Notice of Privacy Practices (HIPAA)

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.

This Notice of Privacy Practices is provided to you as a requirement of the Health Insurance Portability and Accountability Act (HIPAA). It describes how we may use and disclose your protected health information (PHI) for treatment, payment, or healthcare operations, and for other purposes that are permitted or required by law.

Our Responsibilities

We are required by law to maintain the privacy of your PHI, to provide you with this notice of our legal duties and privacy practices, and to notify you following a breach of unsecured PHI. We must follow the terms of the notice that is currently in effect.

Uses and Disclosures of PHI

Your PHI may be used and disclosed for the purpose of **treatment, payment, and healthcare operations** without your written authorization. Examples include, but are not limited to:

Treatment: We may use your PHI to provide, coordinate, or manage your dental care. For example, we may disclose PHI to another dentist or specialist for a consultation.
Payment: We may use and disclose your PHI to obtain payment for services we provide to you, such as making a claim to your dental insurance company.
Healthcare Operations: We may use and disclose your PHI in connection with our healthcare operations, including quality assessment, training programs, and business planning.

Your Health Information Rights

You have the following rights regarding your PHI:

Right to Inspect and Copy: You have the right to inspect and obtain a copy of your PHI.
Right to Amend: If you feel that PHI we have about you is incorrect or incomplete, you may ask us to amend the information.
Right to an Accounting of Disclosures: You have the right to request a list of the disclosures we made of your PHI.
Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose.

Changes to this Notice

We reserve the right to change this notice and to make the new notice effective for all PHI we already have, as well as any information we receive in the future.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. To file a complaint with our office, please contact our Privacy Officer at the contact information below. You will not be penalized for filing a complaint.

Sarasota Dental Arts
Privacy Officer
7162 S Beneva Rd, Sarasota, FL 34238
(941) 927-8287