

#HIPAA COMPLIANCE FORMS FOR DENTAL PATIENTS SOFTWARE#
Examples include practice management software representatives, accountants, answering service personnel, etc. Business Associates: Some services in our organization are provided through contacts with business associates.Your information may be disclosed to assist in notifying a family member, caregiver, or personal representative of your location, condition, or death. We also may make information available so that another person may pick up filled prescriptions, medical supplies, records, or x-rays for you. Based on our judgement and as per 164.522(a) of HIPAA we may disclose your information to these persons in the event of an emergency situation. Family Members, Friends, and Others Involved in Care: At your request, we may disclose your health information to a family member or other person if necessary to assist with your treatment and/or payment for services.Health information for inmates in custody of law enforcement may be provided to correctional institutes. Information may be given to authorized federal offices when required for intelligence and national security activites. National Security: When required, we may disclose military personnel health information to the Armed Forces.Abuse or Neglect: If abuse or neglect is reasonably suspected, we may use or disclose your health information to the appropriate governmental authorities.Legal Requirements: We may use or disclose your health information when required to do so by law.Appointment Reminders: We may use or disclose your health information to provide you with appointment reminders such as voicemail messages, text messages, emails, postcards, or letters.

We will not sell your health information without your explicit authorization. You can opt out of receiving information about our marketing or fundraisers.

Marketing/Fundraising: We will not use your health information for marketing or fundraising purposes without your written consent.Upon your written request, we will not disclose to your health insurer any services paid by you out of pocket. Payment and Health Care Operations: We may use or disclose your health information to obtain payment for services we provide to you, to participate in quality assurance, disease management, training, licensing, and certification programs.Treatment Services: We may use or disclose your health information to all of our staff members, other dentists, your physicians, and/or other health care providers taking care of you.The following describes how information about you may be used in this dental office: USES AND DISCLOSURES OF HEALTH INFORMATION Additional information may be obtained from the HIPAA Coordinator listed in our written HIPAA plan. You may request a copy of our Notice at any time. If changes are made, a new Notice of Privacy policy will be displayed in our office and provided to patients. We reserve the right to change our privacy practices, and the terms of this Notice at any time, provided such changes are permitted by law. The privacy practices described are currently in effect. The HIPAA Privacy Rule states that health providers must also post in a clear and prominent location, and provide patients with, a written Notice of Privacy Policy.

The Health Insurance Portability and Accountibility Act of 1996 (HIPAA) requires that health providers keep your medical and dental information private.
