Privacy Policy

Notice of Privacy Practices (Website Policy)

This is a standard HIPAA-compliant Privacy Policy based on the HHS model templates. Pass this to your web team to publish on its own page, and ensure the “Privacy Policy” link in your footer directs to it.

Note: Please review this carefully and fill in the bracketed information to ensure it accurately reflects your specific operations.

Notice of Privacy Practices Solace Wellness Center

Effective Date: 4/22/2026

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.

At Solace Wellness Center, we understand that your health information is highly personal. We are committed to protecting your Protected Health Information (PHI) and medical records. This notice outlines your rights and our legal duties regarding your health information.

Your Rights

When it comes to your health information, you have certain rights. You have the right to:

• Get an electronic or paper copy of your medical record: You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or a summary of your health information, usually within 30 days of your request.
• Ask us to correct your medical record: You can ask us to correct health information about you that you think is incorrect or incomplete. We may say “no” to your request, but we’ll tell you why in writing within 60 days.
• 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. We will say “yes” to all reasonable requests.
• 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. We are not required to agree to your request, and we may say “no” if it would affect your care.
• 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 for six years prior to the date you ask, 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.
• 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 your rights and make choices about your health information.
• File a complaint if you feel your rights are violated: You can complain if you feel we have violated your rights by contacting our Privacy Officer at (866) 864-2801. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us.

• You have both the right and choice to tell us to: Share information with your family, close friends, or others involved in your care, and share information in a disaster relief situation.
• Note: In the case of substance use disorder treatment records (protected under 42 CFR Part 2), we will obtain your explicit written consent before sharing your information, except in specific medical emergencies or as otherwise permitted by law.

Our Uses and Disclosures

How do we typically use or share your health information? 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.

How else can we use or share your health information? We are allowed or required to share your information in other ways—usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes:

• Help with public health and safety issues.
• Comply with the law.
• Address workers’ compensation, law enforcement, and other government requests.
• Respond to lawsuits and legal actions (subject to the stricter confidentiality protections of 42 CFR Part 2 for substance use disorder records).

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. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

Changes to the Terms of This Notice We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

Contact Information If you have any questions about this notice, please contact:

(866) 864-2801

[email protected]

104 Bayard Street, Floor 4, New Brunswick, NJ 08901