Under the HIPAA Privacy Rule, individuals have the right to request restrictions on the use and disclosures of their Protected Health Information (PHI). To better serve you, we may send appointment reminders, updates, and other notifications to your mobile device via text message or email notification. These notifications are intended to support your care, and we are committed to protecting your privacy. These text notifications are protected in compliance with HIPAA regulations. While we take precautions to protect your privacy, there is a risk of unintended disclosure if someone has access to your messages. If you prefer not to receive text notifications, please let us know, and we will update your communication preferences. You can opt-out at any time to receive any text message from us. By completing this form, you authorize and consent to opt in to receive communications via text message and email by New York Cancer & Blood Specialists (NYCBS).

The Privacy Rule generally requires healthcare providers to take reasonable steps to limit the use or disclosure of, and requests for PHI to the minimum necessary to accomplish the intended purpose. These provisions do not apply to uses or disclosures made pursuant to an authorization requested by the individual. Healthcare entities must keep records of PHI disclosures. Information provided below, If completed properly will constitute an adequate record.

Note: Uses and disclosures for TPO may be permitted without prior consent in an emergency.