Notice of Privacy Practices

For Treatment

We may use your child's medical information to provide medical treatment or services. We may disclose medical information about your child to doctors, nurses, technicians, medical students, or other personnel who are involved in taking care of your child.

Example: Different departments of our practice may share your child's medical information to coordinate their care, such as prescriptions, lab work, and x-rays.

For Payment

We may use and disclose your child's medical information to bill and collect payment for services we provided. This may include submitting claims to your health insurance company.

Example: We may send information about a diagnosis and treatment plan to your health insurance company to get approval for payment.

For Healthcare Operations

We may use and disclose your child's medical information for healthcare operations necessary to run our practice and ensure quality care for all our patients.

Example: We may use medical information to review our treatment and services and to evaluate the performance of our staff in caring for you.

Appointment Reminders

We may use and disclose medical information to contact you to remind you about appointments or to inform you about treatment alternatives or other health-related benefits and services that may be of interest to you.

Business Associates

We may disclose your child's health information to third-party business associates who perform services on our behalf. These include:

• Electronic health record systems
• Billing and payment processing (Phreesia)
• Patient portal services (InteliChart)
• Email notification services (Resend)
• Database hosting providers (Neon)
• Website hosting and deployment (Replit)
• Analytics and mapping services (Google)

All business associates are required to sign agreements to protect your child's health information and comply with HIPAA regulations.

Right to Inspect and Copy

You have the right to inspect and obtain a copy of your child's medical records. Under New Jersey law, we must provide copies within 30 days of your request. We may charge a reasonable fee for copying costs.

Right to Request Amendments

If you believe your child's medical information is incorrect or incomplete, you may request that we amend the information. We may deny your request under certain circumstances, but we will provide you with a written explanation.

Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures we made of your child's medical information for purposes other than treatment, payment, or healthcare operations.

Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your child's medical information. We are not required to agree to your request, but if we do, we will comply with the restriction unless the information is needed for emergency treatment.

Right to Request Confidential Communications

You have the right to request that we communicate with you about your child's medical matters in a certain way or at a certain location. For example, you may ask that we only contact you at work.

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 previously agreed to receive it electronically.

Right to Notification of a Breach

You have the right to be notified if we discover a breach of your child's unsecured protected health information. We will notify you without unreasonable delay and no later than 60 days following discovery of the breach.