HIPAA Privacy Notice HIPAA Privacy Notice

HIPAA Notice of Privacy Practices Statement for: 
NEW YORK, NY 10040


HIPAA is an acronym for "Health Insurance Portability and Accountability Act." HIPAA was enacted to ensure the privacy and confidential handling of medical information for all patients in the U.S. It applies to all medical and dental health service providers.

How We Collect Information From You: LIGHTHOUSE PEDIATRICS and its employees collect data through a variety of means including but not necessarily limited to letters, phone calls, emails, voice mails, and from the submission of applications that is either required by law, or necessary to process applications or other requests for assistance through our organization.

What We Do Not Do With Your Information: Information about your financial situation and medical conditions and care that you provide to us in writing, via email, on the phone (including information left on voice mails), contained in or attached to applications, or directly or indirectly given to us, is held in strictest confidence. We do not give out, exchange, barter, rent, sell, lend, or disseminate any information about applicants or clients who apply for or actually receive our services that is considered patient confidential, is restricted by law, or has been specifically restricted by a patient/client in a signed HIPAA consent form.

How We Use Your Information: Information is only used as is reasonably necessary to provide you with health care services which may require communication between other health care providers, medical product or service providers, pharmacies, insurance companies, and other providers necessary to: verify your medical information is accurate; determine the type of medical supplies or any health care services you need including, but not limited to; or to obtain or purchase any type of medical supplies, devices, medications, insurance, If you apply or attempt to apply to receive assistance through us and provide information with the intent or purpose of fraud or that results in either an actual crime of fraud for any reason including willful or un-willful acts of negligence whether intended or not, or in any way demonstrates or indicates attempted fraud, your non-medical information can be given to legal authorities including police, investigators, courts, and/or attorneys or other legal professionals, as well as any other information as permitted by law.

Limited Right to Use Non-Identifying Personal Information from Biographies, Letters, Notes, and Other Sources: Any pictures, stories, letters, biographies, correspondence, or thank you notes sent to us become the exclusive property of LIGHTHOUSE PEDIATRICS. We reserve the right to use non-identifying information about our clients (those who receive services or goods from or through us) for fundraising and promotional purposes that are directly related to our mission.

HIPPA Consent Form: Patient must sign HIPAA consent form, stating that they have read and/or received a copy of LIGHTHOUSE PEDIATRICS's HIPPA Policy. If patient's age is under the age of 18 years old, parent or guardian will sign the HIPAA Form.

Contact Information: If you have any questions about this privacy policy or LIGHTHOUSE PEDIATRICS, P.C. treatment of your personal information, please contact:


NEW YORK, NY 10040
PHONE: 212-781-0800