GlenmontPSYCHIATRIC ASSOCIATES

Glenmont Psychiatric Associates

Notice of Privacy Practices

Glenmont Psychiatric Associates
51 JFK Parkway, Short Hills, NJ 07078 · 973-671-5357

Effective date: 10/15/2026
Current version always available at glenmontpsychiatry.com/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.

Who we are

Glenmont Psychiatric Associates (the "Practice") is a solo psychiatric practice. James Steinberg, DO, MPH, is the treating psychiatrist. The Practice provides care in person in Short Hills, New Jersey, and by telehealth to patients located in New Jersey, New York, and Connecticut. This Notice applies to all health information the Practice creates or receives about you.

Privacy Officer: James Steinberg, DO, MPH. Contact: [email protected], 973-671-5357, or the address above.

Our duties

We are required by law to keep your protected health information ("PHI") private; to give you this Notice of our legal duties and privacy practices; to follow the terms of the Notice currently in effect; and to notify you if a breach of your unsecured PHI occurs.

We reserve the right to change this Notice and to make the new Notice apply to all PHI we maintain. When we make a material change, we will post the revised Notice at the web address above. A paper copy is available on request at any time.

How we may use and disclose your health information without your written authorization

  1. Treatment. We use your PHI to provide, coordinate, and manage your psychiatric care. Examples: documenting your evaluation and visits in your medical record; sending prescriptions to your pharmacy; ordering laboratory tests; and, with your knowledge, communicating with your other treating clinicians, such as a therapist or primary care physician.
  2. Payment. We use your PHI to bill you and collect payment. Example: issuing a receipt or itemized statement that lists dates of service and service codes. The Practice does not bill insurance companies. If you ask us for an itemized statement ("superbill") to submit to your own insurer, that is a disclosure you have requested and directed.
  3. Health care operations. We use your PHI to run the Practice. Examples: quality review, compliance activities, business planning, and obtaining legal or accounting services.
  4. Business associates. We share PHI with vendors who perform services for us and who have signed written agreements requiring them to protect your information, for example our electronic health record vendor, our secure messaging and telephone service, and our payment processor.
  5. Appointment reminders and care communications. We may contact you by phone, text, secure message, or email to remind you of appointments or to discuss treatment.
  6. Individuals involved in your care. If you are present and do not object, or if you are unavailable or incapacitated and we judge it to be in your best interest, we may share information relevant to their involvement with a family member, close friend, or other person you identify as involved in your care.
  7. As required by law. We will disclose PHI when federal, state, or local law requires it.
  8. Public health. We may report information to public health authorities as permitted by law, for example adverse drug reactions to the U.S. Food and Drug Administration.
  9. Abuse, neglect, or domestic violence. We may disclose PHI to a government authority authorized to receive reports of child abuse or neglect, or of abuse, neglect, or domestic violence involving an adult, as permitted or required by law. Physicians in New Jersey, New York, and Connecticut are mandated reporters of suspected child abuse.
  10. Health oversight. We may disclose PHI to health oversight agencies for audits, investigations, licensure, and similar activities.
  11. Judicial and administrative proceedings. We may disclose PHI in response to a court or administrative order, or in response to a subpoena, discovery request, or other lawful process if the legal requirements are met. We will assert any applicable psychiatrist-patient privilege on your behalf to the extent the law allows.
  12. Law enforcement. We may disclose limited PHI to law enforcement in specific circumstances permitted by law, for example to identify or locate a suspect, fugitive, or missing person, or to report a crime on our premises.
  13. To avert a serious threat to health or safety. We may disclose PHI when necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public, to someone able to prevent or lessen the threat. State law in New Jersey, New York, and Connecticut also imposes specific duties on psychiatrists regarding patients who present a danger to identifiable others; we comply with those duties.
  14. Specialized government functions. We may disclose PHI for military, national security, or protective-services purposes, or to correctional institutions, as permitted by law.
  15. Workers' compensation. We may disclose PHI as authorized by workers' compensation laws.
  16. Coroners, medical examiners, and funeral directors. We may disclose PHI as necessary for them to carry out their duties.
  17. Research. We may use or disclose PHI for research only with your authorization or with approval of an Institutional Review Board or Privacy Board under federal rules.

Uses and disclosures that require your written authorization

Psychotherapy notes. If Dr. Steinberg keeps separate psychotherapy notes (notes recording the contents of a counseling session that are kept apart from the rest of your medical record), we will not use or disclose them without your written authorization, except for limited purposes permitted by law.

Marketing. We will not use your PHI for marketing without your written authorization.

Sale of PHI. We will not sell your PHI without your written authorization.

Other uses. Any use or disclosure not described in this Notice will be made only with your written authorization.

Revoking an authorization. You may revoke a written authorization at any time by notifying us in writing. Revocation does not affect disclosures we already made in reliance on it.

State law

Where New Jersey, New York, or Connecticut law gives you greater privacy protection than federal law, we follow the state law. Mental health records and records of substance use treatment receive additional protection under state and federal law.

Your rights

  1. Right to inspect and copy. You may inspect and obtain a copy of your PHI in our designated record set, including an electronic copy if we maintain it electronically. We may charge a reasonable, cost-based fee as permitted by law. In limited circumstances (for example, psychotherapy notes, or where a licensed professional has determined that access is reasonably likely to endanger your life or physical safety or that of another person), we may deny access; you may request review of certain denials.
  2. Right to request amendment. If you believe information in your record is incorrect or incomplete, you may request an amendment in writing. We may deny the request in certain circumstances; if we do, we will tell you why and how to respond.
  3. Right to an accounting of disclosures. You may request a list of certain disclosures of your PHI made in the six years before your request, other than disclosures for treatment, payment, health care operations, disclosures you authorized, and certain other exceptions.
  4. Right to request restrictions. You may ask us to limit how we use or disclose your PHI for treatment, payment, or operations, or to limit what we share with people involved in your care. We are not required to agree, with one important exception: if you pay for a service in full out of pocket and ask us not to disclose information about that service to your health plan for payment or operations purposes, we must honor that request unless the disclosure is required by law. Because the Practice does not bill health plans, this restriction applies by default; if you later ask us to send records to your health plan, we will do so only at your direction.
  5. Right to confidential communications. You may ask us to contact you by a specific means or at a specific location, for example only by secure message, or only at a certain phone number. We will accommodate reasonable requests.
  6. Right to a paper copy of this Notice. You may request a paper copy at any time, even if you agreed to receive it electronically.
  7. Right to be notified of a breach. We will notify you if your unsecured PHI is breached, as required by law.
  8. Right to choose someone to act for you. If you have given someone medical power of attorney or someone is your legal guardian, that person may exercise your rights and make choices about your PHI. We will confirm the person's authority before acting.

To exercise any of these rights, contact the Privacy Officer at the address above.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us by writing to the Privacy Officer at the address above, or with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue SW, Washington, DC 20201; 1-800-368-1019; www.hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.