Provider Information

Practice Name: Razia Jayman-Aristide, MD PLLC
Provider: Razia Jayman-Aristide, MD
Address: 265 Post Avenue Suite 140, Westbury, NY 11590
Phone: (516) 226-0404
Email: info@oyahealth.life

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.

Our Commitment to Your Privacy

We understand that your health information is personal. We commit to treating your medical information in the ways outlined in this notice. This notice applies to all records of your care generated by Razia Jayman-Aristide, MD PLLC.

Your Rights

You have the right to:

• Get a copy of your medical record - You can get an electronic copy of your medical record, or a portion thereof, such as recent treatment summaries, by making a request in writing to the practice through your patient portal.

• Ask us to correct your medical record - If you find an error or omission in your medical record, you can ask the practice to make a correction by making a request in writing to the practice through your patient portal. We are not required to agree, and in some situations, such as where we believe the information was or is correct, or where the record was or is complete as-is, we may not be able to agree. For the avoidance of doubt, we do not make edits to medical records for purposes other than the correction of an actual error of fact or omission.

• Have confidential communications with your provider - As outlined in the “Terms & Conditions of Practice & Patient Registration Form,” this practice utilizes a patient portal to communicate with you. It is your responsibility to keep your log-in information private so that only you access these communications with the practice.

• Ask us to limit what we use or share - You can ask us not to use or share certain health information by making a request in writing to the practice through your patient portal. We are not required to agree, and in some situations, such as where that health information is relevant to your direct care or under a duty to warn or other legal obligation, we may not be able to agree.

• Get a list of those with whom we’ve shared information - You can ask for a list of the times we’ve shared your health information for six years prior to the date of your request.

• Get a copy of this privacy notice - You can ask for a paper copy of this notice at any time, even if you agreed to receive it electronically.

• Choose someone to act for you - If you have given an adult your official medical power of attorney or if you have identified an adult as your legal guardian, they can exercise your rights.

• File a complaint if you feel your rights are violated - You can file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights.

Our Uses and Disclosures

• We may use and share your information as we:

• Treat you (e.g., share with other doctors treating you).

• Run our organization (e.g., quality improvement, business operations).

• Bill for your services (e.g., share with your insurance company).

• Help with public health and safety issues.

• Respond to legal requests, lawsuits, or law enforcement.

• Work with medical examiners or funeral directors.

• Address workers’ compensation, law enforcement, and other government requests.

• Comply with mandatory reporting laws.

You acknowledge that your information may be held in a cloud storage system maintained by third party providers.

This practice preserves medical records for at least six years from the date of your last visit. The practice will deny any request to destroy your medical records before the conclusion of this period.

We will never share your information for third-party marketing or sell your information. If you choose to challenge or otherwise revoke your acceptance of any terms within this form, you must exclusively do so in writing to the practice through the patient portal and not orally. You understand that acceptance of our privacy practices is a material term of this relationship; refusal or revocation of your acceptance to this form as-is will result in immediate discharge from the practice with no notice.

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.

• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

• We must follow the duties and privacy practices described in this notice.

• If you request from the practice a copy of this notice in writing through the patient portal, one will be provided to you electronically through the portal.

Changes to the Terms of This Notice

We reserve the right to change this notice and, if we do, we agree to post the new notice in our office and on our website, if the practice regularly uses a website. The new notice, like this notice, will apply to all information we have about you.