Notice of Privacy Practices
Effective Date: September 19, 2026
Dr Nelly LLC
Nelly Singh, DO
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.
Dr Nelly LLC is committed to protecting the privacy and security of your health information. This Notice describes how we may use and disclose your protected health information ("PHI"), your rights regarding that information, and our responsibilities under applicable privacy laws.
How We May Use and Share Your Health Information
We may use or disclose your health information without your written authorization when permitted or required by law, including for:
Treatment
We may use and share your health information to provide, coordinate, and manage your healthcare.
For example, we may share relevant information with a specialist, pharmacy, laboratory, imaging center, hospital, or other healthcare provider involved in your care.
Payment
We may use and disclose information as necessary to obtain or process payment for services, including through payment processors or other entities involved in payment administration.
Dr Nelly LLC is a self-pay practice and generally does not bill health insurance directly.
Healthcare Operations
We may use your information to operate the practice, coordinate services, improve care, maintain records, conduct quality activities, and perform administrative functions.
Other Uses and Disclosures Permitted or Required by Law
We may also use or disclose health information when permitted or required for purposes such as:
- Public health and safety activities
- Reporting suspected abuse, neglect, or domestic violence when required or authorized by law
- Health oversight activities
- Workers' compensation matters
- Certain law-enforcement or government activities
- Judicial or administrative proceedings when legally authorized
- Organ and tissue donation
- Coroners, medical examiners, or funeral directors
- Research when permitted by applicable law
- Preventing or reducing a serious and imminent threat to health or safety
- Other disclosures required by federal or state law
When New Jersey or other applicable law provides greater protection for particular health information, we will follow the more protective law.
Your Choices
In certain circumstances, you may tell us whether or how we share information, including sharing information with family members, friends, caregivers, or others involved in your care.
If you are unable to communicate your preference, we may share information when permitted by law and when we reasonably believe doing so is in your best interest.
Except where otherwise permitted by law, we will obtain your written authorization before:
- Using your health information for certain marketing purposes
- Selling your health information
- Disclosing most psychotherapy notes
We do not sell patient health information.
You may revoke an authorization in writing at any time, except to the extent that we have already acted in reliance upon it.
Substance Use Disorder Records
Certain substance use disorder treatment records may receive additional protection under 42 CFR Part 2.
To the extent Dr Nelly LLC maintains records subject to Part 2, those records generally may not be used or disclosed in civil, criminal, administrative, or legislative investigations or proceedings against you without your written consent or appropriate legal authorization, such as a qualifying court order and subpoena, as required by law.
Your Rights
You have the right to:
Access Your Records
You may request to inspect or receive an electronic or paper copy of your medical records and other health information maintained by us, subject to limitations permitted by law.
Request Corrections
You may ask us to amend health information that you believe is incorrect or incomplete. We may deny certain requests, but if we do, we will explain the reason as required by law.
Request Confidential Communications
You may ask us to contact you in a particular way or at a particular location. We will accommodate reasonable requests.
Request Restrictions
You may ask us to limit how we use or disclose certain health information.
We are generally not required to agree to every requested restriction. However, where required by HIPAA, if you pay in full out-of-pocket for a healthcare item or service, you may request that information about that item or service not be disclosed to a health plan for payment or healthcare operations.
Receive an Accounting of Disclosures
You may request a list of certain disclosures of your health information made during the period permitted by law. Certain disclosures, including many made for treatment, payment, or healthcare operations, are not included.
Receive a Copy of This Notice
You may request a paper copy of this Notice at any time, even if you received it electronically.
Have Someone Act for You
A legally authorized personal representative may exercise your privacy rights on your behalf when permitted by law.
File a Complaint
If you believe your privacy rights have been violated, you may contact us or 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.
Our Responsibilities
Dr Nelly LLC is required by law to:
- Maintain the privacy and security of your protected health information
- Follow the privacy practices described in the Notice currently in effect
- Provide you with this Notice
- Notify you as required by law if a breach occurs that may have compromised the privacy or security of your information
We will not use or disclose your information in ways not described in this Notice unless you authorize us in writing or the use or disclosure is otherwise permitted or required by law.
Electronic Health Information
Medical records and communications may be maintained electronically using healthcare technology providers and other service providers used by the practice. Appropriate administrative, technical, and physical safeguards are used as required by applicable law.
Patients may also have access to health information through the practice's patient portal.
Changes to This Notice
We may change the terms of this Notice and make the revised Notice applicable to health information we already maintain as well as information received in the future.
The current Notice will be available on our website and upon request.
Questions or Complaints
For questions about this Notice, requests concerning your health information, or privacy complaints, contact:
Privacy Contact: Nelly Singh, DO
Dr Nelly LLC
Phone: 855-376-3559
Email: contact@drnelly.com
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
Information about filing a complaint is available at:
https://www.hhs.gov/hipaa/filing-a-complaint/
You will not be retaliated against for exercising your privacy rights or filing a complaint.