Notice of Privacy Practices
Lampert Medical, PLLC d/b/a Wellesley Medical
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.
Our duties
We are required by law to maintain the privacy and security of your protected health information (PHI), to provide you this Notice of our legal duties and privacy practices, to notify you following a breach of unsecured PHI, and to follow the terms of the Notice currently in effect.
How we may use and disclose your health information without your authorization
- Treatment. To provide, coordinate, and manage your care — for example, sending prescriptions to your pharmacy, ordering labs from LabCorp or Quest Diagnostics, or sharing records with a specialist we refer you to.
- Payment. To bill and collect payment for services — for example, processing your card payment through our payment processor.
- Health care operations. To run the practice — quality review, compliance, administrative services performed by our management company under a business associate agreement, and secure technology vendors (scheduling, messaging, records) who are contractually bound to protect your information.
- As required by law, including public health reporting, health oversight activities, judicial and administrative proceedings, law enforcement purposes as permitted by law, and to avert a serious threat to health or safety.
Uses and disclosures requiring your written authorization
Most uses and disclosures of psychotherapy notes; marketing; any sale of PHI; and any purpose not described in this Notice require your written authorization, which you may revoke at any time in writing (except to the extent we have already acted on it). We do not sell your information. We do not use your information for third-party marketing.
Your rights
- Access: inspect and receive a copy of your records, including an electronic copy, generally within 30 days of request.
- Amendment: request amendment of your records; if we deny the request, you may submit a statement of disagreement.
- Accounting of disclosures: receive a list of certain disclosures we have made.
- Restrictions: request restrictions on uses/disclosures; we must agree to restrict disclosure to a health plan for services you paid for in full out of pocket (which, as a cash-pay practice, applies broadly to your care here).
- Confidential communications: request that we contact you by specific means or at a specific location.
- Paper copy: receive a paper copy of this Notice at any time.
- Breach notification: be notified if a breach compromises your unsecured PHI.
Complaints
If you believe your privacy rights have been violated, you may complain to us at the contact below and/or to the U.S. Department of Health and Human Services, Office for Civil Rights. You will never be penalized or retaliated against for filing a complaint.
Privacy contact
Seth Lampert, MD
Lampert Medical, PLLC d/b/a Wellesley Medical
888 Worcester Street, Suite 130
Wellesley, MA 02482
Email: admin@wellesleymedical.com
Phone: (781) 226-4112
We reserve the right to change this Notice and to make the revised Notice effective for PHI we already hold; the current Notice is always available on our website and on request.