The Health Insurance Portability and Accountability Act of 1996

We recognize the sensitive nature of personal health information and are committed to our patients' right to privacy. We have provided the following HIPAA links for your convenience. To view some of the files below you may need to download and install Adobe Acrobat Reader.

Notice of Privacy Practices (PDF)

HIPAA Consent Form (PDF)
This form should be downloaded and revised by family members whenever HIPAA authorization modifications need to be made. By law, to protect our patients' right to privacy, we may only release HIPAA-protected information to those on file as HIPAA-authorized individuals.


US Department of Health and Human Resources HIPAA Page

Centers for Medicare and Medicaid HIPAA Page

In case of questions, please contact Administrator at 732-849-4300
For info on Indian Program: 732-881-8939.