sherpaa may use and disclose your PHI in the following ways:
Treatment and Health Care Operations. Sherpaa is permitted to use and disclose your PHI for purposes of (a) treatment and (b) healthcare operations. For example:
Treatment. Sherpaa may disclose your PHI to another physician or healthcare provider for purposes of a consultation or in connection with the provision of follow-up treatment.
Health Care Operations. Sherpaa may use and disclose your PHI in connection with its healthcare operations, such as providing customer services and conducting quality review assessments.
Authorization. Sherpaa is permitted to use and disclose your PHI upon your written authorization, to the extent such use or disclosure is consistent with your authorization. You may revoke any such authorization at any time.
As Required by Law. Sherpaa may use and disclose your PHI to the extent required by law.
The following categories describe unique circumstances in which Sherpaa may use or disclose your PHI:
Public Health Activities. Sherpaa may disclose your PHI to public health authorities or other governmental authorities for purposes including preventing and controlling disease, reporting child abuse or neglect, reporting domestic violence and reporting to the Food and Drug Administration regarding the quality, safety and effectiveness of a regulated product or activity. Sherpaa may, in certain circumstances disclose PHI to persons who have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition.
Workers’ Compensation. Sherpaa may disclose your PHI as authorized by, and to the extent necessary to comply with, workers’ compensation programs and other similar programs relating to work-related illnesses or injuries.
Health Oversight Activities. Sherpaa may disclose your PHI to a health oversight agency for authorized activities such as audits, investigations, inspections, licensing and disciplinary actions relating to the healthcare system or government benefit programs.
Judicial and Administrative Proceedings. Sherpaa may disclose your PHI, in certain circumstances, as permitted by applicable law, in response to an order from a court or administrative agency, or in response to a subpoena or discovery request.
Law Enforcement. Sherpaa may, under certain circumstances, disclose your PHI to a law enforcement official, such as for purposes of identifying or locating a suspect, fugitive, material witness or missing person.
Decedents. Sherpaa may, under certain circumstances, disclose PHI to coroners, medical examiners and funeral directors for purposes such as identification, determining the cause of death and fulfilling duties relating to decedents.
Organ Procurement. Sherpaa may, under certain circumstances, use or disclose PHI for the purposes of organ donation and transplantation.
Research. Sherpaa may, under certain circumstances, use or disclose PHI that is necessary for research purposes.
Threat to Health or Safety. Sherpaa may, under certain circumstances, use or disclose PHI if necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public.
Specialized Government Functions. Sherpaa, may in certain situations, use and disclose PHI of persons who are, or were, in the Armed Forces for purposes such as ensuring proper execution of a military mission or determining entitlement to benefits. Sherpaa may also disclose PHI to federal officials for intelligence and national security purposes.
Your Rights Regarding Your PHI
You have the following rights regarding the PHI maintained by Sherpaa:
Confidential Communication. You have the right to receive confidential communications of your PHI. You may request that Sherpaa communicate with you through alternate means or at an alternate location, and Sherpaa will accommodate your reasonable requests.
Restrictions. You have the right to request restrictions on certain uses and disclosures of PHI for treatment or healthcare operations. You also have the right to request that Sherpaa restrict its disclosures of PHI to only certain individuals involved in your care. You must submit your request in writing to Sherpaa. Sherpaa is not required to comply with your request. However, if Sherpaa agrees to comply with your request, it will be bound by such agreement, except when otherwise required by law or in the event of an emergency.
Inspection and Copies. You have the right to inspect and copy your PHI. You must submit your request in writing to Sherpaa. Sherpaa may deny your request to inspect and/or copy your PHI in certain limited circumstances. If that occurs, Sherpaa will inform you of the reason for the denial, and you may request a review of the denial.
Amendment. You have a right to request that Sherpaa amend your PHI if you believe it is incorrect or incomplete, and you may request an amendment for as long as the information is maintained by Sherpaa. You must submit your request in writing to Sherpaa and provide a reason to support the requested amendment. Sherpaa may, under certain circumstances, deny your request by sending you a written notice of denial. If Sherpaa denies your request, you will be permitted to submit a statement of disagreement for inclusion in your records.
Accounting of Disclosures. You have a right to receive an accounting of all disclosures Sherpaa has made of your PHI. However, that right does not include disclosures made for treatment, payment or healthcare operations, disclosures made to you about your treatment, disclosures made pursuant to an authorization, and certain other disclosures. You must submit your request in writing to Sherpaa and you must specify the time period involved (which must be for a period of time less than six years from the date of the disclosure).
Paper Copy. You have the right to obtain a paper copy of this Notice from Sherpaa at any time upon request.
Complaint. You may complain to Sherpaa and to the Secretary of the Department of Health and Human Services if you believe that your privacy rights have been violated. To file a complaint with Sherpaa, you must submit a statement in writing to Sherpaa. Sherpaa will not retaliate against you for filing a complaint.
Further Information. If you would like more information about your privacy rights, please contact us and ask to speak to the Privacy and Security Officer. To the extent you are required to send a written request to Sherpaa to exercise any right described in this Notice, you must submit your request to Sherpaa at: Attn: Security Officer, 190 Bedford Avenue, #102, Brooklyn, NY 11211.