Office Policies at NNH

Privacy Policy

Effective Date: 09/22/2013

Your Information. Your Rights. Our Responsibilities.
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.


You have the right to:

  • Get a copy of your paper or electronic medical record
  • Correct your paper or electronic medical record
  • Request confidential communication
  • Ask us to limit the information we 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
  • File a complaint if you believe your privacy rights have been violated


You have some choices in the way that we use and share information as we:

  • Tell family and friends about your condition
  • Provide disaster relief
  • Include you in a hospital directory
  • Provide mental health care
  • Market our services and sell your information
  • Raise funds


We may use and share your information as we:

  • Treat you
  • Run our organization
  • Bill for your services
  • Help with public health and safety issues
  • Do research
  • 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


When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your medical record

  • You can ask to see or get an electronic or paper 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.
  • If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

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 the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one 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. We will provide you with a paper copy promptly.
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.
  • We will make sure the person has this authority and can act for you before we take any action.

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 on page 1.
  • You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting
  • We will not retaliate against you for filing a complaint.


For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:

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

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In these cases we never share your information unless you give us written permission:

  • Marketing purposes
  • Sale of your information
  • Most sharing of psychotherapy notes

In the case of fundraising:

  • We may contact you for fundraising efforts, but you can tell us not to contact you again.


How do we typically use or share your health 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.
Example: A doctor treating you for an injury asks another doctor about your overall health condition.

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

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

Example: We give information about you to your health insurance plan so it will pay for your services.

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see:
Help with public health and safety issues
We can share health information about you for certain situations such as:

  • Preventing disease
  • Helping with product recalls
  • Reporting adverse reactions to medications
  • Reporting suspected abuse, neglect, or domestic violence
  • Preventing or reducing a serious threat to anyone’s health or safety

Do research
We can use or share your information for health research.
Comply with the law
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
Respond to organ and tissue donation requests
We can share health information about you with organ procurement organizations.
Work with a medical examiner or funeral director
We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
Address workers’ compensation, law enforcement, and other government requests
We can use or share health information about you:

  • For workers’ compensation claims
  • For law enforcement purposes or with a law enforcement official
  • With health oversight agencies for activities authorized by law
  • For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions
We can share health information about you in response to a court or administrative order, or in response to a subpoena.


  • 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 and give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see:


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 web site.


  • Effective Date:  09/22/2013
  • Contact Information
    NNH HIPAA Compliance Manager:  Dr. Hurwitz
    P: (518) 324-4000
    F: (518) 324-4001
    Northern Nephrology & Hypertension
    Attn: NNH HIPAA Compliance Manager
    52 Tom Miller Rd
    Plattsburgh, NY 12901
  • We never market or sell personal information.

Financial Policy

Payment is required at the time services are rendered unless other arrangements have been made in advance.  This includes applicable coinsurance and copayments for participating insurance companies.  We accept cash, personal check (out of state with driver’s license), VISA, MasterCard and American Express. There is a $20 service charge for returned checks.
Patients with an outstanding balance of 60 days overdue must make arrangements for payment prior to the next scheduled appointment.  We realize that people have financial difficulty and we are willing to negotiate payment plans if necessary.
If you have no insurance coverage, payment is required in full at the time services are rendered.

We bill participating insurance companies as a courtesy to you.  You are expected to pay your deductible and copayments at the time of service.  If we have not received payment from you insurance company within 45 days of the date of service, you will be expected to pay the balance in full.  You are responsible for all charges.  We bill secondary insurance companies after the primary payment has been made.
If you need assistance or have questions, please contact the Billing Coordinator between 9:00 a.m. and 4:00 p.m., Monday through Friday at (518) 324-4000.

Overpayments will be refunded upon written request to the responsible party within 30 days.

If you are enrolled in a managed care insurance plan (i.e., HMO), you must receive a referral from your primary caregiver (e.g., Physician, Physician’s assistant or Nurse Practitioner) before the visit.  If you do not have a referral, payment must be made at the time of service or your appointment will be rescheduled.

Missed & Late Appointments

Missed appointments represent a cost to us, to you and to other patients who could have been seen in the time set aside for you.  Cancellations are requested 24 hours prior to the appointment.  We reserve the right to charge for missed or late-canceled appointments.  Excessive abuse of scheduled appointments may result in discharge from the practice.

What to expect on your first visit.

The first time you see the doctor is often stressful and can be anxiety provoking. Discussing health issues is tough enough but now it's a new doctor, new staff and new setting that is unfamiliar. The most important thing to prepare is the "new patient handout" listed above. Please be sure to fill this out prior to the visit. The other forms should also be signed but are not as critical to your health history. You can take you r time at home going through the handout, which collects lots of health history related to your overall health and imiportantly, conditions that can cause kidney trouble. Be sure the medication list and allergy list are as accurate as possible. If you are confused about any of your meds just bring the bottles with you to the appointment. You will be greeted by Amy - our secretary who will confirm your insurance information. Please be sure to have your insurance cards with you so they can be photocopied. You will then go into an exam room for a weight and a few blood pressure readings. Our staff will confirm a brief history. I will then review your history in detail with you. You will then have a physical exam. No blood work is collected but you may need to give a urine specimen for analysis. After the appointment we will confirm a plan and you will leave with typed out instructions. There is always time for questions. Amy will check you out and arrange for any testing that is ordered. She will also schedule your follow up appointment if one is necessary.

Main Office

Northern Nephrology & Hypertension
52 Tom Miller Road
Plattsburgh, NY 12901
Phone: (518) 324-4000
Fax: (518) 324-4001

Office Hours: Mon-Fri 9AM-5PM

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