• Choices Women’s Medical Center:
  • 147-32 Jamaica Avenue
  • Queens, NY 11435

Compliance Program

Letter from the Chief Executive Officer

Choices Women’s Medical Center (CWMC) has a long-standing reputation for lawful and ethical behavior, a reputation which you and your fellow employees and physicians have earned over the years. Choices Women’s Medical Center has a Compliance Program and a Compliance Advisory Committee that includes representation from the Clinical Practice, the Human Resource and the Center-wide Administration.

The program ensures that the center maintains its commitment to legal and ethical conduct by all employees and physicians. The primary objective is to provide direction, guidance and resource references on how to optimize ethical and compliant behavior through an effective Ethics and Compliance Program that is compliant with applicable laws, rules and regulations and in which the public trust is maintained.

Choices Women’s Medical Center’s Code of Ethics and Business Conduct reaffirm the principles that have guided this institution since its founding in 1971. It sets forth our general standards of legal and ethical conduct. We are dedicated to adding value to the center through continuous improvement, risk assessment and control evaluation efforts, and facilitating discussion on topics of interest and concern.

I expect all employees, physician staff, and voluntary physicians of Choices Women’s Medical Center to uphold these legal and ethical principles without exception. To do so, we all must read the Code of Ethics and Business Conduct carefully and apply it to our work. If you have any questions about how our principles, standards or policies apply, seek answers from a supervisor, the Compliance Officer and/or the Director of Human Resources of Choices Women’s Medical Center.

Remember that standards of conduct requires a personal commitment and the responsibility for ethical behavior – and thus for Choices reputation – rests in our hands.

Merle Hoffman

President/CEO, Choices Women’s Medical Center and VP, Comprehensive Women’s Medical Care, P.C.

How to Contact Choices Women’s Medical Center

Address:
Choices Women’s Medical Center
147-32 Jamaica Avenue
Queens New York 11435

By Phone: 
718-786-5000
800-421-7079

Code of Ethical Conduct

WHEREAS, the Choices Women’s Medical Center and the Comprehensive Women’s Medical Care, P.C., (hereinafter referred to as “CWMC”) are owned and operated pursuant to the laws of the State of New York; and

WHEREAS, its purpose is to serve to provide patient care and education in accordance with the mission of the CWMC and

WHEREAS, it is recognized that the workforce, including but not limited to, employees, contractors, medical staff, volunteers, students, and other persons employed or affiliated with the CWMC is responsible for the quality of medical care in the Center and must accept and discharge this responsibility, subject to the ultimate authority of the Chief Executive Officer of Choices Women’s Center and Vice President of Comprehensive Women’s Medical Care, P.C. and that the cooperative efforts the workforce is necessary to fulfill the Center’s obligations to its patients;

THEREFORE, members of the workforce, including but not limited to, employees, contractors, medical staff, volunteers, students, and other persons employed or affiliated with CWMC practicing in this Center hereby organize themselves in conformity with these Polices.

FALSE CLAIMS PREVENTION POLICY

It is Choices Women’s Medical Center policy to consistently and fully comply with all laws and regulations pertaining to the preparation and submission of claims for items or services provided, or rendered, by Choices Women’s Medical Center or one of its Affiliates to Medicaid or other state or federal health programs (“Public Health Programs”).

For Public Health Claims

  1. The State of New York adopted a false claims act NY False Claims Act (State Finance Law, §§187-194) that contains provisions similar to those under the federal False Claims Act. New York also adopted a Medicaid anti-fraud statute making it unlawful for a person to submit false and fraudulent claims to the New York Medicaid program. Violations of the statute are both civil and criminal in nature, punishable by imprisonment or significant monetary penalties. The NY False Claims Act closely tracts the federal False Claims Act. It imposes penalties and fines on individuals and entities that file false or fraudulent claims for payment from any state or local government, including health care programs such as Medicaid. The penalty for filing a false claim is $6,000 -$12,000 per claim and the recoverable damages are between two and three times the value of the amount falsely received.

  1. Under the Social Services Law §145-b False Statements, it is a violation to knowingly obtain or attempt to obtain payment for items or services furnished under any Social Services program, including Medicaid, by use of a false statement, deliberate concealment or other fraudulent scheme or device. The State or the local Social Services district may recover three times the amount incorrectly paid. In addition, the Department of Health may impose a civil penalty of up to $2,000 per violation. If repeat violations occur within 5 years, a penalty up to $7,500 per violation may be imposed if they involve more serious violations of Medicaid rules, billing for services not rendered or providing excessive services.

For Private Plan Claims

It is Choices Women’s Medical Center policy to consistently and fully comply with The Health Insurance Portability and Accountability Act of 1996, Title II, Preventing Fraud and Abuse and its implementing regulations.

Employees are held accountable for knowing or believing that information contained in a claim submitted on behalf of Choices Women’s Medical Center is accurate. Employees cannot deliberately or carelessly ignore questionable information contained in claims made to a Public Health Program. Consistent with other Choices Women’s Medical Center policy and our Code of Conduct, employees are responsible for reporting concerns related to a Public Health Program claims to supervisors, Choices Women’s Medical Center Compliance Officer or the Compliance Hotline. Choices Women’s Medical Center takes reports of suspected fraud and abuse seriously and conducts periodic audits to detect and prevent false claims. Employees that lawfully and in good faith report false claims are protected from retaliation by Choices Women’s Medical Center policy and federal and state law.

NOTE: This policy also applies to Choices Women’s Medical Center business arrangements with physicians, contractors, vendors, and other agents impacted by federal or state laws relating to Public Health Program claims.

Code of Ethical Conduct Agreement

Choices Women’s Medical Center has adopted this Code of Ethical Conduct as a demonstration of our unwavering commitment to honor all laws and regulations that govern the healthcare industry. The elements of this Code of Ethical Conduct include our Vision, Mission, Values, Basic Principles of Conduct, Standards of Service Excellence and Standards of Professional and Business Conduct and are incorporated into Choices Women’s Medical Center Compliance Program. This Code of Ethical Conduct serves to enhance and continually develop a culture that values compliance from the top-down and fosters compliance from the bottom-up throughout Choices Women’s Medical Center and among all workforce members.

This Code of Ethical Conduct is designed to provide overall guidance; however, it is not possible to address every situation. Guidance that is more specific may be provided in Choices Women’s Medical Center Policies and Procedures or in Choices Women’s Medical Center Employee Handbook. If there is no specific policy, this Code of Ethical Conduct becomes the policy. (If a policy and a Code of Ethical Conduct provision conflict, the policy governs.) This Code of Ethical Conduct is a “living document” meaning that it will be updated periodically to respond to changing conditions. Questions regarding this Code of Ethical Conduct, or any issue, should first be raised by an employee to his or her immediate supervisor, then through the chain of authority up to, and including, the Compliance Officer, or the Director of Human Resources at Choices Women’s Medical Center. Alternatively, issues may be reported confidentially and anonymously to the Compliance Officer.

Vision

Choices stands for Creative Health Organization for Information, Counseling and Educational Services. We at CHOICES WOMEN’S MEDICAL CENTER firmly believe that in matters of pregnancy and childbearing, women and their lives must come first, and women must be the ones to decide. We are committed to helping women make the best decisions for themselves and their loved ones. Choices is committed to Women’s Health throughout their reproductive – and post-reproductive – lives.

Choices is committed to Women’s Health throughout their reproductive – and post-reproductive – lives.

Mission

We emphasize our philosophy of Patient Powerwhich means being an informed consumer of medical treatment with the knowledge and information that enables each individual to make appropriate decisions about medical care, whether in the area of general health, surgery or birth control.

To create and deliver high quality medical/surgical treatment, physician and other related Gynecological/Prenatal healthcare services to improve the health and wellbeing of the individuals and communities we serve.

Values

  • We are Choices Women’s Medical Center.
  • We are responsible to the community.
  • We are dedicated to those we serve.
  • We are committed to our employees.
  • We are committed to our physicians.
  • We are dedicated to service.

Standards of Service Excellence

As we meet and exceed the expectations of our community, we lay the foundation of Customer Service through our Standards of Service Excellence. We work diligently and consistently to build a organization-wide culture of service excellence wherein every employee is responsible and accountable for upholding the following Standards of Service Excellence:
We believe in making positive first impressions our first priority.

Apply the ten-foot rule. Initiate interaction with patients, guests or other employees within ten feet of you with a smile and warm hello. Help the facilities be and look their best. Create a sense of trust and respect with everyone, first impressions set the tone.
We believe in treating others as guests.

Apply the golden rule. Treat others as you wish to be treated. Be friendly and outgoing, show an interest in our patients and coworkers; help them feel welcome and important.

We believe in developing service recovery.

Be a problem solver. Take the initiative to find a solution or someone who can. Another important component of service recovery is to acknowledge, apologize and amend. Finally, turn negative into positive experiences.

We believe in communicating effectively.

Listen to understand. Listen with empathy and always communicate on someone’s level. Give your undivided attention and use appropriate words and tone, remember body language is 55% of the message you communicate.

We believe in serving others from a team-centered approach.

Be accountable for team effort and success. Be a mentor to those needing encouragement and direction. Make patient satisfaction a team effort.

We believe in projecting a positive attitude.

Always speak positively. Remember attitude sets the stage for success or failure. Positive attitude, ambition and enthusiasm are contagious.

We believe in making excellence the goal in everything we do.

Never settle for second best; expect the best from yourself and others. Exceed the expectations of others.

We believe in serving others from a team-centered approach.

Be accountable for team effort and success. Be a mentor to those needing encouragement and direction. Make patient satisfaction a team effort.

We believe in projecting a positive attitude.

We believe in projecting a positive attitude.

Always speak positively. Remember attitude sets the stage for success or failure. Positive attitude, ambition and enthusiasm are contagious.

We believe in making excellence the goal in everything we do.

Never settle for second best; expect the best from yourself and others. Exceed the expectations of others.

Choices Women’s Medical Center/Comprehensive Women’s Medical Care, P.C. (CWMC) Compliance Program

Choices Women’s Medical Center and Comprehensive Women’s Medical Care, P.C. (CWMC) Compliance Program is a comprehensive self-governing program designed to proactively minimize the chances that a violation of law or government regulation occurs within CWMC. It is modeled on the eight basic elements proposed by the federal government’s Office of Inspector General (OMIG) for developing effective Compliance Programs, and includes: (1) Policies and Procedures, (2) Compliance Officer, (3) Training and Education, (4) Open Lines of Communication, (5) Enforcing Disciplinary Standards, (6) Risk Management, and (7) Responding to Detected Deficiencies, and (8) Non-Intimidation and Non-Retaliation Policies. The Compliance Officer reports directly to the Chief Executive Officer of Choices Women’s Medical Center and Vice President of Comprehensive Women’s Medical Care, P.C. and the Compliance Advisory Committee and is responsible for the administration of Choices Women’s Medical Center Compliance Program as well as the day-to-day operation of Choices Women’s Medical Center Compliance Program. Choices Women’s Medical Center Compliance Program is responsible for regulatory, privacy, monitoring and auditing issues, and training.

The Compliance Officer also chairs the Compliance Advisory Committee – a complement of multidisciplinary CWMC leaders. This committee has oversight responsibilities to ensure organization-wide compliance with the fundamental elements of CWMC Compliance Program. In general, the committee addresses various compliance related issues and other applicable projects including but not limited to regulatory developments, internal and external audits and legal issues. Most importantly, the committee seeks to ensure that all compliance objectives are advanced according to expectations and properly executed. In furthering organization-wide compliance, the Compliance Advisory Committee determines the scope of issues that warrant further review by the Committee of Departmental Directors and makes recommendations accordingly. The Compliance Officer, on behalf of the Compliance Advisory Committee, presents regular compliance reports to the Chief Executive Officer of Choices Women’s Medical Center and Vice President of Comprehensive Women’s Medical Care, P.C. and the Compliance Advisory Committee. The Compliance Officer also makes reports directly to the Committee of Departmental Directors from time to time.

Monitoring and Auditing

Choices Women’s Medical Center Compliance Program has a dedicated team that is responsible for internal monitoring and auditing of documentation, coding, and billing patterns across Choices Women’s Medical Center physician offices and facilities. Coding Assurance audits focus on ensuring that all applicable state and federal laws and regulations are being followed; that underpayments and overpayments are identified early; payments are refunded appropriately when needed; and action plans are developed to mitigate against further occurrences. Additionally, each year the Compliance Advisory Committee develops and executes an internal audit plan derived from the federal government’s annual OIG Annual Work Plan, internal issues of concern, and from various other issues within the healthcare industry. This audit plan is also utilized as an internal risk assessment tool.

Training and Education

CWMC Compliance Program provides initial orientation and continuing compliance education for all new and existing employees. In addition, all employees are required to complete annual compliance training. The Compliance Program utilizes in-person training. In-person training includes lunch and learns, attending staff meetings, and periodic rounding throughout Choices Women’s Medical Center. In addition, the Compliance Advisory Committee provides education and training when needed throughout Choices Women’s Medical Center. Education is also provided from outside healthcare consultants when applicable.

Personal Obligation to Report

Choices Women’s Medical Center believes each of its employees has an individual responsibility and duty to report their good faith belief of any violation of this Code of Conduct, Choices Women’s Medical Center policies or applicable law to his or her immediate supervisor, Choices Women’s Medical Center Compliance Program, or the Compliance Hotline and encourages each employee to do so.

Mechanism for Reporting — Compliance Hotline

Choices Women’s Medical Center operates a Compliance Hotline that reports may be made anonymously to the Compliance Hotline at (718) 349-9100 ext. 409 or if calling internally just dial extension x409. You can send an email to compliance@choicesmedical.com that is available for anyone either inside or outside of our organization that may have a compliance concern available 24/7. It is Choices Women’s Medical Center policy to not discriminate or retaliate against employees who report, based on a good faith belief that Choices Women’s Medical Center is not operating in accordance with applicable federal and state laws and regulations.

Inappropriate Conduct

Employee actions which violate Choices Women’s Medical Center Employee Conduct Policy or Employee Handbook can result in counseling reports or dismissal. Please refer to that policy for examples of improper employee conduct.

Acknowledgment Process

Choices Women’s Medical Center Code of Conduct is shared with all employees from inception of employment and is repeated with annual compliance training, which is incorporated into the employee’s annual review and must be completed by all employees. Each employee must acknowledge in writing that he/she received a copy of this Code of Conduct, understands it, and commits to honor it. This acknowledgement is maintained in the employee’s personnel file in the Human Resources Department.

Choices Women’s Medical Center provides a copy of this Code of Conduct to Vendors and Contractors as a condition of conducting business. Like Choices Women’s Medical Center employees, Vendors, and Contractors must acknowledge in writing that they received a copy the Code of Conduct, understand it, and commit to honor it. This acknowledgement is maintained on file in the Purchasing Department.

Care

Choices Women’s Medical Center is committed to providing quality health care in a manner that is appropriate, medically necessary and efficient without discrimination due to age, disability, race, color, religion, national origin or ability to pay. Choices Women’s Medical Center strives to provide considerate and respectful care with recognition of patient’s dignity and right to privacy.

Choices Women’s Medical Center employees, Medical Staff Members, and Allied Health Professionals are properly credentialed, experienced and licensed to meet the needs of Choices Women’s Medical Center patient population. To the extent possible, the patient (or the patient’s representative) is involved in decisions regarding care delivered.

Generally, the patient’s health care provider or designee will inform patients about the therapeutic alternatives and risks associated with the care the patient seeks and obtain the informed consent of the patient or patient representative. To the extent possible, information will be provided in a language that the patient can understand.

Coding, Billing, and Accounting for Patient Services, Medical Necessity, and Covered Benefits

Choices Women’s Medical Center provides patients with services or items that are medically reasonable, necessary, and appropriate. Choices Women’s Medical Center submits claims for payment to all payers, including government, private insurance and individuals, for the services and items provided. Choices Women’s Medical Center personnel who are responsible for providing services, documenting, coding, billing, and accounting for patient care services work hard to ensure accuracy in the foregoing activities, compliance with all applicable state, federal, and payer regulations that apply due to Choices Women’s Medical Center participation in Medicare, Medicaid, and other state and federal government programs (“public health programs”), Choices Women’s Medical Center policies and procedures pertinent to these activities and the Compliance Program. Choices Women’s Medical Center prepares and submits cost reports and associated documentation according to all applicable regulations and contracts.

Communication

Choices Women’s Medical Center understands that patients expect to know the identity and qualifications of all Choices Women’s Medical Center employees, Medical Staff Members and Allied Health Professionals who provide services to them and to receive information regarding policies, procedures, and charges. All such personnel are required to wear identification badges which identify their name, title, affiliation with Choices Women’s Medical Center and photograph. Choices Women’s Medical Center instructs its employees to answer all questions from patients promptly and courteously or to refer the patient to an appropriate source.

Emergency Treatment

Choices Women’s Medical Center provides an emergency medical screening examination and necessary stabilization of patients and treats pregnant women in labor regardless of the patient’s ability to pay or insurance status. Provided the Choices Women’s Medical Center facility has the capacity and capability, anyone with an emergency medical condition is treated. Patients with emergency medical conditions are only transferred upon the patient’s request or if the patient’s medical needs cannot be met at the Choices Women’s Medical Center facility and appropriate care is available elsewhere.

Freedom of Choice

When referring patients to providers of designated health services, such as Deliveries and prenatal transfers for emergency services or care at Elmhurst Hospital, medical equipment suppliers, or other medical professionals, Choices Women’s Medical Center respects and honors a patient’s right to choose his or her own providers. Choices Women’s Medical Center also respects and honors, to the extent legally permitted a patient’s right to refuse treatment.

Personal and Confidential Patient Information

Choices Women’s Medical Center makes all efforts to protect personal and confidential or privileged information about Choices Women’s Medical Center patients. Choices Women’s Medical Center abides by federal privacy and security regulations, including HIPAA, and applicable state laws. Our Notice of Privacy Practices informs patients about how we treat their health information. Choices Women’s Medical Center employees are trained about privacy and security regulations as these regulations apply to their duties. Confidential patient information is disclosed only on a “need to know” basis.

Business

Adherence to Antitrust Laws
Choices Women’s Medical Center avoids engaging in anti-competitive behavior or agreements that restrain trade.

Conflicts of Interest

Choices Women’s Medical Center requires its employees to conduct their clinical activities and personal business in such a manner as to avoid potential or actual conflicts of interest.

Creation and Retention of Records

Choices Women’s Medical Center retains ownership of all patient records it creates. Choices Women’s Medical Center works hard to ensure that patient records are accurately prepared, securely maintained and retained as prescribed by law and Choices Women’s Medical Center policy. Accurate records are required for Choices Women’s Medical Center to retain applicable licensure and accreditation.

Government Requests for Information, Subpoenas and Search Warrants

Choices Women’s Medical Center cooperates with appropriately authorized governmental (federal, state and local) investigations and audits. If an investigator wishes to speak to a Choices Women’s Medical Center employee, the employee has the right to consult with the Compliance Officer and if needed CWMC outside legal counsel or a personal attorney. Consulting with an attorney does not mean the employee is unwilling to cooperate.

Marketing and External Relations

Choices Women’s Medical Center adheres to fair business practices and fairly, accurately, and honestly represents itself and the products and services of the Center. Refusing Gifts and Tips and Preventing Improper Referrals, Kickbacks, and Influences on Clinical Decisions.

Choices Women’s Medical Center does not permit its employees to accept nor offer, for themselves or for the Center, gifts, tips, personal gratuities or anything of value from/to patients, vendors, or others, in exchange for referrals of business or the referral of patients. Choices Women’s Medical Center honors Federal regulations that prohibit referral of a patient to an entity in which a physician has a financial interest, and that prohibits Choices Women’s Medical Center to accept payment or other similar benefit in exchange for referrals of patients covered by Medicare or Medicaid.

Patient Bill of Rights

Choices Women’s Medical Center Patient Rights and Responsibilities

CWMC observes and respects a patient’s rights and responsibilities without regard to age, race, color, national origin, religion, culture, physical or mental disability, personal values or belief systems.

Download Choices Patient Bill of Rights in English

Download Choices Patient Bill of Rights en Espanol

Health Care Proxy

What is a Health Care Proxy?

The New York Health Care Proxy Law allows you to appoint someone you trust — for example, a family member or close friend – to make health care decisions for you if you lose the ability to make decisions yourself. By appointing a health care agent, you can make sure that health care providers follow your wishes. Your agent can also decide how your wishes apply as your medical condition changes. Hospitals, doctors & other health care providers must follow your agent’s decisions as if they were your own. You may give the person you select as your health care agent as little or as much authority as you want. You may allow your agent to make all health care decisions or only certain ones. You may also give your agent instructions that he or she has to follow. This form can also be used to document your wishes or instructions with regard to organ and/or tissue donation.

Download PDF of Health Care Proxy in English

Download PDF of Health Care Proxy en Espanol

Health Care Proxy: Frequently Asked Questions

Why should I choose a health care agent?

If you become unable, even temporarily, to make health care decisions, someone else must decide for you. Health care providers often look to family members for guidance. Family members may express what they think your wishes are related to a particular treatment. However, in New York State, only a health care agent you appoint has the legal authority to make treatment decisions if you are unable to decide for yourself. Appointing an agent lets you control your medical treatment by:

  • allowing your agent to make health care decisions on your behalf as you would want them decided
  • choosing one person to make health care decisions because you think that person would make the best decisions
  • choosing one person to avoid conflict or confusion among family members and/or significant others.

You may also appoint an alternate agent to takeover if your first choice cannot make decisions for you.

Who can be a health care agent?

Anyone 18 years of age or older can be a healthcare agent. The person you are appointing as your agent or your alternate agent cannot sign as a witness on your Health Care Proxy form.

How do I appoint a health care agent?

All competent adults, 18 years of age or older, can appoint a health care agent by signing a form called a Health Care Proxy. You don’t need a lawyer or a notary, just two adult witnesses. Your agent cannot sign as a witness. You can use the form printed here, but you don’t have to use this form.

When would my health care agent begin to make health care decisions for me?

Your health care agent would begin to make health care decisions after your doctor decides that you are not able to make your own health care decisions. As long as you are able to make healthcare decisions for yourself, you will have the right to do so.

What decisions can my health care agent make?

Unless you limit your health care agent’s authority, your agent will be able to make any health care decision that you could have made if you were able to decide for yourself. Your agent can agree that you should receive treatment, choose among different treatments &decide that treatments should not be provided, in accordance\with your wishes & interests. However, your agent can only make decisions about artificial nutrition & hydration (nourishment & water provided by feeding tube or intravenous line) if he or she knows your wishes from what you have said or what you have written. The Health Care Proxy form does not give your agent the power to make non- health care decisions for you, such as financial decisions.

Why do I need to appoint a health care agent if I’m young & healthy?

Appointing a health care agent is a good idea even though you are not elderly or terminally ill. A health care agent can act on your behalf if you become even temporarily unable to make your own health care decisions (such as might occur if you are under general anesthesia or have become comatose because of an accident). When you again become able to make your own health care decisions, your health care agent will no longer be authorized to act.

How will my health care agent make decisions?

Your agent must follow your wishes, as well as your moral & religious beliefs. You may write instructions on your Health Care Proxy form or simply discuss them with your agent.

How will my health care agent know my wishes?

Having an open & frank discussion about your wishes with your health care agent will put him or her in a better position to serve your interests. If your agent does not know your wishes or beliefs, your agent is legally required to act in your best interest. Because this is a major responsibility for the person you appoint as your health care agent, you should have a discussion with the person about what types of treatments you would or would not want under different types of circumstances, such as: 

  • Whether you would want life support initiated/continued/removed if you are in a permanent coma
  • Whether you would want treatments initiated/continued/removed if you have a terminal illness
  • Whether you would want artificial nutrition & hydration initiated/withheld or continued or withdrawn & under what types of circumstances

Can my health care agent overrule my wishes or prior treatment instructions?

No. Your agent is obligated to make decisions based on your wishes. If you clearly expressed particular wishes, or gave particular treatment instructions, your agent has a duty to follow those wishes or instructions unless he or she has a good faith basis for believing that your wishes changed or do not apply to the circumstances.

Who will pay attention to my agent?

All hospitals, nursing homes, doctors & other health care providers are legally required to provide your health care agent with the same information that would be provided to you & to honor the decisions by your agent as if they were made by you. If a hospital or nursing home objects to some treatment options (such as removing certain treatment) they must tell you or your agent BEFORE or upon admission, if reasonably possible.

What if my health care agent is not available when decisions must be made?

You may appoint an alternate agent to decide for you if your health care agent is unavailable, unable or unwilling to act when decisions must be made. Otherwise, health care providers will make healthcare decisions for you that follow instructions you gave while you were still able to do so. Any instructions that you write on your Health Care Proxy form will guide health care providers under these circumstances.

What if I change my mind?

It is easy to cancel your Health Care Proxy, to change the person you have chosen as your healthcare agent or to change any instructions or limitations you have included on the form. Simply fill out a new form. In addition, you may indicate that your Health Care Proxy expires on a specified date or if certain events occur. Otherwise, the Health Care Proxy will be valid indefinitely. If you choose your spouse as your health care agent or as your alternate, & you get divorced or legally separated, the appointment is automatically cancelled. However, if you would like your former spouse to remain your agent, you may note this on your current form & date it or complete a new form naming your former spouse.

Can my health care agent be legally liable for decisions made on my behalf?

No. Your health care agent will not be liable for health care decisions made in good faith on your behalf. Also, he or she cannot be held liable for costs of your care, just because he or she is your agent. Is a Health Care Proxy the same as a living will? No. A living will is a document that provides specific instructions about health care decisions. You may put such instructions on your HealthCare Proxy form. The Health Care Proxy allows you to choose someone you trust to make healthcare decisions on your behalf. Unlike a living will, a Health Care Proxy does not require that you know in advance all the decisions that may arise. Instead, your health care agent can interpret your wishes as medical circumstances change & can make decisions you could not have known would have to be made.

Where should I keep my Health Care Proxy form after it is signed?

Give a copy to your agent, your doctor, your attorney and any other family members or close friends you want. Keep a copy in your wallet, purse or with other important papers, but not in a location where no one can access it, like a safe deposit box. Bring a copy if you are admitted to the hospital, even for minor surgery, or if you undergo outpatient surgery.

May I use the Health Care Proxy form to express my wishes about organ and/or tissue donation?

Yes. Use the optional organ & tissue donation section on the Health Care Proxy form & be sure to have the section witnessed by two people. You may specify that your organs and/or tissues be used for transplantation, research, or educational purposes. Any limitation(s) associated with your wishes should be noted in this section of the proxy. Failure to include your wishes &instructions on your Health Care Proxy form will not be taken to mean that you do not want to be an organ and/or tissue donor.

Can my health care agent make decisions for me about organ and/or tissue donation?

No. The power of a health care agent to make health care decisions on your behalf ends upon your death. Noting your wishes on your HealthCare Proxy form allows you to clearly state your wishes about organ & tissue donation Who can consent to a donation if I choose not to state my wishes at this time? It is important to note your wishes about organ and/or tissue donation so that family members who will be approached about donation are aware of your wishes. However, New York Law provides a list of individuals who are authorized to consent to organ and/or tissue donation on your behalf. They are listed in order of priority: your spouse, a son or daughter 18 years of age or older, either of your parents, a brother or sister 18 years of age or older, a guardian appointed by a court prior to the donor’s death, or any other legally authorized person.

Privacy Policy

HIPAA Privacy Notice

Effective: March 25th, 2016

This notice describes:

1.   How health information about you may be used or disclosed by Choices Women’s Medical Center (CHOICES)

2.  How you can access this information.

Download Privacy Notice in English

Download Privacy Notice en Español

Book an Appointment with Choices

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Our team of board-certified medical professionals and support staff offer safe, trusted, comprehensive care and services at the highest level. Our state-of-the-art facility is located in the heart of Jamaica Queens, NY.

Schedule an appointment with Choices today.

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