The Mount Sinai Medical Center is committed to protecting the privacy of your medical information. So that we can best meet your needs, we have provided the following documents to describe our privacy policy in detail. To fully understand our policy we have provided forms for you to review. In addition, we will ask you to sign an 'acknowledgment' indicating that you have been provided with this notice.
Contact Us
If you have any questions or concerns please contact the following people:
- Mount Sinai Hospital Privacy Officer (212) 241-4669
- Mount Sinai School of Medicine FPA Patient Rights Coordinator (212) 241-7715
- Mount Sinai Hospital Queens Privacy Officer (718) 267-4220
- Patient Privacy Notice [PDF]
- Use of Patient Information Authorization [PDF]
- Patient Access Request for Information [PDF]
- Business Associate Agreement [PDF]
- Patient Authorization for Release of Medical Information to Third Party [PDF]
- Authorization for Release of Confidential HIV Information [PDF]
- Authorization for Release of Confidential HIV Information en Espanol [PDF]
