THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU OR YOUR COULD MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
This Notice of Privacy Practices describes how we may use and disclose your or your child's protected health information ( PHI ) to carry out treatment, payment or health care operations ( TPO ) and for other purposes that are permitted or required by law. It also describes your rights to access and control your or your child's protected health information Protected health information " is information about you or your child, including demographic information , that may identify you or your child and that relates to your or your child's past present or future physical, dental or mental health or condition and related health care services.
Uses and Disclosures of Protected Health Information : Your or your child's protected health information may be used and disclosed by your or your child's dentist , our office staff and others of our office that are involved in your or your child's care and treatment for the purpose of providing health care services to you or your child , to pay you or your child's health or dental care bills , to support the operation of the dentist's practice and any other use required by law.
Treatment: We will use and disclose your protected health information to provide, coordinate, statement: We will or manage your or your child's health care and any related services. This includes the coordination or management of your or your child's health care with a third party. For example, we would disclose you're protected health the information, as necessary, to a hospital of the surgical center, specialty dentist or physician that provides care to you or your child. For example, your or your child's protected health information may be provided to whom you for your child have been referred to ensure that the physician has the necessary information to diagnose or treat you or your child .
Payment: Your or your child's protected health information ted health information will be used, as needed to obtain payment for your or your child's health care services. For example, obtaining approval for a hospital service may require that your or your child's relevant protected health information be disclosed to the health plan to obtain approval for the hospital service.
Healthcare Operations: We may use or disclose, as-needed, your or your child's your child's protected health information in order to support the business activities of your or your child's dentist. These activities include, but are not limited to, quality assessment activities, employee review activities. training of medical or dental students, licensing and conducting or arranging for other business activities. For example, we may call you or your child by name in the waiting room when your or your child's dentist is ready to see you. We may use or disclose your or your child's protected health information, as necessary to contact you to remind you of your or your child's appointment or recall status. We may use or disclose your of your child's protected health information for our Cavity Free Club and status.
We may use or disclose your or your child's protected health information in the in the following situations without your authorization. Those situations include: as Required By Law , Public Health issues as required by law , Communicable Diseases : Health Oversight ; Abuse or Neglect : Food and Drug Administration requirements : Legal Proceedings : Law Enforcement : Coroners , Funeral Directors , and Organ Donation : Research : Criminal Activity : Military Activity and National Security : Workers Compensation : Inmates Required Uses and Disclosures : Under the law, We must make disclosure to you and when required by the Secretary of the Department of Health and Human Services to investigate our compliance with the requirements of Section 164 . 500.
Other Permitted and Required Uses and Disclosure Will Be Made Only With Your Consent, Authorization or Opportunity to Object unless required by law.
You may revoke this authorization, at any time, in writing, except to the extent that your or your child's dentist of has taken an action in reliance on the use or disclosure indicated in the authorization.