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HIPAA Notice of Privacy Practices

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.

Effective date: November 1, 2026

ANK Behavioral Health LLC (“ANK Behavioral Health,” “we,” “us,” or “our”) is required by law to maintain the privacy of your protected health information (“PHI”), to give you this notice of our legal duties and privacy practices, to notify you if a breach of your unsecured PHI occurs, and to follow the terms of the notice currently in effect. PHI is information that may identify you and that relates to your past, present, or future physical or mental health, care, or payment for care.

Questions about this notice or your privacy: contact our Privacy Officer at 856-372-1819 or [email protected], or write to Privacy Officer, ANK Behavioral Health LLC, 1200 South Church Street, Suite 14, Mount Laurel, NJ 08054.

1. How we may use and disclose your PHI

We may use and disclose your PHI, without your written authorization, for the following purposes:

Treatment

We may use your PHI to provide, coordinate, or manage your psychiatric care, including sharing information with other providers involved in your treatment, such as a therapist or primary care provider, and with your pharmacy, when appropriate.

Payment

We may use and disclose your PHI to obtain payment for services, including verifying insurance benefits and processing claims through our billing partners.

Health care operations

We may use and disclose your PHI for operations such as quality review, staff training and evaluation, scheduling, and administrative functions that support your care.

Business associates

We may share your PHI with companies that perform services on our behalf, such as our electronic health record and patient portal, billing partners, secure telehealth platform, and phone and texting services. These business associates are required by written agreement to protect your PHI.

2. Other uses and disclosures the law allows or requires

We may also use or disclose your PHI without your written authorization in these situations, as federal and New Jersey law allow or require:

  • As required by law, including to the U.S. Department of Health and Human Services when it checks our compliance with privacy law.
  • Public health and safety, such as preventing or controlling disease, reporting problems with medications, and preventing or lessening a serious and imminent threat to anyone’s health or safety.
  • Abuse, neglect, or domestic violence, to report it to the authorities as the law requires or allows.
  • Health oversight, such as audits, investigations, inspections, and licensing.
  • Lawsuits and legal actions, in response to a court or administrative order, or to a subpoena or other lawful request, as the law allows.
  • Law enforcement, for purposes the law allows.
  • Coroners, medical examiners, and funeral directors, when a patient dies.
  • Organ and tissue donation, to organizations that handle donation.
  • Research, only when the law’s privacy protections for research are met.
  • Workers’ compensation, as the law allows for a work-related illness or injury.
  • Specialized government functions, such as military and veterans activities, national security, and protective services, and to a correctional institution or law enforcement official who has custody of a patient.

Family and others involved in your care

We share information with a family member, friend, or other person involved in your care, or in paying for it, when you agree, or when you have a chance to object and don’t. If you aren’t present or able to agree, for example in an emergency, we may share what’s directly relevant if we believe it’s in your best interest. We may also share information with family or others when it’s needed to prevent or lessen a serious and imminent threat to your health or safety, or someone else’s. In a disaster, we may share information with a relief organization, so your family can be told where you are and how you’re doing, unless you tell us not to.

3. Uses that require your written authorization

We need your written authorization for:

  • marketing
  • any sale of your information
  • most uses and disclosures of psychotherapy notes, if a provider keeps them separately from your medical record
  • any other use or disclosure not described in this notice

We don’t sell your information, and we don’t share it with anyone for their marketing. You may revoke an authorization in writing at any time, except to the extent we have already relied on it.

4. Special protections and appointment communications

Some kinds of information have extra protection under federal or New Jersey law, such as HIV-related information, genetic information, and some mental health and substance use records. When those laws are stricter than this notice, we follow them. For example, New Jersey law limits sharing HIV-related information without your written consent, and we share genetic test results only with your written permission unless a law or court order requires otherwise.

Substance use disorder treatment records. If we receive or keep records protected by the federal law on substance use disorder treatment records (42 CFR Part 2), we won’t use or share them, or testimony about what they contain, in a civil, criminal, administrative, or legislative proceeding against you, unless you give written consent, or a court orders it after notice and a chance to be heard, along with a subpoena or other legal requirement.

We may contact you for appointment reminders, confirmations, or information about your care, using the phone number or email address you give us, including by text message. Our telehealth visits take place on a secure video platform.

5. Your rights regarding your PHI

  • Right to access. You may inspect and get a paper or electronic copy of your PHI that we maintain, subject to limited exceptions. We usually respond within 30 days, and we may charge a reasonable, cost-based fee.
  • Right to amend. You may ask us to correct PHI you believe is inaccurate or incomplete. We may deny the request in certain circumstances, and we’ll tell you why in writing within 60 days.
  • Right to an accounting of disclosures. You may ask for a list of certain disclosures we have made of your PHI in the six years before your request. The first list in any 12-month period is free.
  • Right to request restrictions. You may ask us to limit how we use or disclose your PHI. We are not required to agree to every request. If you pay for a service in full yourself, you can ask us not to share information about it with your health plan for payment or our operations. We’ll say yes unless a law requires us to share it.
  • Right to confidential communications. You may ask us to contact you in a specific way or at a specific place, such as a different phone number. We’ll agree to reasonable requests.
  • Right to a paper copy of this notice. You may ask for a paper copy at any time, even if you agreed to receive it electronically.
  • Right to be notified of a breach. You have the right to be notified if a breach of your unsecured PHI occurs.
  • Right to choose someone to act for you. If someone is your legal guardian or holds your health care power of attorney, that person can use these rights for you. We’ll confirm their authority before we act.
  • How to use these rights. Contact our Privacy Officer at 856-372-1819 or [email protected]. We may ask you to make some requests in writing.

6. Our responsibilities

We are required by law to:

  • Maintain the privacy and security of your protected health information.
  • Give you this notice of our legal duties and privacy practices.
  • Follow the terms of the notice currently in effect.
  • Notify you if a breach occurs that may have compromised the privacy or security of your PHI.

We won’t use or share your information in ways other than those described here unless you tell us in writing that we can.

7. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us, with the U.S. Department of Health and Human Services, Office for Civil Rights, or with both.

  • With us: contact our Privacy Officer by phone at 856-372-1819, by email at [email protected], or by mail at 1200 South Church Street, Suite 14, Mount Laurel, NJ 08054. Tell us what happened, and we’ll look into it and respond.
  • With the Office for Civil Rights: file online at ocrportal.hhs.gov, write to the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue, S.W., Washington, D.C. 20201, or call 1-877-696-6775.

You will not be penalized or retaliated against for filing a complaint.

8. Changes to this notice

We reserve the right to change this notice and to make the revised notice effective for PHI we already have, as well as for any information we receive in the future. The current notice, with its effective date, will be posted on our website, ankbh.com, and it’s available from us on request.

This HIPAA Notice of Privacy Practices works alongside our other legal and privacy documents. Together they explain how your information is handled across your care and your use of our website:

  • HIPAA Notice of Privacy Practices (this document): how your protected health information may be used and disclosed, and your rights under HIPAA.
  • Privacy Policy: how information collected through our website and our online services is handled.
  • Terms and Conditions: the terms that govern your use of our website and our online services.

Where this HIPAA Notice and the website Privacy Policy overlap, this HIPAA Notice controls for protected health information created or received as part of your care.