Privacy and Accessibility
HIPAA Notice of Privacy Practices
Our responsibilities
How we may use and disclose your information
Treatment
We may use and disclose your health information to provide, coordinate, and manage your care, including consultations, referrals, prescriptions, laboratory services, imaging, and communication with other treating providers.
Payment
We may use and disclose your information to bill and collect payment, verify eligibility, obtain prior authorization, submit claims, and coordinate benefits.
Health care operations
We may use and disclose information for quality improvement, credentialing, training, auditing, compliance, patient safety, business planning, and other activities needed to operate our practices.
Care coordination and value-based care
We may use and disclose information as permitted by law to coordinate care, support population health activities, improve outcomes, measure quality, and participate in value-based arrangements.
Other permitted or required uses
We may also use or disclose information as permitted or required for public health activities, health oversight, abuse or neglect reporting, judicial and administrative proceedings, law enforcement, workers’ compensation, organ and tissue donation, research approved under applicable requirements, and to prevent or lessen a serious threat to health or safety.
Uses that require written authorization
Substance use disorder records
Your rights
- Inspect or obtain an electronic or paper copy of health and billing records, subject to limited exceptions.
- Ask us to correct health information that you believe is incorrect or incomplete.
- Request confidential communications at an alternative address or by an alternative method.
- Ask us to limit certain uses or disclosures. We are not required to agree to every request.
- Request that we not disclose information about care to a health plan when you paid for that care in full out of pocket, unless disclosure is required by law.
- Receive an accounting of certain disclosures.
- Choose someone to act for you when that person has legal authority.
- Receive a paper copy of this notice at any time.
Family, caregivers, and personal representatives
Unless you object, we may share information relevant to your care or payment with a family member, caregiver, personal representative, or another person involved in your care. We may use professional judgment when you are unable to express a preference.
Communications
Complaints and questions
Michelle Smith
3085 Harlem Road (Suite 350)
Cheektowaga, NY 14225
(716)-844-5652 / msmith@maximweb.com
Changes to this notice
Website Privacy Notice
This Website Privacy Notice explains how information may be collected, used, disclosed, and protected when you visit these Great Lakes websites. It is separate from our HIPAA Notice of Privacy Practices, which describes how protected health information may be used and disclosed.
Information we may collect
Information you provide
We may collect information you submit through website forms, including your name, email address, telephone number, insurer selection, and communications you send to us.
Information collected automatically
Our website and service providers may collect technical information such as IP address, browser type, device type, pages visited, referral source, and approximate location derived from an IP address. Confirm the technologies actually deployed before publication.
How we may use information
- Respond to requests and provide practice information.
- Operate, secure, maintain, and improve the website.
- Measure use of website content and services.
- Administer insurance-participation support submissions.
- Comply with legal obligations and protect rights and safety.
Insurance-participation submissions
Do not submit medical information through general forms
Cookies and analytics
Service providers and links
We may use vendors to host, secure, analyze, or support website services. Links to insurer, government, and other third-party websites are governed by those organizations’ policies.
Security and retention
Children's privacy
Your choices
Contact us
Allison Stoll
3085 Harlem Road (Suite 350)
Cheektowaga, NY 14225
(716)-844-5630 / astoll@maximweb.com
Changes
Accessibility Statement
Our accessibility goal
Accessibility measures
- Semantic headings and page landmarks.
- Keyboard-accessible navigation and controls.
- Visible keyboard focus indicators.
- Readable typography and sufficient color contrast.
- Text alternatives for meaningful images.
- Form labels, instructions, and understandable error messages.
- Responsive layouts that support enlargement and mobile use.
- Reduced-motion support where animation is used.
Ongoing work
Third-party content
Request assistance or report a barrier
Accessibility Assistance
website_accessibility@greatlakesurology.com
