NOTICE OF PRIVACY PRACTICES
Dator Medical PLLC
THE LIFEBAR at Dator Medical PLLC
Effective Date: October 7, 2026
YOUR INFORMATION. YOUR RIGHTS. OUR RESPONSIBILITIES.
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.
Dator Medical PLLC, doing business as THE LIFEBAR at Dator Medical PLLC (“we,” “us,” or “our”), is committed to protecting the privacy of your protected health information (“PHI”).
This Notice of Privacy Practices describes how we may use and disclose your medical information, your rights regarding your medical information, and our responsibilities under applicable privacy laws, including the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
1. YOUR RIGHTS
When it comes to your health information, you have certain rights.
GET A COPY OF YOUR MEDICAL RECORD
You have the right to inspect and obtain a copy of your protected health information that we maintain in designated records, subject to certain legal limitations.
You may request your records in writing. We may charge a reasonable, cost-based fee where permitted by law.
ASK US TO CORRECT YOUR RECORD
You may ask us to correct health information about you that you believe is incorrect or incomplete.
We may deny your request in certain circumstances, but if we do, we will explain why in writing.
REQUEST CONFIDENTIAL COMMUNICATIONS
You may ask us to contact you in a specific way or at a specific location.
For example, you may request that we contact you only at a particular telephone number or address.
We will consider reasonable requests and will accommodate requests when required by law.
ASK US TO LIMIT WHAT WE USE OR SHARE
You may ask us not to use or disclose certain health information for treatment, payment, or healthcare operations.
We are not required to agree to every request.
However, if you pay for a healthcare service or item completely out-of-pocket and request that we not disclose information about that service or item to your health insurer for payment or healthcare operations, we will generally agree to your request unless disclosure is required by law.
GET A LIST OF THOSE WITH WHOM WE HAVE SHARED INFORMATION
You have the right to request an accounting of certain disclosures of your health information made by us during the six years prior to your request.
This accounting does not include certain disclosures, such as those made for treatment, payment, healthcare operations, or disclosures you specifically authorized.
GET A COPY OF THIS NOTICE
You have the right to request a paper copy of this Notice at any time, even if you have agreed to receive the Notice electronically.
CHOOSE SOMEONE TO ACT FOR YOU
If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your health information on your behalf.
We will verify that the person has the appropriate authority before taking action.
FILE A COMPLAINT
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights.
You will not be retaliated against for filing a complaint.
2. YOUR CHOICES
For certain health information, you may tell us your preferences about what we share.
FAMILY AND FRIENDS INVOLVED IN YOUR CARE
We may disclose information to a family member, close friend, or another person you identify who is involved in your care or payment for your care when permitted by law.
We may also disclose information to assist with disaster-relief efforts.
When appropriate, we will provide you with an opportunity to agree or object to certain disclosures.
MARKETING
We generally will not use or disclose your health information for marketing purposes without your written authorization when an authorization is required by law.
SALE OF HEALTH INFORMATION
We will not sell your protected health information without your written authorization when an authorization is required by law.
3. HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
The following are examples of circumstances in which we may use or disclose your protected health information without obtaining your written authorization, as permitted by law.
FOR TREATMENT
We may use or disclose your health information to provide, coordinate, or manage your healthcare and related services.
For example, we may use your information to evaluate your treatment needs, provide aesthetic or wellness services, coordinate care, or communicate with another healthcare provider involved in your care.
FOR PAYMENT
We may use or disclose your health information to obtain payment for services we provide.
For example, we may use your information to process payments, communicate about balances, or fulfill other payment-related activities.
FOR HEALTHCARE OPERATIONS
We may use or disclose your health information for healthcare operations.
Healthcare operations may include activities such as quality assessment, reviewing the performance of healthcare professionals, administrative activities, compliance activities, and improving the quality of care we provide.
APPOINTMENT REMINDERS AND COMMUNICATIONS
We may use your health information to contact you regarding appointments, scheduling, treatment-related information, or other healthcare-related communications.
We may contact you by telephone, text message, email, patient portal, or other communication methods you have provided to us, subject to applicable law and your preferences.
AS REQUIRED BY LAW
We may use or disclose your health information when required to do so by federal, state, or local law.
PUBLIC HEALTH ACTIVITIES
We may disclose health information for certain public health activities permitted by law, such as preventing or controlling disease, injury, or disability or reporting certain public health events.
ABUSE, NEGLECT, OR DOMESTIC VIOLENCE
We may disclose health information when permitted or required by law to report suspected abuse, neglect, or domestic violence.
HEALTH OVERSIGHT
We may disclose health information to appropriate government agencies for activities authorized by law, including audits, investigations, inspections, licensing activities, and other oversight activities.
LEGAL PROCEEDINGS
We may disclose health information in response to a court or administrative order or, in certain circumstances, in response to a subpoena or other lawful process.
LAW ENFORCEMENT
We may disclose health information for certain law enforcement purposes when permitted or required by applicable law.
SERIOUS THREAT TO HEALTH OR SAFETY
We may use or disclose health information when necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public, when permitted by law.
WORKERS’ COMPENSATION
We may disclose health information as necessary to comply with workers’ compensation laws and other similar programs established by law.
CORONERS, MEDICAL EXAMINERS, AND FUNERAL DIRECTORS
We may disclose health information to coroners, medical examiners, and funeral directors as permitted by law.
ORGAN AND TISSUE DONATION
We may use or disclose health information for purposes related to organ, eye, or tissue donation and transplantation as permitted by law.
RESEARCH
We may use or disclose health information for research purposes when permitted by applicable law and appropriate protections are in place.
SPECIALIZED GOVERNMENT FUNCTIONS
We may disclose health information for certain specialized government functions, including authorized military, national security, intelligence, protective services, and correctional activities when permitted by law.
4. OTHER USES AND DISCLOSURES
Other uses and disclosures of your protected health information that are not described in this Notice will generally require your written authorization.
If you provide written authorization, you may revoke that authorization in writing at any time, except to the extent we have already relied upon it.
5. OUR RESPONSIBILITIES
We are required by law to:
- Maintain the privacy and security of your protected health information.
- Provide you with this Notice describing our legal duties and privacy practices.
- Follow the terms of the Notice currently in effect.
- Notify you promptly if a breach occurs that may have compromised the privacy or security of your protected health information when notification is required by law.
- Use and disclose your health information only as permitted by applicable law and this Notice.
We reserve the right to change this Notice and make the revised Notice effective for all protected health information we maintain.
If we make a material change to our privacy practices, we will update this Notice and make the revised Notice available upon request and on our website.
6. YOUR RIGHT TO A COPY OF THIS NOTICE
You may request a paper copy of this Notice at any time.
You may also access the current version of this Notice on our website:
lifebarcny.com
7. YOUR RIGHT TO FILE A COMPLAINT
If you believe that your privacy rights have been violated, you may file a complaint with us.
To file a complaint with THE LIFEBAR at Dator Medical PLLC, contact:
Privacy Contact: Rita Wicks
Email: ritarn@lifebarcny.com
Phone: 315-538-3587
You may also file a complaint with the:
U.S. Department of Health and Human Services
Office for Civil Rights
You may submit a complaint through the HHS Office for Civil Rights complaint process or contact the Office for Civil Rights at:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
You will not be retaliated against for filing a complaint.
8. CONTACT US
If you have questions about this Notice of Privacy Practices or our privacy practices, please contact:
Dator Medical PLLC
THE LIFEBAR at Dator Medical PLLC
177 West 4th Street
Oswego, NY 13126
Privacy Contact: Rita Wicks
Email: ritarn@lifebarcny.com
Phone: 315-538-3587
Effective Date: October 7, 2026