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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.

 

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Middletown Medical P.C is dedicated to protecting the privacy of our patients.

 

Our Obligation to You

We are required to maintain the privacy of your “Protected Health Information” (“PHI”) consistent with federal and state law, use and disclose your PHI only as permitted or required by federal and state law, notify you of our legal duties and your legal rights, and follow the privacy policies described in this notice, and PHIe terms of this Notice of Privacy Practices.

“Protected health information” means any information, whether written, electronic, or oral, including demographic data, that relates to:

• Your past, present or future physical or mental health or condition;
• The provision of health care to you; or
• The past, present, or future payment for the provision of health care services to you;

And that identifies you or for which there is a reasonable basis to believe it can be used to identify you.

We are required to provide you with a copy of this notice.   

SMS Privacy Policy   

Middletown Medical, PC (“we”, “our”, or “us”) is committed to protecting your privacy. This Privacy Policy describes how we collect, use, disclose, and protect your information when you visit our website, https://middletownmedical.com/ or interact with us in any other manner.

Information We Collect

• Personal Information: When you contact us through our Website, phone, or email, we may collect personal information that you provide, including your full name, phone number, email address, and mailing address.
• Automatically Collected Information: When you visit our Website, we may automatically collect certain information about your device and usage, including IP address, browser type, operating system, referring URLs, and pages viewed. 

How We Use Your Information

• To Communicate with You: We use your contact information to respond to your inquiries, provide legal services, send administrative information, and keep you informed about your case or our services.
• Marketing and Promotional Communications: With your consent, we may use your information to send you updates, newsletters, or marketing communications via email, phone, or text message. You can opt out of receiving these communications at any time by following the instructions provided in the communication or contacting us directly.
• Legal Compliance: We may use your information to comply with applicable laws, regulations, or legal obligations, including responding to subpoenas, court orders, or legal requests.

Consent to Receive Text Messages

By providing your phone number and opting in, you consent to receive text messages from Middletown Medical, PC regarding Internal conversations (between employees) and External conversations. Message and data rates may apply. You can opt out of receiving text messages at any time by replying “STOP” to any text message you receive from us. Please note that opting out may limit our ability to communicate with you regarding your case or services.

Information Sharing and Disclosure

We do not sell or rent your personal information to third parties. We do not sell, rent, release, or transfer your SMS consent or phone number to any third party for any third party marketing purposes. We may share your information in the following circumstances:

• Service Providers: We may share your information with our service providers who perform services on our behalf, such as marketing, customer services, or technical support. These service providers are contractually obligated to protect your information and use it only for services they provide.
• Legal Requirements: We may disclose your information if required by law, regulation, or legal process, or if we believe disclosure is necessary to protect our rights, property, or the safety of our users or others.

Data Security

We implement reasonable security measures to protect your personal information from unauthorized access, use, disclosure, alteration, or destruction. However, no method of transmission over the internet or electronic storage is completely secure, and we cannot guarantee absolute security.

Your Rights and Choices

• Opting Out: You may opt out of receiving marketing communications from us by following the instructions in those communications or contacting us directly. If you opt out, we may still send you non-promotional communications related to your legal services or our ongoing business relationship.
• Access and Update Information: You have the right to access, update, or correct your personal information. To do so, please contact us using the information provided below.

Third-Party Websites

Our Website may contain links to third-party websites. We are not responsible for the privacy practices or content of these third-party sites. We encourage you to review the privacy policies of any third-party websites you visit.

Children’s Privacy

Our website is not intended for children under the age of 13. We do not knowingly collect personal information from children under 13. If we become aware that we have inadvertently collected personal information from a child under 13, we will take steps to delete such information.

Changes to This Privacy Policy

We may update this Privacy Policy from time to time. Any changes will be posted on this page with an updated “Last Updated” date. We encourage you to review this Privacy Policy periodically for any updates. 

Contact Us

If you have any questions or concerns about this Privacy Policy or  our privacy practices, please contact us at: 

Brand Name: Middletown Medical, PC

Address: 111 Maltese Dr, Middletown NY 10940

Contact Info: 845-342-4774

SMS Terms and Conditions

 

Introduction

Welcome to Middletown Medical, PC. By accessing or using our services, including receiving SMS communications, you agree to comply with and be bound by these Terms and Conditions. If you do not agree with these terms, please do not engage with our services.

SMS Consent Communication:

The information (Phone Numbers, etc.) obtained as part of the SMS consent process will not be shared with third parties for marketing purposes.

By providing your consent to receive SMS communications, you acknowledge and agree to receive text messages from Middletown Medical, PC at the phone number you provide. Information obtained as part of the SMS consent process will not be shared with third parties.

Types of SMS Communications

If you have consented to receive text messages, you may receive SMS communications related to the following: Internal conversations (between employees) and External conversations.

• Appointment reminders
• Follow-up messages
• Billing inquiries
• Promotions or offers (if applicable)

Message Frequency:

Message frequency may vary depending on the type of communication. 

Potential Fees for SMS Messaging:

Please note that standard message and data rates may apply, depending on your carrier’s pricing plan. These fees may vary if the message is sent domestically or internationally.

Opt-In Method:

You may opt-in to receive SMS messages from Middletown Medical, PC in the following ways

• Verbally, during a conversation 

Opt-Out Method:

You can opt out of receiving SMS messages at any time. To do so, simply reply “STOP” to any SMS message you receive. Alternatively, you can contact us directly to request removal from our messaging list.

Help:

If you are experiencing any issues, you can reply with the keyword HELP. Or, you can get help directly from us at https://middletownmedical.com/

Additional Options:

• If you do not wish to receive SMS messages, you can choose not to check the SMS consent box on our forms.

Standard Messaging Disclosures:

• Message Frequency: Frequency of messages may vary depending on your interactions with us.
• Message and data rates may apply.
• You can opt-out of receiving SMS messages at any time by texting “STOP” to the number from which you received the message.

  For assistance, text “HELP” ” to any text message or contact us directly at 845-342-4774 , you can email us at compliance@middletownmedical.com or visit our https://middletownmedical.com/notice-privacy-practices/ 

Treatment: We will use your PHI and disclose it to others as necessary to provide treatment to you, such as in the following examples:

• It may be necessary to send blood or tissue samples to a laboratory for analysis to help us evaluate your medical condition.  
• We may provide information to your health plan or another treatment provider in order to arrange for a referral or clinical consultation.  
• We will contact you to remind you of appointments, treatment alternatives, and other health related benefits and services.  
• We may contact you to tell you about treatment services that we offer that might be of benefit to you.
• Various members of our staff may see your clinical record in the course of our care for you. This includes physicians, nurses, medical assistants and other providers.

Health Care Operations: It may also be necessary to use or disclose your PHI for our health care operations or those of another organization that has a relationship with you. For example, our quality assurance staff reviews records to be sure that we deliver appropriate treatment of high quality. Your health plan may wish to review your records to be sure that we meet national standards for quality of care.

Other Uses and Disclosures that do not require your authorization

Emergencies. We may disclose your PHI in emergency situations or to avert serious health and safety situations.

Disclosure to your family and friends. If you are an adult, and in the case of certain minors, you have the right to control disclosure of PHI about you to any other person, including family members or friends. If you ask us to keep your information confidential, we will respect your wishes. But, when consistent with your wishes,, we will share your PHI with family members or friends involved in your care as needed to enable them to help you.

Legally Required. We will disclose your PHI when we are legally required to do so by any federal, state or local law including in judicial settings and to health oversight regulatory agencies and law enforcement.

Abuse or Neglect. We may disclose your PHI to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the possible victim of other crimes. Your PHI will be disclosed only to the extent necessary to prevent a serious threat to your health or safety or that of others, and as permitted by applicable law.

Public Health Responsibilities. We will disclose your PHI to the extent required by law to report problems with products, reactions to medications, product recalls, and disease/infection exposure and to prevent and control disease, injury and/or disability.

Coroners, Medical Examiners, Funeral Directors. We will disclose your PHI to a coroner or medical examiner. For example, this will be necessary to identify a deceased person or to determine a cause of death. We may also disclose your PHI to funeral directors as necessary to carry out their duties.

Organ Procurement. We will disclose your PHI, if appropriate, to an organ procurement organization or entity for organ, eye, or tissue donation purposes.
Appointment Reminders. We may use your PHI to remind you of recommended services, treatment or scheduled appointments.

Medical Research. We may use or disclose your PHI for research when the use or disclosure for medical research has been approved by an Institutional Review Board or privacy board.
Specified Government Functions. In certain circumstances, federal regulations authorize us to use or disclose your PHI to facilitate specified government functions relating to military and veterans’ affairs, national security and intelligence activities, protective services for the President and others, medical suitability determinations, correctional institutions and law enforcement custodial situations.

Workers Compensation. We may release your PHI to comply with workers compensation laws or similar programs.

Fundraising. We may also use or disclose your PHI to contact you about fundraising for ourselves or to market our services and products. Our fundraising and marketing communications with you will let you know how you can opt-out of receiving similar communications in the future. If you do not wish to be contacted on marketing and fundraising activities, please notify our Contact Person.

Uses or Disclosures that do require your authorization:

We are required to obtain your written authorization prior to the use or disclosure of your PHI in the following cases:

• Psychotherapy Notes: We will obtain your written authorization before using or disclosing psychotherapy notes, unless such notes are required for purposes as stated above, or are otherwise allowed by law to be used or disclosed.
• Marketing: We are required to obtain your written authorization prior to the use or disclosure of your PHI for marketing activities in which we are paid by others to encourage you to use a services or product.
• Sale of PHI: We are required to obtain your written authorization to sell your PHI. We, however, will never seek to sell your PHI to anyone.
• Research: Certain laws require your written authorization to use or disclose your PHI for research purposes in cases where the research has not been approved by an Institutional Review Board or privacy board.
• Other Uses and Disclosures: We will obtain your written authorization before using or disclosing your PHI for any purpose that is not referenced in this Notice of Privacy Practices.

You may revoke any prior written authorization you have previously provided to us, but please know that your revocation will not apply to any uses or disclosures that occur prior to your revocation.

We follow special privacy protections that are required by New York law or other federal laws if they are more protective than HIPAA. This includes laws that apply to HIV-related information, substance use disorder (“SUD”) treatment information, and genetic information. For example, under New York law, confidential HIV-related information can only be shared with persons allowed to have it by law, or persons you have allowed to have it by signing a specific authorization form. We follow these state law requirements for HIV-related information because they are more protective than the requirements under HIPAA.

It is important to know that another federal law referred to as Part 2 protects the privacy of SUD treatment information more stringently than HIPAA. We maintain a separate notice that describes how your SUD treatment information may be used and disclosed, your rights with respect to your SUD treatment information and how to file a complaint concerning a violation of the privacy or security of your SUD treatment information, and your rights concerning your SUD treatment information. Please contact us at [add email] if you would like a copy of our notice concerning how we protect the privacy of SUD treatment information.

You have the following legal rights regarding your PHI:

Right to request confidential communications. You may request that communications to you, such as appointment reminders, bills, or treatment options be made in a confidential manner. We will accommodate any such request, as long as you provide a means for us to process payment transactions for services we provide for you.

Right to request restrictions on use and disclosure of your PHI. You have the right to request restrictions on our use of your PHI for particular purposes, such as treatment, payment or health care operations, or our disclosure of that information to certain third parties, such as family members or friends who may be involved in your care. You have a right to restrict certain disclosures of PHI to a health plan if you are paying out-of-pocket for the healthcare item or service. We are not obligated to agree to a requested restriction, but we will consider your request.

Right to revoke a Consent or Authorization. You may revoke a written Consent or Authorization for us to use or disclose your PHI. The revocation will not affect any previous use or disclosure of your information.

Right to review and copy record. You may inspect and obtain a copy of your PHI that is contained in a designated record set for as long as we maintain the PHI. A designated record set usually contains medical and billing records but it does not include psychotherapy notes, information compiled for use in a civil, criminal or administrative action or proceeding, and any PHI for which access is otherwise prohibited by law.

We may deny your request to inspect or copy your PHI if, in our professional judgment, we determine that the access requested is likely to endanger your life or safety or that of another person, or that it is likely to cause substantial harm to another person referenced within the information. You have a right to request a review of this decision.

To inspect and copy your PHI, you must submit a written request to the Medical Records Department. We may charge you a reasonable fee to cover copying, mailing or other costs incurred by us in complying with your request.

Right to “amend” record. You have a right to request an amendment of your PHI in a designated record set for as long as we maintain it. If a mistake in your PHI is identified, a note will be entered in your record to correct the error. If we deny your request for amendment, you have the right to file a statement of disagreement with us. We may prepare a rebuttal and provide you with a copy. Requests for amendment must be in writing and directed to the Medical Records Department. This information will be included as part of the total record and shared with others if it might affect decisions they make about you.

Right to an accounting. You have the right to an accounting of certain disclosures of your PHI to third parties. This does not include disclosures that you authorize, or disclosures that occur in the context of treatment, payment or health care operations, or disclosures we are permitted to make without your authorization. The request for an accounting of disclosures must be made in writing to the Medical Records Department. The request should specify the time period sought for the accounting. We are not required to provide an accounting for disclosures that took place six years prior to the date on which the accounting is requested, unless otherwise required by law.

Right to a paper copy of this Notice. You have the right to a paper copy of our Notice of Privacy Practices, even if you have already received a copy of the Notice or have agreed to accept this Notice electronically.

Right to Communication. You have the right to request that we communicate with you in certain ways, and we will accommodate reasonable requests.

Right to Notification. You have the right to receive notifications of breaches of your unsecured PHI.

Right to choose someone to act on your behalf. If you have given someone healthcare power of attorney or if someone is your legal guardian or healthcare proxy, that person can exercise your rights and make choices about your PHI. We will make sure the person has this authority and can act for you before we disclose any PHI to them or take any action in response to a request the person might have made.

Changes to the Terms of this Notice.
We can change the terms of this notice, and the changes will apply to all PHI we have about you. The new notice will be available upon request, in our office, and on our website.

How to Exercise Your Rights.
Questions about our policies and procedures, requests to exercise individual rights, and complaints should be directed to our Compliance Department at 845-342-2567 or via email at compliance@middletownmedical.com.

Complaints

If you have any complaints or concerns about our privacy policies or practices, please submit a written complaint to our Compliance Officer, and we will consider it promptly. If you wish, our Compliance Officer will give you a form that you can use to submit a complaint.

You can also submit a complaint to the United States Department of Health and Human Services. Send your complaint to:

Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room 509F, HHH Building
Washington, D.C. 20201
OCR Hotlines-Voice: 1-800-368-1019

We will never retaliate against you for filing a complaint.

Effective Date

April 14, 2003, and last revised on August 20, 2025.

FOR OUR PATIENT BILL OF RIGHTS > click here