Medical Records & Privacy Information
AdvantageCare Physicians (ACPNY) is committed to protecting the privacy and security of your health information under the Federal Health Insurance Portability and Accountability Act (HIPAA). To protect our patients' privacy and confidentiality, ACPNY strives to ensure the security of protected health information (PHI). Our Notice of Privacy Practices explains how all ACPNY team members will safeguard your privacy and your rights related to accessing your own medical record and controlling who has access to it.
Matters relating to HIPAA are collaboratively managed by the Compliance and Information Technology departments. The departments implement policies and procedures to manage the acquisition, use and disclosure of PHI; investigate privacy and security complaints and breaches; and provide regulatory guidance to ACPNY staff to ensure that it complies with federal, state, and local laws and regulations, as well as its own policies.
To report a compliance or HIPAA concern, please contact: Compliance Helpline: 844-7-COMPLY (844-726-6759). Available 24 hours a day, 7 days a week.
Click below to access these patient forms:
Notice of Privacy Practices - English
Noticed of Privacy Practices - Spanish
Patient Request for Confidential Communications
Patient Request for Restricted Communications
Request for Amendment of Protected Health Information
Request Your Medical Record
At ACPNY, your privacy is our priority. You have a right to access a copy of your medical records and trust that your information is kept secure. Your records are strictly confidential and protected against any unauthorized release of your PHI.
You can obtain a copy of your medical record electronically or by mail:
- Electronically: The fastest, most convenient way to locate your medical record is to access myACPNY, our free online patient portal. Simply sign in with your username and password and click on the medical records tab at the top of the screen. If you do not have a sign-in or a registration code, access myACPNY, click on "I do not have a registration code" and follow the onscreen instructions.
- By Mail: To make a request by mail please access our Authorization Form, giving our medical staff appropriate permission to release your chart. Please print out the form, complete it, and provide a copy of a legal identification (passport or driver's license) with your signature.
Please mail it to the Health Information Management Department at the address below.
55 Water Street, 12th Floor, Rm 12-G20
New York, NY 10041
- By Fax: (646) 766-9798
Your Personal Information
The Limited Ways We Use Your Information
We do not sell or license your information. These are the limited ways we interact with your information in connection with our mobile apps:
When you choose to add a profile photo to our mobile apps, you may select an existing photo on your device or take a new photo using the camera app on your device. If you select an existing photo on your device, we store a copy of your chosen photo in app-private storage on your device. If you use the camera app on your device to take a new photo, the photo you take is first saved to your camera app and then also saved to app-private storage on your device. If you remove the photo from your profile or delete our mobile apps, the copy of the photo is deleted from the app-private storage, but the photo saved to your camera app remains available in your camera app until you choose to delete it. If you already have a photo stored in your profile through your healthcare organization – we do not interact with that photo in any way.
You choose to use Apple’s HealthKit or Google Fit, we create encrypted identifiers to identify recipients of your Apple’s HealthKit or Google Fit data and store them on your device in app-private storage. If you choose to stop using Apple HealthKit or Google Fit or delete our mobile apps, the identifiers are deleted.
When you choose to view documents from your healthcare organization (such as letters or images) using our mobile apps, to make the files viewable for you we temporarily store copies on your device in app-private storage. The temporary copies are deleted when you close your session on our mobile apps.
If your healthcare organization offers automatic appointment arrival and you choose to enable it, we temporarily store identifiers and times for your upcoming appointments in app-private storage to detect when you arrive for an upcoming appointment. If you choose to stop using our mobile apps or you disable automatic appointment arrival, the identifiers are deleted.
If your healthcare organization offers location-based check in for in-person appointments, or allows you to find healthcare providers near you, you may choose to allow our mobile apps to interact with your location data for those purposes. We do not store your location data.
If your healthcare organization allows you to notify front desk staff electronically when you arrive for an appointment, you may choose to allow our mobile apps to interact with your Bluetooth data for this purpose. We do not store your Bluetooth data.
While you use our apps, we collect non-identifying information so we can provide customer service to you or your healthcare organization and understand how people use our mobile apps so we can improve our products. This information includes the time you began using the app, the healthcare organization you interacted with, any error messages or codes, the model of device used and its operating system, and the version of our mobile app used. If you use Android devices, we also collect your connection type (cellular or Wi-Fi) during an error.
You may contact us through the methods listed on Our Website. If you contact us, we may keep a record of the communication. You can decide how much information you want to share with us in those cases.
Your Healthcare Organizations
For Android Users – Required Google Play Disclosures for Certain Health Apps
myACPNY may offer location-based check-in for in-person appointments or allow you to find healthcare providers near you. The first time you try to use any features that use your location, we will ask for your consent within the app and will only access your location if you give consent. You do not have to provide consent if you do not want to allow myACPNY to use your location. We do not store your location data.
Here is more information about the kinds of data this app may collect and share, and security practices the app may follow. Data practices may vary based on your app version, use, region, and age. Learn more
No data shared with third parties. myACPNY doesn't share user data with other companies or organizations. Learn more about sharing.
Google has determined our mobile apps are subject to their COVID-19 apps requirements. As a result, we are required to provide the following information so we can make our mobile apps available to you in the Play store.
Our mobile apps interact with your microphone only if you choose to use your microphone to navigate our mobile apps. Our mobile apps interact with your camera roll only if you choose to add a profile photo to a profile in our mobile apps. This information is not used in connection with COVID-19.
Our mobile apps access, collect, use, and share your information as stated above in the section titled, “The Limited Ways We Use Your Information.”
Our mobile apps were not created specifically for the COVID-19 pandemic. They existed before the COVID-19 pandemic to allow you to access your health information on file with your healthcare organization. Your healthcare organization may allow you to access COVID-19-related vaccination information, laboratory test results, and documents with illness-related information using our mobile apps. You may choose if or how you want to access, display, or use the information – just like you can make those decisions about health information relating to other conditions, services, tests, or vaccinations.
Your healthcare organization may allow you to use our mobile apps to conduct telehealth appointments with your healthcare providers. Our mobile apps only provide the technical support for those appointments to happen. We do not interact with any health information about you exchanged during any telehealth appointments.
For More Information
It is our goal to provide you with excellent customer service. If you have any questions regarding the release of PHI, or on completing the required authorization form, please call the Health Information Management Department at (646) 680-1234.
Application Location Settings
Why does your app need access to location in the background:
One feature allows patients to indicate that they’ve arrived for a scheduled appointment, which may let them skip the front desk and minimize contact. We can prompt patients to log in and arrive for their appointment based on their current location and where we expect their appointment to take place. This location-based arrival prompt requires access to the location in the background so we can provide this prompt even if the patient doesn’t currently have the app open and in the foreground.