Notice of Privacy Practices
HIPAA
Effective Date: January 22, 2026
Practice Name: Merry Alijoski Marriage & Family Therapy
Current Business Structure: Sole Proprietorship (PLLC formation pending)
Pending Business Name: Merry Alijoski Marriage & Family Therapy PLLC
Website: https://premiersessions.com
Contact Email: Alijoskimerry@gmail.com
Business Phone: (914) 298-7003
Office Location: 16 School St, Rye, NY 10580
This Notice describes how medical and mental health information about you may be used and disclosed and how you can access this information. Please review it carefully.
Effective Date: January 22, 2026
Practice Name: Merry Alijoski Marriage & Family Therapy
Current Business Structure: Sole Proprietorship (PLLC formation pending)
Pending Business Name: Merry Alijoski Marriage & Family Therapy PLLC
Website: https://premiersessions.com
Contact Email: Alijoskimerry@gmail.com
Business Phone: (914) 298-7003
Office Location: 16 School St, Rye, NY 10580
This Notice describes how medical and mental health information about you may be used and disclosed and how you can access this information. Please review it carefully.
Our Legal Duty
We are required by law to maintain the privacy and security of your protected health information (PHI). We must follow the duties and privacy practices described in this Notice and provide you with a copy of it upon request.
We will not use or share your information other than as described here unless you tell us we can in writing. You may change your mind at any time by submitting a written request.
How We May Use and Disclose Your Information
For Treatment
We may use your PHI to provide, coordinate, or manage your mental health care and related services. This may include consultation with other healthcare providers involved in your care.
For Payment
We may use and disclose your PHI to obtain payment for services, including billing insurance companies or processing payments.
For Healthcare Operations
We may use your PHI for administrative, legal, quality improvement, and business operations necessary to run the practice.
As Required by Law
We may disclose your PHI when required to do so by federal, state, or local law, including public health reporting and court orders.
To Prevent Serious Harm
We may disclose PHI when necessary to prevent a serious threat to your health, safety, or the safety of others.
Abuse, Neglect, or Domestic Violence
We may disclose information as required by law to report suspected abuse, neglect, or domestic violence.
Health Oversight Activities
We may disclose information to health oversight agencies for audits, investigations, inspections, and licensure activities.
Legal Proceedings and Law Enforcement
We may disclose PHI in response to a court order, subpoena, or other lawful process.
Uses and Disclosures Requiring Your Authorization
We will obtain your written authorization before using or disclosing your PHI for purposes not described in this Notice, including:
Marketing purposes
Sale of your information
Certain disclosures of psychotherapy notes
You may revoke your authorization in writing at any time.
Your Rights
You have the right to:
Request Restrictions
Ask us not to use or share certain PHI for treatment, payment, or operations (we are not required to agree in all cases).
Request Confidential Communications
Ask us to contact you in a specific way or at a specific location.
Inspect and Copy Your Records
Request access to your medical records and obtain copies.
Request Amendments
Ask for corrections if you believe information is incorrect or incomplete.
Receive an Accounting of Disclosures
Request a list of certain disclosures made of your PHI.
Receive a Paper Copy of This Notice
You may request a paper copy of this Notice at any time.
Be Notified of a Breach
You will be notified if a breach occurs that compromises the privacy or security of your PHI.
Your Choices
You may tell us your preferences regarding sharing information with family, close friends, or others involved in your care or payment.
If you are unable to communicate your preference, we may share information if we believe it is in your best interest.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Merry Alijoski Marriage & Family Therapy
Email: Alijoskimerry@gmail.com
Phone: (914) 298-7003
Or with the U.S. Department of Health and Human Services Office for Civil Rights:
https://www.hhs.gov/ocr/privacy/hipaa/complaints
You will not be penalized or retaliated against for filing a complaint.
Changes to This Notice
We reserve the right to change this Notice and make the revised Notice effective for all PHI we maintain. Updated versions will be available upon request and posted where appropriate.
Contact Information
If you have questions about this Notice, your privacy rights, or how your information is handled, please contact:
Merry Alijoski Marriage & Family Therapy
Phone: (914) 298-7003
Email: Alijoskimerry@gmail.com
Office: 16 School St, Rye, NY 10580
We are required by law to maintain the privacy and security of your protected health information (PHI). We must follow the duties and privacy practices described in this Notice and provide you with a copy of it upon request.
We will not use or share your information other than as described here unless you tell us we can in writing. You may change your mind at any time by submitting a written request.
How We May Use and Disclose Your Information
For Treatment
We may use your PHI to provide, coordinate, or manage your mental health care and related services. This may include consultation with other healthcare providers involved in your care.
For Payment
We may use and disclose your PHI to obtain payment for services, including billing insurance companies or processing payments.
For Healthcare Operations
We may use your PHI for administrative, legal, quality improvement, and business operations necessary to run the practice.
As Required by Law
We may disclose your PHI when required to do so by federal, state, or local law, including public health reporting and court orders.
To Prevent Serious Harm
We may disclose PHI when necessary to prevent a serious threat to your health, safety, or the safety of others.
Abuse, Neglect, or Domestic Violence
We may disclose information as required by law to report suspected abuse, neglect, or domestic violence.
Health Oversight Activities
We may disclose information to health oversight agencies for audits, investigations, inspections, and licensure activities.
Legal Proceedings and Law Enforcement
We may disclose PHI in response to a court order, subpoena, or other lawful process.
Uses and Disclosures Requiring Your Authorization
We will obtain your written authorization before using or disclosing your PHI for purposes not described in this Notice, including:
Marketing purposes
Sale of your information
Certain disclosures of psychotherapy notes
You may revoke your authorization in writing at any time.
Your Rights
You have the right to:
Request Restrictions
Ask us not to use or share certain PHI for treatment, payment, or operations (we are not required to agree in all cases).
Request Confidential Communications
Ask us to contact you in a specific way or at a specific location.
Inspect and Copy Your Records
Request access to your medical records and obtain copies.
Request Amendments
Ask for corrections if you believe information is incorrect or incomplete.
Receive an Accounting of Disclosures
Request a list of certain disclosures made of your PHI.
Receive a Paper Copy of This Notice
You may request a paper copy of this Notice at any time.
Be Notified of a Breach
You will be notified if a breach occurs that compromises the privacy or security of your PHI.
Your Choices
You may tell us your preferences regarding sharing information with family, close friends, or others involved in your care or payment.
If you are unable to communicate your preference, we may share information if we believe it is in your best interest.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Merry Alijoski Marriage & Family Therapy
Email: Alijoskimerry@gmail.com
Phone: (914) 298-7003
Or with the U.S. Department of Health and Human Services Office for Civil Rights:
https://www.hhs.gov/ocr/privacy/hipaa/complaints
You will not be penalized or retaliated against for filing a complaint.
Changes to This Notice
We reserve the right to change this Notice and make the revised Notice effective for all PHI we maintain. Updated versions will be available upon request and posted where appropriate.
Contact Information
If you have questions about this Notice, your privacy rights, or how your information is handled, please contact:
Merry Alijoski Marriage & Family Therapy
Phone: (914) 298-7003
Email: Alijoskimerry@gmail.com
Office: 16 School St, Rye, NY 10580
