Dr. Todd Liston

Dr. Michael Broadbent

Dr. Jason Chandler

Dr. Adam McCormick

801-779-0506

Patient Privacy Policy

Privacy Promise

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:

Treatment

We keep records of the care and services provided to you.  Health care providers use these records to deliver quality care to meet your needs.  For example, your doctor may share your health information with a specialist who will assist in your treatment.  Some health records, including some confidential communications with a mental health professional, some substance abuse treatment records, some genetic test results, and some health information of minors, may have additional restrictions for use and disclosure under state and federal law.

Payment

We keep billing records that include payment information and documentation of the services provided to you.  Your information may be used to obtain payment from you, your insurance company, or other third party.  We may also contact your insurance company to verify coverage for your care or to notify them of upcoming services that may need prior notice or approval.  For example, we may disclose information about the services provided to you to claim and obtain payment from your insurance company or Medicare.

Health Care Operations

We use health information to improve the quality of care, train staff, and provide customer service, manage costs, and conduct required business duties.

Other Services We Provide

We may also use your health information to:

Our Privacy Responsibilities

Our surgeons are required by law to:

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:

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:

Requests marked with a star (*) must be made in writing.  Contact a staff member for the appropriate form for your request.