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Medical Records and Privacy

Switch to:

Medical Records and Privacy

Man in doctor's office talking to doctor with white hair.

Everything you need to know

Matters relating to HIPAA are collaboratively managed by the Compliance and Information Technology departments. These departments implement policies and procedures to:

Manage the acquisition, use, and disclosure of protected health information (PHI)
Investigate privacy and security complaints and breaches
Ensure individuals receive treatment and services in accordance with the Notice of Non-discrimination policy.
Provide regulatory guidance to ACPNY staff to ensure that it complies with federal, state, and local laws and regulations, as well as its own Compliance policies.

To report a compliance or HIPAA concern, please contact the Compliance Helpline: 844-7-COMPLY (844-726-6759). Available 24 hours a day, seven days a week.

What is HIPAA?

The Health Insurance Portability and Accountability Act (HIPAA) was signed to keep patients’ medical information safe. The goals of HIPAA are to protect health insurance coverage for workers and their families when they change or lose their jobs, and to protect health data integrity, confidentiality, and availability.

To report a compliance or HIPAA concern, please contact our Compliance Helpline at 844-7-COMPLY (844-726-6759).

Notice of Privacy Practices
- English
- Spanish
- Chinese
Patient Request for Confidential Communications
- English
- Spanish
- Chinese
Patient Request for Restricted Communication
- English
- Spanish
- Chinese
Request for Amendment of Protected Health Information
- English
- Spanish
- Chinese
HIPAA Representative Form
- English
- Spanish
- Chinese
Health Care Proxy
- English
- Spanish
- Chinese

Request your medical records

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.

Please Note: A per-record service charge of $6.50 may apply when requesting paper copies of your chart.

Online with Verisma

Request medical records online—securely and conveniently

ACPNY has partnered with Verisma, a service that allows you to complete, e-sign, and submit your requests electronically from the comfort of your home (or anywhere else) 24/7. With Verisma, you avoid any need for hardcopy forms, faxing or mailing. To request your own medical records from Verisma, start here. If you are requesting records on behalf of an ACPNY patient, start here.

myACPNY Patient Portal

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 main menu on the top of the screen to search for your medical records.

If you do not have a sign-in or activation code, click on "Sign Up Online" 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:    

Mailing Address:             

AdvantageCare Physicians

55 Water Street, 12th Floor, Rm 12-G20

New York, NY 10041

Attn: Verisma

By Fax

To make a request by fax 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 fax to 646-766-9798.

Get in touch

It is our goal to provide you with excellent customer service. If you have any questions regarding release of PHI, or on completing the required authorization form, please call the Health Information Management Department at 646-680-1234.

Matters relating to HIPAA (the Health Insurance Portability and Accountability Act of 1996) are collaboratively managed by our Compliance and Information Technology departments. The departments implement policies and procedures to manage the acquisition, use and disclosure of protected health information (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.