Privacy Policy

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

We are required by law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice takes effect January 1, 2013 and will remain in effect until we replace it. We may change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law.

USES AND DISCLOSURES OF HEALTH INFORMATION

  • Treatment: We may use or disclose your health information to another dentist or health care provider providing treatment to you.
  • Payment: We may use and disclose your health information to obtain payments for services provided to you. We may need to share part of your health information with your insurance company, collection agencies or attorneys assisting us with collections.
  • Use and Disclosure of Health Information Required by Law: we may use and disclose your health information when required by federal or state law; when required in court or administrative proceedings.
  • Contacting You: We may use and disclose your health information to contact you about appointments and other matters. We may contact you by telephone, email or mail.
  • Your Authorization: as explained in this Notice, we may use and disclose your health information for treatment, payment or health care operations. You may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any uses or disclosures already made with your authorization while it was in effect.

USES AND DISCLOSURES OF HEALTH INFORMATION

  • Right to See and Copy Your Health Information: You have the right to see or get copies of your health information, with limited exceptions. If we deny your request due to one of these exceptions, we will respond to you in writing with the explanation. You must make a written request to access your health information. We may charge you a fee for expenses related to such a request.
  • Right to Accounting of Disclosures of Your Health Information: You have the right to receive a list of instances in which we disclosed your health information for purposes other than treatment, payment and health care operations.
  • Right to Request Alternative Communication: You have the right to request that we communicate with you about your health information by alternative means or at alternative locations.