Our Privacy Practices

This Notice Describes How Medical Information About You May Be Used And Disclosed And How You Can Get Access To This Information. Please Review It Carefully.

Emily Kahn-Freedman, LMFT (the 'Practice') is committed to protecting your privacy. The Practice is required by federal law to maintain the privacy of Protected Health Information ('PHI'), which is information that identifies or could be used to identify you. The Practice is required to provide you with this Notice of Privacy Practices (this 'Notice'), which explains the Practice's legal duties and privacy practices and your rights regarding PHI that we collect and maintain.

Your Rights

  • Your rights regarding PHI are explained below. To exercise these rights, please submit a written request to the Practice at the address noted below.

To inspect and copy PHI.

  • You can ask for an electronic or paper copy of PHI. The Practice may charge you a reasonable fee.
  • The Practice may deny your request if it believes the disclosure will endanger your life or another person's life. You may have a right to have this decision reviewed.

To amend PHI.

  • You can ask to correct PHI you believe is incorrect or incomplete. The Practice may require you to make your request in writing and provide a reason for the request.
  • The Practice may deny your request. The Practice will send a written explanation for the denial and allow you to submit a written statement of disagreement.

To request confidential communications.

  • You can ask the Practice to contact you in a specific way. The Practice will say 'yes' to all reasonable requests.<

To limit what is used or shared.

  • You can ask the Practice not to use or share PHI for treatment, payment, or business operations. The Practice is not required to agree if it would affect your care.
  • If you pay for a service or health care item out-of-pocket in full, you can ask the Practice not to share PHI with your health insurer.
  • You can ask for the Practice not to share your PHI with family members or friends by stating the specific restriction requested and to whom you want the restriction to apply.

To obtain a list of those with whom your PHI has been shared.

  • You can ask for a list, called an accounting, of the times your health information has been shared. You can receive one accounting every 12 months at no charge, but you may be charged a reasonable fee if you ask for one more frequently.

To receive a copy of this Notice.

  • You can ask for a paper copy of this Notice, even if you agreed to receive the Notice electronically.

To choose someone to act for you.

  • If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights.

To file a complaint if you feel your rights are violated.

  • You can file a complaint by contacting the Practice using the following information:
Emily Kahn-Freedman, LMFT
Mailing Address: 8300 Talbot St., Apt. 2B, Kew Gardens NY, 11415
Practice Address: 105-05 69th Ave., Office 1, Forest Hills NY, 11375