NOTICE OF PRIVACY PRACTICES SUMMARY

This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment or health care operations and for other purposes that are permitted or required by law.

1. Uses and Disclosures of Protected Health Information
   • Treatment
   • Payment
   • Health Care Operations

2. Permitted and Required Uses and Disclosures That May be Made with Your Authorization and Opportunity to Object

   We may use and disclose your protected health information in the following instances:

   • Facility Directories
   • Psychotherapy notes (for TPO)
   • Others involved in Your Health Care
   • Marketing
   • Emergencies

3. Permitted and Required Uses and Disclosures That May be Made Without Your Authorization or Opportunity to Object

   We may use or disclose your protected health information in the following situations without your consent:

   • Required by Law
   • Public Health
   • Communicable Diseases
   • Health Oversight
   • Legal Proceedingsi
   • Abuse or Neglect
   • Law Enforcement
   • Criminal Activity
   • Research
   • Inmates
   • Workers' Compensation
   • Food and Drug Administration
   • Military Activity and National Security
   • Required Uses and Disclosures
   • Coroners, Funeral Directors, and Organ Donation

4. Your Rights Following is a statement of your rights with respect to your protected health information and how you may exercise these rights. You have the right to:
   • Inspect and copy your protected health information
   • Request a restriction of our protected health information
   • Request to receive confidential communications from us by alternative means or at an alternative location
   • Have your physician amend your protected health information
   • Receive an accounting of certain disclosures we have made, if any, of your protected health information
   • Obtain a paper copy of this notice from us

5. Complaints

   You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated. To register a complaint with us, contact our Privacy/Compliance Officer via a toll-free number 1-877-91-SONIX.

   Our duties: We are required by law to maintain the privacy of your PHI. We must abide by the terms of this notice or any update of this notice.

   Privacy contact: for more information about our privacy practices, please contact:

   Jacqueline Selva
   Corporate Compliance and Privacy Officer
   150 Motor Parkway, Suite 304
   Hauppauge, NY 1178
   Phone (631) 231-0300 extension 221
   Toll Free Compliance Number 1-877-91-SONIX

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