Statutes, codes, and regulations
New York Codes, Rules and Regulations
Title 10 - DEPARTMENT OF HEALTHChapter II - Administrative Rules and RegulationsSubchapter A - Vital Records And Personal InformationPart 34 - Health Care Practitioner Referrals And Laboratory Business Practices
Subpart 34-1 - Health Care Practitioner Referrals
Section 34-1.6 - Disclosure form

N.Y. Comp. Codes R. & Regs. tit. 10 § 34-1.6

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Current through Register Vol. 46, No. 25, June 18, 2024
Section 34-1.6 - Disclosure form

NOTICE TO PATIENTS

Because of concerns that there may be a conflict of interest when a physician refers a patient to a health care facility in which the physician has a financial interest, New York State passed a law. The law prohibits me, with certain exceptions, from referring you for clinical laboratory services, pharmacy services, radiation therapy, or X-ray or imaging services to a facility in which I or any of my immediate family members have a financial interest. If certain of the exceptions in the law apply, or if I am referring you for other than clinical laboratory, pharmacy, radiation therapy services, or x-ray or imaging services, I can make the referral under one condition. The condition is that I disclose this financial interest and tell you about alternative providers where you may go to obtain these services. This disclosure is intended to help you make a fully informed decision about your health care.

I or my immediate family members have a financial relationship with the following providers:

__________________________________________________

__________________________________________________

__________________________________________________

For more information about alternative providers, please ask me or my staff. We will provide you with names and addresses of providers best suited to your individual needs that are nearest to your home or place of work.

Name of Physician

N.Y. Comp. Codes R. & Regs. Tit. 10 § 34-1.6