HIPAA Notice of Privacy Practices
Effective Date: January 1, 2024 · Last Reviewed: October 2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Who We Are
Infusion Center of NJ ("we," "us," or "our") is a physician-led infusion therapy and wellness practice with locations in Clifton and Tenafly, New Jersey. We are committed to protecting the privacy of your health information and complying with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations.
This Notice applies to all protected health information (PHI) we create, receive, maintain, or transmit in connection with your care at Infusion Center of NJ.
How We May Use and Disclose Your Health Information
We use and disclose your PHI for the following purposes without requiring your separate written authorization:
Treatment
We may use and disclose your PHI to provide, coordinate, or manage your medical treatment and related services. For example, we may share information with physicians, nurses, or other healthcare providers involved in your care, including specialists or laboratories.
Payment
We may use and disclose your PHI to obtain payment for services we provide to you. This includes billing your health insurance plan, verifying coverage, and collecting amounts owed.
Healthcare Operations
We may use and disclose your PHI for our internal operations, including quality assessment, staff training, accreditation, licensing, and business planning activities necessary to run our practice.
Appointment Reminders
We may contact you to remind you of scheduled appointments or to provide information about treatment alternatives or other health-related benefits and services.
As Required by Law
We will disclose your PHI when required to do so by federal, state, or local law, including to public health authorities, law enforcement, or in response to a court order or subpoena.
Health Oversight Activities
We may disclose your PHI to health oversight agencies for activities authorized by law, such as audits, investigations, inspections, and licensure.
Serious Threats to Health or Safety
We may use or disclose your PHI when necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public.
Uses and Disclosures Requiring Your Authorization
Other uses and disclosures of your PHI not described in this Notice will be made only with your written authorization.
You may revoke any authorization you provide at any time, in writing, except to the extent that we have already taken action in reliance on it.
- Most uses and disclosures of psychotherapy notes
- Uses and disclosures of PHI for marketing purposes
- Disclosures that constitute a sale of PHI
- Any other use or disclosure not permitted or required by law
Your Rights Regarding Your Health Information
You have the following rights with respect to your PHI:
Right to Access
You have the right to inspect and obtain a copy of your PHI that we maintain in a designated record set. We may charge a reasonable, cost-based fee for copies. Requests must be submitted in writing.
Right to Amend
If you believe your PHI is incorrect or incomplete, you may request an amendment. We may deny your request under certain circumstances and will notify you in writing if we do.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures we have made of your PHI during the six years prior to your request, other than disclosures for treatment, payment, or healthcare operations.
Right to Request Restrictions
You may request that we restrict certain uses or disclosures of your PHI. We are not required to agree to your request except in limited circumstances (e.g., when you pay out-of-pocket in full for a service and ask us not to disclose that information to your health plan).
Right to Confidential Communications
You may request that we communicate with you about your PHI in a certain way or at a certain location (e.g., only by mail to a specific address). We will accommodate reasonable requests.
Right to a Paper Copy of This Notice
You have the right to receive a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
Right to Be Notified of a Breach
You have the right to be notified if there is a breach of your unsecured PHI as required by the HIPAA Breach Notification Rule.
Our Duties
- Maintain the privacy of your PHI
- Provide you with this Notice of our legal duties and privacy practices
- Abide by the terms of the Notice currently in effect
- Notify you in the event of a breach of your unsecured PHI
We are required by law to maintain the privacy of your PHI, provide you with this Notice, abide by its terms, and notify you in the event of a breach of your unsecured PHI.
We reserve the right to change the terms of this Notice and to make the new Notice provisions effective for all PHI we maintain. We will post the current Notice in our offices and on our website.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights. We will not retaliate against you for filing a complaint.
To file a complaint with HHS, visit www.hhs.gov/ocr/privacy/hipaa/complaints or call 1-800-368-1019.
Contact Our Privacy Officer
For questions about this Notice, to exercise your rights, or to file a complaint, please contact us:
Infusion Center of NJ
Attn: Privacy Officer
Email: [email protected]
Phone: (973) 272-6220
Clifton, NJ | Tenafly, NJ