NOTICE OF PRIVACY PRACTICES OUR LEGAL DUTY:
We are required by federal and state law to maintain the privacy of your health information. We are also required to give 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. We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our Notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make significant change in our privacy practices, we will change this Notice and make the new Notice available upon request. You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of this Notice, please contact us using the information listed at the end of this Notice.
We may use or disclose your health information to a physician or other healthcare provider providing treatment to you.
We may use and disclose your health information to obtain payment for services we provided you.
We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities.
In addition to our use of health information for treatment, payment, or healthcare 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 authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect. Unless you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this notice.
FAMILY AND FRIENDS:
We must disclose your health information to you, as described in the Patients Rights section of this Notice. We may disclose your health information to a family member, friend or other person to the extent necessary to help with your healthcare or with payment for your healthcare, but only if you agree that we do so.
PERSONS INVOLVED IN CARE:
We may use or disclose health information to notify or assist in the notification of (including identifying or locating) a family member, your personal representative or another person responsible for your care, of your location, your general condition, or death. If you are present, then prior to use of your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose only health information that is directly relevant to the person’s involvement in your healthcare.
REQUIRED BY LAW:
We may use or disclose your health information when we are required to do so by law.
We may use or disclose your health information to provide you with appointment reminders (such as voicemail messages, postcards or letters).
You have the right to request that we communicate with you about your health information by alternative means or to alternative locations. (You must request in writing). Your request must specify the alternative means or location and provide satisfactory explanation how payments will be handled under the alternative means or location you request. You have the right to request that we amend your health information. Your request must be in writing and it must explain why the information should be amended. We may deny your request under certain circumstances.
QUESTIONS AND CONCERNS:
If you want more information about our privacy practices or have questions or concerns, please contact us:
Andrew W. Engel, DMD Living Dental Health 541-550-5311