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.
Your Rights
You have the right to:
- Get a copy of your health and claims records — You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you.
- Correct your health and claims records — You can ask us to correct health information about you that you think is incorrect or incomplete.
- Request confidential communications — You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
- Ask us to limit what we use or share — You can ask us not to use or share certain health information for treatment, payment, or our operations.
- Get a list of those with whom we've shared information — You can ask for a list (accounting) of the times we've shared your health information, who we shared it with, and why.
- Get a copy of this privacy notice — You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.
- File a complaint if you feel your rights are violated — You can complain if you feel we have violated your rights by contacting us or the U.S. Department of Health and Human Services Office for Civil Rights.
Your Choices
You have certain choices in the way we use and share information as we carry out treatment, payment, and health care operations, including:
- Sharing information with your family, close friends, or others involved in your care
- Sharing information in a disaster relief situation
- Marketing purposes and sale of your information
Our Uses and Disclosures
We typically use or share your health information in the following ways:
- Treat you — We can use your health information and share it with other professionals who are treating you.
- Run our organization — We can use and share your health information to run our practice, improve your care, and contact you when necessary.
- Bill for your services — We can use and share your health information to bill and get payment from health plans or other entities.
We are also allowed or required to share your information in other ways, including for public health and safety, research, compliance with the law, and responding to organ and tissue donation requests.
Our Responsibilities
We are required by law to maintain the privacy and security of your protected health information. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. We must follow the duties and privacy practices described in this notice and give you a copy of it. We will not use or share your information other than as described here unless you tell us we can in writing.
Effective Date: January 1, 2026
If you have questions about this policy or wish to exercise any rights regarding your information, please contact us:
Sage Urgent Care
369 Springfield Avenue
Berkeley Heights, NJ 07922
Phone: (908) 363-0378