This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

Our Responsibilities

Functional Rehab is required by law to maintain the privacy of your protected health information (PHI). We may use and disclose your health information for:
• Treatment  
• Payment  
• Healthcare operations  
We may also disclose information when required by law.
Your Rights  
You have the right to:

• Request access to your medical records  
• Request corrections to your records  
• Request restrictions on certain disclosures  
• Receive confidential communications  
• File a complaint if you believe your privacy rights have been violated  

Complaints

If you believe your privacy rights have been violated, you may contact us at:
jason@functionalrehabny.com

Contact

Functional Rehab  
597 Degraw Street, Suite 2F  
Brooklyn, NY  
Phone: [Insert Phone Number]  
Email: jason@functionalrehabny.com