We may use or disclose your PHI for the following purposes without your written authorization:
To provide, coordinate, and manage your dental care.
To consult with specialists, laboratories, pharmacies, or other healthcare providers involved in your treatment.
To bill and collect payment from you, your insurance company, or another responsible party.
To verify insurance benefits and obtain prior authorizations.
We may disclose PHI when required or permitted by law, including:
Except as permitted by law, we will obtain your written authorization before:
You may revoke your authorization at any time in writing, except to the extent action has already been taken based on your authorization.
Our practice protects PHI by implementing:
Access to PHI is limited to workforce members and authorized business associates who need the information to perform their job responsibilities
We may share PHI with trusted vendors or service providers who perform functions on our behalf. These organizations are required by law and contract to protect your PHI and may use it only for authorized purposes.
If you choose to communicate with us by email, text message, or other electronic methods, there may be some risk that the information could be accessed by unauthorized individuals. Where appropriate, we use secure communication methods and will obtain any necessary consent before communicating electronically.
We retain patient records in accordance with applicable federal and state laws and professional record-retention requirements. Records are securely disposed of when they are no longer required to be retained.
If a breach of unsecured PHI occurs that affects your information, we will notify you as required by HIPAA and applicable law.
We reserve the right to modify this Privacy Policy at any time. Updated versions will be available in our office and will apply to all PHI maintained by the practice unless otherwise required by law.
If you have questions about this Privacy Policy or wish to exercise your privacy rights, please contact:
Privacy Officer: Office Manager
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services, Office for Civil Rights. Filing a complaint will not affect the quality of care you receive.
By receiving dental services from our practice, you acknowledge that you have been offered access to our Notice of Privacy Practices as required by HIPAA.
One important distinction: under HIPAA, patients must be provided with a Notice of Privacy Practices (NPP) that contains specific required elements. A general “privacy policy” alone does not satisfy that requirement. If you need a document for patient intake or your website, I can also draft a HIPAA-compliant Notice of Privacy Practices that includes all required disclosures and acknowledgment language.