Our oral surgeons and staff understand that your medical and health information is personal. Protecting your health information is important. We follow strict federal and state laws that require us to maintain the confidentiality of your health information.
How We Use Your Health Information
When you receive care from our oral surgeons, we may use your health information for treating you, billing for services, and conducting our normal business (known as “health care operations”). Examples of how we use your information include:
Sharing Your Health Information
There are limited situations when we are permitted or required to disclose health information without your signed authorization. These situations are:
- For public health purposes such as reporting communicable diseases, work-related illnesses, or other diseases and injuries permitted by law; and reporting reactions to drugs and problems with medical devices;
- To protect victims of abuse, neglect or domestic violence;
- For health oversight activities such as investigations, audits, and inspections;
- For lawsuits and similar proceedings;
- When otherwise required by law;
- When requested by law enforcement as required by law or court order;
- To reduce or prevent a serious threat to public health and safety;
- For workers’ compensation or other similar programs if you are injured at work;
- For specialized government functions such as intelligence and national security.
All other uses and disclosures, not described in this notice, require your signed authorization. You may revoke your signed authorization at any time with a written statement.
Your Individual Rights
You have the right to:
- Request restrictions on how we use and share your health information. We will consider all requests for restrictions carefully but are not required to agree to any restriction.
- Request that we use a specific telephone number or address to communicate with you.
- * Inspect and copy your health information, including medical and billing records
- Fees may apply. Under limited circumstances, we may deny your access to a portion of your health information, and you may request a review of the denial.
- * Request corrections or additions to your health information.
- * Request an account of certain disclosures of your health information made by us. The accounting does not include disclosures made for treatment, payment and health care operations and some disclosures required by law. Your request must state the period of time desired for the accounting, which must be within the six years prior to your request and exclude dated prior to April 14, 2003. The first accounting is free, but a fee will apply if more than one request is made in a 12-month period.
- Request a paper copy of this notice
Requests marked with a star (*) must be made in writing. Contact a staff member for the appropriate form for your request.