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. IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT OUR PRIVACY OFFICE AT THE PHONE NUMBER AT THE BOTTOM OF THIS NOTICE. THIS NOTICE IS EFFECTIVE AS OF APRIL 1ST 2007.

Who will follow this notice?

Manhattan Cryobank Inc. provides health care to our patients in partnership with other professionals and health care organizations. The information privacy practices in this notice will be followed by all employees, medical staff or other professionals at our location.

Our pledge to you:

We understand that medical information about you is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive to provide quality care and to comply with legal requirements. This notice applies to all of the records of your care generated by our facility and providers described above. We are required by law to:

Privacy Office Contact Information

What is “PROTECTED HEALTH INFORMATION” (PHI)?

Protected health information (“PHI”) is demographic and individually identifiable health information that will or may identify the patient and relates to the patient's past, present or future physical or mental health or condition and related health care services.

Uses and Disclosure of Protected Health Information

Manhattan Cryobank Inc. uses and discloses your protected health information for treatment, payment and health care operations. The following are examples of when our office may use or disclose your PHI without your consent or authorization:

Other Uses and Disclosure of PHI:

Manhattan Cryobank Inc. may also use or disclose your PHI without your consent or authorization, in compliance with guidelines outlined by law, for the following purposes:

Other Uses and Disclosure of PHI:

In any other situation not covered by this notice, we will ask for your written authorization before using or disclosing medical information about you. If you chose to authorize use or disclosure, you can later revoke that authorization by notifying us in writing of your decision.

Right to Access and or Amend Your Records:

Right to Accounting of Disclosure:

You have the right to request an “accounting of disclosures”. An “accounting of disclosures” is a list of certain disclosures we have made of your PHI. You must submit your request in writing to Manhattan Cryobank Inc.

Right to Request Restrictions:

You may request, in writing, that we restrict certain uses or disclosure of your PHI. We will consider your request and work to accommodate it when possible, but we are not legally required to accept it. We will inform you of our decision on your request.

Requests for Confidential Communications:

You have the right to request that medical information about you be communicated to you in a confidential manner, such as sending mail to an address other than your home, by notifying us in writing of the specific way or location for us to use to communicate with you.

Communications Via E-Mail:

In order to communicate information needed to treat you, obtain payment for services, or conduct our business operations, our staff may communicate information about you via email.

Right to request a paper copy of this Notice:

You may receive a paper copy of this Notice from us upon request, even if you have agreed to receive this notice electronically.

Changes to this Notice:

We reserve the right to revise or amend this notice. Any revision or amendment to this notice will apply to medical information we already hold, as well as new information after the change occurs. Before we make a significant change in our policies, we will change our notice and post the new notice in our waiting area. You can receive a copy of the current notice at any time. The effective date is listed at the top of this form. Copies of the current notice will be available each time you come to our facility for treatment. You will be asked to acknowledge in writing your receipt of this notice.

Complaints:

Privacy Office Contact Information

Company:           Manhattan CryoBank Inc.

Privacy Officer:   Dieter Walter

Address:              110 East 40th Street, Suite 101, New York, NY 10016

Telephone:           212.396.2796

Fax:                      212.396.2797 / 646.219.6569

Web site:             www.manhattancryobank.com

Email:                  info@manhattancryobank.com