HIPAA Notice of Privacy Practices
How we protect your health information.
Effective Date: This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Our Commitment to Your Privacy
At TrueSmiles Dental, we are committed to protecting the privacy and security of your protected health information (PHI). We are required by law to maintain the privacy of your health information, provide you with this notice of our legal duties and privacy practices, and notify you following a breach of unsecured protected health information.
How We May Use and Disclose Your Health Information
The following describes the ways we may use and disclose your health information:
For Treatment
We may use your health information to provide you with dental treatment and services. For example, we may share information with specialists, laboratories, or other healthcare providers involved in your care.
For Payment
We may use and disclose your health information to obtain payment for services we provide. This may include sharing information with your dental insurance company, processing claims, and collecting amounts owed.
For Healthcare Operations
We may use and disclose your health information for our healthcare operations, which include quality assessment, staff training, business management, and other activities that support our practice.
Required by Law
We may disclose your health information when required by federal, state, or local law.
Public Health Activities
We may disclose health information for public health purposes, such as reporting disease, injury, or vital statistics.
Health and Safety
We may use or disclose health information when necessary to prevent a serious threat to your health and safety or the health and safety of others.
Your Rights Regarding Your Health Information
You have several rights regarding your protected health information:
- Right to Inspect and Copy: You may request to see and obtain copies of your health information.
- Right to Amend: You may request an amendment to your health information if you believe it is incorrect or incomplete.
- Right to an Accounting of Disclosures: You may request a list of disclosures we have made of your health information.
- Right to Request Restrictions: You may request restrictions on how we use or disclose your health information.
- Right to Request Confidential Communications: You may request that we communicate with you in a specific way or at a specific location.
- Right to a Paper Copy of This Notice: You may obtain a paper copy of this notice upon request.
Our Responsibilities
- We are required by law to maintain the privacy and security of your protected health information.
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties and privacy practices described in this notice and give you a copy of it.
- We will not use or share your information other than as described here unless you tell us we can in writing.
Changes to This Notice
We reserve the right to change this notice and make the new provisions effective for all protected health information we maintain. If we make material changes to this notice, we will post the revised notice in our office and on our website.
Questions or Complaints
If you have questions about this notice or believe your privacy rights have been violated, you may contact:
TrueSmiles Dental
Privacy Officer
1719 Sheridan Drive
Tonawanda, NY 14223
Phone: (716) 424-0025
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.
Note: This is a summary of our HIPAA Notice of Privacy Practices. A complete copy is available at our office upon request or may be provided by contacting us directly.