N.Y. Comp. Codes R. & Regs. tit. 7, § 7.5
(b) No person who obtains confidential HIV-related information in the course of his or her employment with the department or pursuant to a release of confidential HIV-related information may disclose or be compelled to disclose such information, except to the following:
(e) A physician may disclose confidential HIV-related information pertaining to a protected individual to a person, known to the physician, authorized pursuant to law to consent to the health care for a protected individual when the physician reasonably believes that:
(2) after appropriate counseling as to the need for such disclosure, the protected individual will not inform a person authorized by law to consent to health care; provided, however, that the physician shall not make such disclosure if, in the judgment of the physician:
(ii) the protected individual is authorized pursuant to law to consent to such care and treatment.
A physician's decision to disclose pursuant to this paragraph, and the basis for that decision shall be recorded in the medical record.