Patient forms and notices

• HIPAA Notice of Privacy Practices

  How we may use and disclose your health information, and your rights under HIPAA. The web version is the most current. Read it online.

  Download HIPAA Notice of Privacy Practices (PDF)

• Medicare Prescription Drug Coverage and Your Rights

  CMS notice (Form CMS-10147) in English and Spanish explaining how to request a coverage determination or exception from your Medicare drug plan.

  Download Medicare Prescription Drug Coverage and Your Rights (PDF)

• Medicare DMEPOS Supplier Standards

  The standards every Medicare durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) supplier must meet, under 42 C.F.R. § 424.57(c).

  Download Medicare DMEPOS Supplier Standards (PDF)

If any document isn’t accessible to you, call (516) 900-0636 and we’ll provide it promptly in an accessible format, such as large print.