Notice of Privacy Practices

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.

Effective date: November 9, 2026

This notice covers Union Square Rehab & Health (Dr. Phillip Kaczmarek, DC, PT), 2448 Union Rd #1, Cheektowaga, NY 14227.

Questions or requests: our Privacy Officer, Dr. Phillip Kaczmarek, (716) 656-0200.

How we use and share your health information

• Treatment. Example: we send a progress update to your surgeon or primary care doctor.
• Payment. Example: we send information to your health plan, or to the no-fault or workers' compensation insurer, so we get paid.
• Running our practice. Example: we use your information to schedule you, remind you of appointments, and review the quality of our care.

We may also use or share your information without your written permission when the law allows or requires it:

• With family, friends, or others involved in your care or payment, or for disaster relief, unless you tell us not to
• For public health and safety: preventing disease, product recalls, reporting reactions to medications, reporting suspected abuse, neglect, or domestic violence, and preventing a serious threat to health or safety
• For health research
• When state or federal law requires it, including to the U.S. Department of Health and Human Services to show we follow privacy law
• For organ and tissue donation, and to coroners, medical examiners, and funeral directors
• For workers' compensation, law enforcement, health oversight agencies, and special government functions (military, national security, presidential protection)
• In response to a court or administrative order or a subpoena

Substance use disorder records. If we have substance use disorder treatment records about you that are covered by 42 CFR part 2, we will not use or share them in a civil, criminal, administrative, or legislative investigation or proceeding against you without your written consent or a court order and a subpoena.

New York law. New York gives extra protection to HIV-related information and genetic test results. We will not share them without your specific written permission unless the law allows it.

Uses that need your written permission. We will not use or share your information for marketing, sell it, or share most psychotherapy notes without your written permission. Any use not described in this notice also needs your written permission. You can take back your permission in writing at any time; this does not undo what we already did.

Your rights

To use any of these rights, contact our Privacy Officer.

• See or get a copy of your health and billing records, on paper or electronically. We may charge a reasonable, cost-based fee.
• Ask us to correct your records. If we say no, we will tell you why in writing.
• Ask us to contact you a certain way or at a certain address. We will agree to reasonable requests.
• Ask us to limit what we use or share. We do not have to agree, except: if you paid for a service in full yourself, we will not share it with your health plan for payment or operations unless the law requires it.
• Get a list of the times in the past six years we shared your information for reasons other than treatment, payment, or operations (and certain other exceptions).
• Get a paper copy of this notice at any time.
• File a complaint with us, or with the U.S. Department of Health and Human Services Office for Civil Rights: 200 Independence Avenue, S.W., Washington, D.C. 20201, 1-877-696-6775, or www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.

Our responsibilities

• The law requires us to protect the privacy of your health information and to give you this notice of our duties and practices.
• We will tell you if a breach occurs that may have compromised your information.
• We must follow this notice.
• We can change this notice. Changes will apply to all information we have about you. The new notice will be in our office, on our website, and available on request.

This website

This website does not ask you for personal or health information. It has no contact forms, no advertising trackers and no analytics cookies. Videos load from YouTube only if you press Play. Our hosting provider may keep basic technical logs, such as IP addresses, to keep the site secure and running.