• (602) 900-9404

1010 E McDowell Road, Suite 101, Phoenix, AZ 85006

⭐ Dr. Saperstein is gradually returning to clinic  |  Limited waitlist scheduling now underway  |  READ UPDATE

NOTICE OF PRIVACY PRACTICES

🔷 Overview

This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information.

We are committed to protecting your privacy in accordance with applicable federal and state laws, including the Health Insurance Portability and Accountability Act (HIPAA).

🔷 Your Rights

You have the right to:

  • Get a copy of your paper or electronic medical record
  • Request corrections to your medical record
  • Request confidential communications
  • Ask us to limit the information we use or share
  • Get a list of those with whom we’ve shared your information
  • Get a copy of this privacy notice
  • Choose someone to act for you (such as a medical power of attorney)
  • File a complaint if you believe your privacy rights have been violated


Get an electronic or paper copy of your medical record

You can ask to see or get a copy of your medical record and other health information we have about you. Ask us how to do this.
We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information for treatment, payment, or our operations.
We are not required to agree to your request, and we may say “no” if it would affect your care.

Get a list of those with whom we’ve shared information

You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
We will include all disclosures except those about treatment, payment, and health care operations, and certain other disclosures.
We’ll provide one accounting per year for free but will charge a reasonable, cost-based fee if you ask for another within 12 months.

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.

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 and make choices about your health information.

File a complaint if you feel your rights are violated

You can complain if you feel we have violated your rights by contacting us using the information below.
You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

We will not retaliate against you for filing a complaint.

🔷 Your Choices

For certain health information, you can tell us your choices about what we share.

You can tell us to:

  • Share information with your family, close friends, or others involved in your care
  • Share information in a disaster relief situation

If you are not able to tell us your preference, we may share your information if we believe it is in your best interest.


We will not share your information without your written permission for:

  • Marketing purposes
  • Sale of your information

🔷 How We Use and Share Your Information

We typically use or share your health information in the following ways:

Treat you: We can use your health information and share it with other professionals who are treating you.

Run our organization: We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Bill for services: We can use and share your health information to bill and get payment from health plans or other entities.


We may also share your information to:

  • Help with public health and safety issues
  • Comply with the law
  • Respond to organ and tissue donation requests
  • Work with a medical examiner or funeral director
  • Address workers’ compensation, law enforcement, and other government requests
  • Respond to lawsuits and legal actions

🔷 Our Responsibilities

We are required to:

  • Maintain the privacy and security of your protected health information
  • Notify you promptly if a breach occurs that may have compromised your information
  • Follow the duties and privacy practices described in this notice
  • Provide you with a copy of this notice upon request


We will not use or share your information other than as described here unless you give us written permission.

🔷 Changes to This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you.

The new notice will be available upon request, in our office, and on our website.

🔷 Contact Information

If you have questions about this notice or your privacy rights, please contact:

Center for Complex Neurology, EDS & POTS
1010 E McDowell Rd, Suite 101
Phoenix, AZ 85006
Phone: (602) 900-9404

You may also contact the U.S. Department of Health and Human Services Office for Civil Rights.

🔷 Effective Date

Effective Date: 10/24/2021