Privacy Policy
This Notice describes how medical/dental information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
OUR LEGAL DUTY
We are required by federal and state law to protect the privacy of your health information, known as Protected Health Information (PHI). We must follow the privacy practices described in this Notice and provide you with a copy upon request. We may change this Notice at any time. If we do, the updated Notice will apply to PHI we already have as well as new information.
HOW WE MAY USE AND DISCLOSE YOUR INFORMATION
Treatment: provide, coordinate, or manage your dental care (including referrals). Payment: bill/collect payment, verify coverage, and obtain payment from insurance plans.
Healthcare Operations: run our office and improve quality (training, credentialing, audits, quality improvement). Appointment Reminders: reminders by voicemail, mail, email, or text.
Persons Involved in Your Care: with your agreement (or emergency/incapacity), share relevant information with family/friends involved in care or payment.
Required by Law/Public Safety: disclosures required/permitted by law (abuse/neglect reporting, serious threats, national security, military, law enforcement/corrections).
Marketing: no marketing without written authorization.
SUD TREATMENT INFORMATION — 42 CFR PART 2
Some patients may have records from a federally funded substance use disorder (SUD) treatment program protected under 42 CFR Part 2 (“Part 2 Program records”). If we receive or maintain any information about you from a Part 2 Program through a general consent you provide to the Part 2 Program for treatment, payment, or health care operations, we may use and disclose your Part 2 Program record for those purposes as described in this Notice. If we receive or maintain your Part 2 Program record through specific consent, we will use and disclose it only as expressly permitted by your consent. In no event will we use/disclose your Part 2 Program record, or testimony describing it, in any civil, criminal, administrative, or legislative proceedings by any Federal, State, or local authority, against you, unless authorized by your consent or a court order after notice to you.
YOUR RIGHTS
Access: inspect/obtain copies (limited exceptions); written request; fees may apply.
Accounting: list of certain disclosures within 6 years (with exceptions).
Restrictions: request limits on use/disclosure; not required to agree.
Confidential Communications: request contact method/location.
Amendment: request corrections; may be denied in certain cases.
Paper Copy: request at any time.
QUESTIONS OR COMPLAINTS
Contact us with questions/concerns. You may also file a complaint with the U.S. Department of Health and Human Services. We will not retaliate for filing a complaint.