HIPAA Notice — Maplewood Mental Health Clinic
How protected health information may be used, shared, and requested. Effective April 27, 2026.
Protected health information
How information may be used.
Effective April 27, 2026
Protected health information may be used for treatment, payment, and health care operations. This can include documenting visits, coordinating with clinicians you authorize, sending prescriptions, billing insurance, verifying benefits, maintaining records, and operating the practice.
Information may also be used or disclosed when required or permitted by law, including certain safety, abuse, neglect, public-health, court, law-enforcement, or regulatory situations. The clinic uses the minimum necessary information when that standard applies.
Uses and disclosures not allowed by HIPAA or another applicable law generally require your written authorization. You may revoke an authorization in writing, except where the clinic has already relied on it.
Your rights
Access, amendments, and restrictions.
Patients generally have the right to request access to their health records, request corrections, request confidential communication, request certain restrictions, receive an accounting of certain disclosures, receive a copy of this notice, and choose someone to act for them when legally authorized.
Some requests may need to be made in writing, and some may be limited or denied when the law allows. The clinic will explain the next step when a request is received.
Clinic responsibilities
Privacy duties and notice updates.
The clinic is required to maintain the privacy and security of protected health information, follow the duties and privacy practices described in this notice, and notify affected patients if a breach occurs that may have compromised protected health information.
The clinic may update this notice when privacy practices change. Updated notices apply to health information already held by the clinic as well as information received in the future, and the current notice will be available on this website.
Questions or concerns
How to contact the clinic.
For questions about this notice or how health information is handled, call (908) 201-3904. Patients may also contact the U.S. Department of Health and Human Services Office for Civil Rights about HIPAA privacy concerns.