Effective Date: 7/10/2025
At SurgiCore Ambulatory Surgery Center (“SurgiCore”, “we”, “our”), we are committed to protecting the privacy and confidentiality of your health information. This notice explains how we may use and share your protected health information (PHI), and your rights under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other applicable laws.
Our Responsibilities
We are required by law to:
- Maintain the privacy of your protected health information (PHI)
- Provide you with this Notice of our legal duties and privacy practices
- Abide by the terms of this Notice currently in effect
- Notify you in the event of a breach involving your unsecured health information
How We May Use and Disclose Your Health Information
We may use and disclose your health information without your written authorization for the following purposes:
- Treatment: To provide and coordinate your medical care among providers
- Payment: To bill and collect payment for the services we provide
- Healthcare Operations: For internal management, quality assessment, training, and administrative purposes
- As Required by Law: For public health reporting, law enforcement, judicial proceedings, and other legal obligations
- Business Associates: To vendors who help us operate and are contractually obligated to protect your information
Uses and Disclosures Requiring Your Authorization
We will obtain your written authorization for:
- Most uses and disclosures of psychotherapy notes
- Uses and disclosures for marketing purposes
- Sale of your health information
- Any other use or disclosure not described in this Notice
You may revoke your authorization at any time in writing.
Your Rights
You have the right to:
- Access your medical records and request a copy
- Request corrections to your health information
- Request restrictions on certain uses or disclosures
- Request confidential communications, such as at a specific address or phone number
- Receive an accounting of disclosures we have made of your health information
- Receive a paper copy of this Notice, even if you agreed to receive it electronically
To exercise any of these rights, please contact us at the information below.
Changes to This Notice
We reserve the right to change the terms of this Notice at any time. The updated Notice will be posted on our website and available upon request.
Contact Information
If you have questions about this Notice or wish to file a complaint, please contact:
HIPAA Privacy Officer
Contact Us
Montvale
Rockland & Bergen Surgical Center
★★★★★
North Kinderkamack Road 133, Montvale, NJ 07645
Situated in Bergen County New Jersey, this center provides three spacious fully equipped operating rooms.
