HIPAA Policy
Your Health Information. Your Rights. Our Commitment.
This notice explains how your medical information may be collected, used, disclosed, and how you can access it. Please review carefully to understand your rights.
Your Rights
You have specific rights regarding your protected health information (PHI). Below is a summary of those rights and how we support them:
- Access your records: You have the right to review or request copies (electronic or paper) of your medical records and any health information we maintain. Our team can guide you through the process. Access or summaries are generally provided within 30 days, and reasonable fees may apply.
- Request Amendments: If your records contain incorrect or incomplete information, you may request corrections. We will respond in writing and may deny requests under specific circumstances, providing an explanation.
Request Confidential Communications
- You may ask us to communicate with you in a specific way (for example, by phone, email, or mail) or to send correspondence to a designated address. We will accommodate all reasonable requests to ensure your privacy is protected.
We will honor all reasonable requests.
- Request Restrictions on Sharing: You can request that certain health information not be used or disclosed for treatment, billing, or administrative purposes.
- While we will consider your request, we are not obligated to comply if it would affect your care.
- If you pay out-of-pocket for services in full, you may request that we do not share that information with your insurer. We will honor such requests unless a law requires disclosure.
Access a Record of Disclosures
- You have the right to request a list of times we have shared your health information in the past six years, including the recipients and reasons.
- This excludes routine disclosures for treatment, payment, or operations. One accounting is provided free every 12 months; additional requests may incur a reasonable fee.
Request a Copy of This Notice
- You can request a printed copy of this HIPAA notice at any time, even if you previously received it electronically.
Appoint Someone to Act on Your Behalf
- If you have a legal guardian or someone with medical power of attorney, they may exercise your rights on your behalf.
- We will verify their authority before taking action.
Register a Complaint if Your Rights Are Violated
- If you believe your rights have been violated, you may file a complaint with us using the contact information below.
- You may also submit a complaint to the U.S. Department of Health and Human Services, Office for Civil Rights: 200 Independence Avenue, S.W., Washington, D.C. 20201 Phone: 1-877-696-6775 Website: \www.hhs.gov/ocr/privacy/hipaa/complaints
- We will never retaliate against you for filing a complaint.
Your Choices
For certain health information, you can decide what we share:
You may direct us to:
- Share information only with family, friends, or caregivers involved in your care
- Limit disclosure during emergency or disaster situations
- Include or exclude information from facility directories, if applicable
If you cannot communicate your preferences, we may disclose your PHI when it is deemed in your best interest or required to prevent significant harm.
We will not release your information without your written consent for:
- Marketing purposes
- Sale of PHI
- Most psychotherapy notes
For Fundraising Purposes:
- We might reach out to you for fundraising efforts, but you have the right to opt out of future communications.
- Your health information may also be shared with other healthcare professionals involved in your treatment.
How We Use and Disclose Your Health Information
Common Ways We Use Your Health Information:
Treatment
- We may share PHI with other healthcare professionals involved in your care.
Example: A physician treating your condition consults with a specialist.
Operations
- We use PHI to manage daily operations, improve care, and contact you regarding services.
Example: Scheduling appointments or follow-up care.
Billing and Payment
- PHI may be used to bill and receive payment from insurers or other payers.
Example: Your insurance company receives details of the services you received so they can process and approve your claim.
Additional Uses and Disclosures of Your Health Information:
In some cases, we are legally obligated or allowed to use and share your health data to safeguard public interests.
Protecting Public Health and Safety
- We may disclose your health information to support:
- Disease prevention and control
- Management of product recalls
- Reporting adverse medication effects
- Reporting cases of abuse, neglect, or domestic violence
- Reducing or preventing potential threats to health or safety
Use of Information for Health Research
- Your information may be utilized for medical research purposes, following necessary approvals and privacy safeguards.
Sharing for Legal Compliance
- We may share health information when required by federal or state law, including reporting to the Department of Health and Human Services for compliance checks.
Organ and Tissue Donation Purposes
- We may release health information to organizations involved in organ or tissue donation processes.
Information in Death-Related Situations
- Information may be provided to coroners, medical examiners, or funeral directors as needed.
Government and Law Enforcement Disclosures
- Your health data may be disclosed for purposes including:
- Claims related to workers’ compensation
- Investigations conducted by law enforcement
- Oversight activities for public health and safety
- Military or national security operations
- Protection and security of the President
Judicial and Legal Proceedings
- Your information may be disclosed in response to a court order, subpoena, or other legal requirements.
Our Commitment to Safeguard Your Information
- We are legally obligated to protect your health information.
- We will notify you promptly if a data breach occurs that may compromise your privacy or security.
- We are committed to following this notice and providing a copy upon request.
- Your information will not be shared beyond the uses described here unless you provide written consent, which can be withdrawn at any time.
For more information, visit:
https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html
Changes to This Notice
We may update this notice as needed. Updated versions will be posted on our website, available in our office, and provided upon request.
This Notice of Privacy Practices applies to:
928 Union Valley Road New Jersey
(Email to be added)
Contact number
Effective: 14/08/2025