We use and disclose health information about you for treatment, payment, and health care operations. For example:
Treatment: We disclose medical information to our employees and others who are
involved in providing the care you need. We may use or disclose your
health information to another dentist or other health care providers
providing treatment that we do not provide. We may also share your
health information with a pharmacist in order to provide you with a
prescription or with a laboratory that performs tests or fabricates
dental prostheses or orthodontic appliances.
Payment: We may use and disclose your health information to obtain payment
for services we provide to you, unless you request that we restrict such
disclosure to your health plan when you have paid out-of-pocket and in
full for services rendered.
Health care Operations:We may use and disclose your health information in connection with
our health care operations. Health care operations include, but are
not limited to, quality assessment and improvement activities,
reviewing the competence or qualifications of health care
professionals, evaluating practitioner and provider performance,
conducting training programs, accreditation, certification, licensing or
Your Authorization:n addition to our use of 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 use or disclosures permitted by
your authorization while it is 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
To Your Family and Friends:We must disclose your health information to you, as described in the
Patient Rights section of this notice. You have the right to request
restrictions on disclosure to family members, other relatives, close
personal friends or any other person identified by you.
Unsecured Email:We will not send you unsecured emails pertaining to your health
information without your prior authorization. If you do authorize
communications via unsecured email, you have the right to revoke the
authorization at any time.
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 your death. If you are present,
then prior to use or disclosure 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 health information based on a determination using our
professional judgment disclosing only health information that is directly
relevant to the person's involvement in your health care. We will also
use our professional judgment and our experience with common
practice to make reasonable inferences of your best interest in allowing
a person to pick up filled prescriptions, medical supplies, X-rays or
other similar forms of health information.
Marketing Health-Related Services:We may contact you about products or services related to your
treatment, case management or care coordination or to propose other
treatments or health-related benefits and services in which you may
be interested. We may also encourage you to purchase a product or
service when you visit our office. If you are currently an enrollee of a
dental plan, we may receive payment for communications to you in
relation to our provision, coordination or management of your dental
care, including our coordination or management of your health care
with a third party, our consultation with other health care providers
relating to your care or if we refer you for health care. We will not
otherwise use or disclose your health information for marketing
purposes without your written authorization. We will disclose whether
we receive payments for marketing activity you have authorized.
Change of Ownership:If this dental practice is sold or merged with another practice or
organization, your health records will become the property of the new
owner. However, you may request that copies of your health
information be transferred to another dental practice
Required by Law :We may use or disclose your health information when we are required
to do so by law.
Public Health :We may, and are sometimes legally obligated to, disclose your health
information to public health agencies for purposes related to preventing
or controlling disease, injury or disability; reporting abuse or neglect;
reporting domestic violence; reporting to the Food and Drug
Administration problems with products and reactions to medications;
and reporting disease or infection exposure. Upon reporting suspected
elder or dependent adult abuse or domestic violence, we will promptly
inform you or your personal representative unless we believe the
notification would place you at risk of harm or would require informing
a personal representative we believe is responsible for the abuse or
Abuse or Neglect:We may disclose your health information to appropriate authorities if
we reasonably believe that you are a possible victim of abuse, neglect
or domestic violence or the possible victim of other crimes. We may
disclose your health information to the extent necessary to avert a
serious threat to your health or safety or the health or safety of others.