HIPAA Notice of Privacy Practices

Your Information. Your Rights. Our Responsibilities.

Effective Date: August 9, 2026

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.

Gavdore Integrated Care (“Gavdore Integrated,” “we,” “us,” or “our”) is committed to protecting the privacy of your health information.

This Notice of Privacy Practices (“Notice”) describes how we may use and disclose your protected health information (“PHI”), your rights regarding your health information, and our responsibilities regarding the privacy and security of your information.

This Notice applies to healthcare services provided by Gavdore Integrated Care, including mental health, psychiatric, addiction medicine, and related services, to the extent governed by applicable federal and state privacy laws.

Your Rights

You have certain rights regarding your protected health information. You have the right to:

Get a Copy of Your Medical Record

You may request access to your medical and health information maintained by Gavdore Integrated Care. You may request a paper or electronic copy when available.

Ask Us to Correct Your Medical Record

If you believe information in your medical record is incorrect or incomplete, you may request that we correct or amend the information.

Request Confidential Communications

You may ask us to communicate with you about your healthcare in a particular way or at a particular location. We will consider reasonable requests as required by applicable law.

Ask Us to Limit Information We Share

You may request restrictions on certain uses or disclosures of your health information. We are not required to agree to every request, except where applicable law requires us to do so.

Request an Accounting of Certain Disclosures

You may request a list of certain disclosures of your health information made by us, subject to applicable legal exceptions.

Get a Copy of This Notice

You may request a paper copy of this Notice at any time. The most current version will also be made available on our website.

Choose Someone to Act for You

If you have legally authorized a person to act on your behalf, that individual may exercise certain privacy rights on your behalf as permitted by law.

File a Complaint

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

You will not be retaliated against for filing a privacy complaint.

Your Choices

For certain uses and disclosures of your health information, you may have the right to make choices about how your information is shared.

Depending on the circumstances and applicable law, you may be able to tell us whether we may:

  • Share certain information with family members or other individuals involved in your care
  • Share information for disaster-relief purposes
  • Contact you about certain healthcare-related services
  • Use or disclose information for certain marketing purposes

If a use or disclosure requires your written authorization, we will request your authorization before making that use or disclosure unless another legal exception applies.

How We May Use and Disclose Your Health Information

We may use or disclose your protected health information for purposes permitted or required by applicable law, including treatment, payment, healthcare operations, and other legally permitted purposes.

Treatment

We may use and disclose your health information to provide, coordinate, or manage your healthcare.

For example, we may share relevant information with another healthcare professional involved in your treatment when permitted by law.

Payment

We may use or disclose your health information to obtain payment for healthcare services.

For example, we may provide information to an insurance company or other payer when necessary to process a claim or obtain payment.

Healthcare Operations

We may use or disclose your health information for healthcare operations.

Healthcare operations may include activities such as quality assessment, care coordination, administrative activities, compliance, and improving our services.

Required by Law

We may use or disclose your health information when federal, state, or local law requires us to do so.

Public Health Activities

We may disclose health information for certain public health activities when permitted or required by law.

Health Oversight

We may disclose health information to authorized government agencies for activities involving oversight of the healthcare system or compliance with applicable laws.

Legal Proceedings

We may disclose health information in response to appropriate legal proceedings, court orders, subpoenas, or other lawful processes when permitted or required by law.

Law Enforcement

We may disclose health information to law enforcement when permitted or required by applicable law.

Serious Threats to Health or Safety

We may disclose information when permitted by law to help prevent or lessen a serious and imminent threat to the health or safety of a person or the public.

Workers’ Compensation

We may disclose health information as authorized by and to the extent necessary to comply with workers’ compensation laws.

Mental Health Information

Mental health information may receive additional protections under federal or state law.

We will use and disclose mental health information in accordance with HIPAA and other applicable federal and state privacy requirements.

Certain disclosures may require your written authorization or may be subject to additional legal restrictions.

Substance Use Disorder Information

Gavdore Integrated Care may provide addiction medicine and substance use disorder services.

Certain substance use disorder records may be protected by 42 CFR Part 2, in addition to HIPAA.

Where Part 2 applies, we will comply with the applicable confidentiality requirements governing substance use disorder patient records.

Depending on the circumstances and applicable law, we may be required to obtain your written consent before using or disclosing Part 2-protected records.

You may have additional rights regarding your substance use disorder records under applicable federal and state law.

Uses and Disclosures Requiring Your Authorization

Some uses and disclosures of protected health information require your written authorization.

For example, an authorization may be required for certain:

  • Uses or disclosures of psychotherapy notes
  • Marketing communications
  • Disclosures involving the sale of protected health information
  • Other uses or disclosures for which applicable law requires authorization

If you provide an authorization, you generally have the right to revoke it in writing, subject to actions already taken based on the authorization.

Our Responsibilities

Gavdore Integrated Care is required by law to:

  • Maintain the privacy and security of your protected health information
  • Provide you with this Notice describing our legal duties and privacy practices
  • Follow the terms of the Notice currently in effect
  • Notify you as required by law if a breach occurs that compromises the privacy or security of your protected health information
  • Provide you with access to your health information as required by law
  • Respect your applicable privacy rights

We will not use or disclose your health information other than as described in this Notice or as otherwise permitted or required by law.

If a use or disclosure requires your written authorization, we will seek that authorization when required.

Additional Protections Under State Law

Certain states, including New York, New Jersey, Connecticut, and Pennsylvania, may provide additional protections for certain types of health information.

Additional privacy protections may apply to information relating to mental health, substance use disorder treatment, reproductive health, HIV or other sensitive health information, depending on the circumstances.

Where applicable federal or state law provides greater privacy protection than HIPAA, Gavdore Integrated Care will follow the law that applies to the information and circumstances involved.

Because state requirements can vary and may change, this Notice is not intended to describe every state-specific privacy requirement.

Electronic Communications

We may communicate with you electronically when permitted by law and when appropriate for your care or healthcare operations.

You may request confidential communications or alternative methods of communication as permitted by applicable law.

Please understand that ordinary email, text messaging, or other electronic communication methods may carry privacy and security risks. We will use appropriate safeguards based on the communication method and circumstances.

Telehealth

If you receive healthcare through telehealth, your health information will be handled in accordance with applicable privacy and security requirements.

Telehealth services may involve technology platforms and service providers that support the delivery of healthcare.

Patients should participate in telehealth appointments from a reasonably private location whenever possible.

Our Commitment to Your Privacy

We understand that information about your health, mental health, and substance use treatment is personal and sensitive.

Gavdore Integrated Care is committed to treating your information with respect and maintaining appropriate safeguards designed to protect its privacy and security.

Changes to This Notice

We may change this Notice from time to time.

If we make a material change to our privacy practices, we will update this Notice and make the revised Notice available as required by applicable law.

The current version will be available on our website and upon request.

How to Exercise Your Privacy Rights

To request access, amendment, restriction, confidential communication, an accounting of disclosures, or another privacy-related right, please contact our Privacy Contact using the information below.

Privacy Contact: Gavdore Integrated Care LLC

Gavdore Integrated Care

Email: info@gavdoreintegratedcare.com

Phone: +1 (908) 408-6916

How to File a Privacy Complaint

If you believe your privacy rights have been violated, you may contact Gavdore Integrated Care using the information above.

You may also file a complaint with the:

U.S. Department of Health and Human Services
Office for Civil Rights

Information about filing a complaint is available through the U.S. Department of Health and Human Services Office for Civil Rights.

You will not be retaliated against for filing a complaint.

Acknowledgment of Receipt

Patients may be asked to acknowledge that they received this Notice of Privacy Practices.

An acknowledgment confirms receipt of the Notice. It does not constitute authorization for uses or disclosures of protected health information beyond those permitted by law.

If a patient does not provide an acknowledgment, Gavdore Integrated Care will document its good-faith effort to obtain the acknowledgment as required by applicable law.

Effective Date

This Notice of Privacy Practices is effective August 9, 2026.

Gavdore Integrated Care
Compassionate Addiction Medicine & Integrated Mental Health Care

Serving eligible patients in New York, New Jersey, Connecticut, and Pennsylvania.