HIPAA Notice of Privacy Practices
Your Rights
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Our Responsibilities
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We are required by law to maintain the privacy and security of your protected health information.
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We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
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We must follow the duties and privacy practices described in this notice and give you a copy of it.
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We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. |
Our Compliance
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We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we are complying with federal privacy law.
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We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
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We can share health information about you in response to a court or administrative order, or in response to a subpoena. |
Who we can share information with: The individual(s) listed below are who you may share information with regarding my health/financial records:
* If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action. You may at any time, also request information to be confidential.
Disclosures:
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We can use your health information and share it with other professionals who are treating you. Example: Another Dental office we refer to who may be treating you and providing your dental care needs.
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We can use and share your health information to bill and get payment from health plans or other entities. Example: We give information about you to your health insurance plan so it will pay for your services.
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We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website. You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. |
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