Notice of Privacy Practices
Effective August 31, 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.
Our duties
Harmony Health is required by law to maintain the privacy of your protected health information, to give you this notice of our legal duties and privacy practices, and to notify you following a breach of unsecured protected health information. We are required to follow the terms of the notice currently in effect.
Protected health information, referred to below as "your information," means information that identifies you and relates to your physical or mental health, the care provided to you, or payment for that care.
How we may use and share your information
Treatment
We use your information to provide, coordinate, and manage your psychiatric care. With your permission, we may share information with your therapist, primary care provider, pediatrician, or another treating clinician so that everyone caring for you is working from the same information.
Payment
We may use and share your information to bill and receive payment from you, an insurance company, or another third party. This may include confirming coverage, obtaining prior authorization, and providing information required to process a claim.
Health care operations
We may use your information to run the practice, evaluate the quality of care, and carry out administrative activities.
Business associates
We may share your information with vendors who perform services for the practice, such as electronic health record hosting or billing. Each of these vendors is required by written agreement to protect your information.
Appointment reminders and messages
We may contact you to remind you of an appointment or to follow up on your care, using the phone number or email address you provide.
Uses and disclosures permitted or required by law
- When required by federal, state, or local law
- To public health authorities for activities such as reporting communicable disease or adverse events
- To report suspected abuse, neglect, or exploitation of a child or a vulnerable adult, as required by New Jersey and New York law
- To health oversight agencies for audits, investigations, licensure, and similar activities
- In response to a court order, subpoena, or other lawful process
- To law enforcement in the limited circumstances permitted by law
- To coroners, medical examiners, and funeral directors
- For workers' compensation claims as authorized by law
- To avert a serious and imminent threat to the health or safety of you or another person
- For specialized government functions, including military and national security activities
Uses that always require your written authorization
- Most uses and disclosures of psychotherapy notes
- Use or disclosure of your information for marketing purposes
- Any sale of your information
- Most other uses not described in this notice
If you give us written authorization, you may revoke it at any time in writing. Revoking it will not affect disclosures we already made while the authorization was in effect.
Information with extra protection
Certain categories of information receive protection beyond the federal HIPAA rules, and we follow the stricter standard where one applies.
Mental health information
New Jersey and New York both provide additional confidentiality protections for mental health records and communications between a patient and a mental health practitioner. Where those laws are more protective than HIPAA, we follow them.
Substance use disorder records
If we provide or refer you for substance use disorder treatment, information about that care may be protected by federal regulations at 42 CFR Part 2, which generally require your specific written consent before the information may be shared, including with other treating providers.
Minors
For patients under 18, a parent or guardian generally has the right to access the minor's records. There are exceptions under New Jersey and New York law, including for certain types of care a minor may consent to on their own. We explain what will and will not be shared with a parent at the start of care.
Your rights
Get a copy of your record
You may inspect and request a copy of your medical and billing records. We will respond within the timeframe required by law and may charge a reasonable, cost-based fee. Psychotherapy notes are treated differently and may be withheld.
Ask us to correct your record
If you believe information in your record is incorrect or incomplete, you may ask us to amend it. We may deny the request, and if we do we will explain why in writing.
Request confidential communications
You may ask us to contact you in a specific way or at a specific location, such as by a particular phone number. We will accommodate reasonable requests.
Ask us to limit what we use or share
You may ask us to restrict certain uses or disclosures. We are not required to agree, except in one case: if you pay for a service in full out of pocket, you may direct us not to share information about that service with your health plan, and we must honor that request.
Get a list of disclosures
You may request an accounting of certain disclosures we made in the six years before your request.
Get a paper copy of this notice
You may ask for a paper copy at any time, even if you agreed to receive it electronically.
Choose someone to act for you
If you have given someone medical power of attorney, or if someone is your legal guardian, that person can exercise these rights and make choices about your information.
Be notified of a breach
We will notify you if a breach occurs that may have compromised the privacy or security of your information.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with the practice using the contact information below, or with the U.S. Department of Health and Human Services, Office for Civil Rights, at 200 Independence Avenue SW, Washington, D.C. 20201, by calling 1-877-696-6775, or at hhs.gov/ocr/
You will not be retaliated against, and your care will not be affected, for filing a complaint.
Changes to this notice
We may change this notice, and the changes will apply to information we already hold as well as information we receive in the future. The current notice will always be posted on this page with its effective date, and a copy will be available at the office.
Contact
To ask a question about this notice, request a copy of your records, or file a complaint, contact:
Diloram Kamilova, PMHNP-BC, Privacy Officer
Harmony Health
335 US Highway 9S, Unit 10A, Englishtown, NJ 07726
Email: diloram.kamilova@
Phone: (646) 653 3577