Your protected health information may be used and disclosed by your dentist, our office staff, and others outside our office that are involved in your care and treatment for the purpose of providing health care services to you, to pay your dental/health care bills, to support the operation of the dentist’s practice, and any other use required by law.
Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your dental/health care and any related services. This includes the coordination or management of your dental/health care with a third party. For example, we would disclose our protected health information, as necessary, to a home health agency that provides care to you. For example, your protected health information may be provided to a dentist/physician to whom you have been referred to ensure that the dentist/physician has the necessary information to diagnose or treat you.
Payment: Your protected health information will be used, as needed, to obtain payment for your dental/health care services. For Example, obtaining approval for a dental treatment may require that your relevant protected health information be disclosed to the health/dental plan to obtain approval for the dental treatment.
Healthcare Operations: We may use or disclose, as needed, your protected health information in order to support the business activities of your dentist’s practice. These activities include, but are not limited to, quality assessment activities, employee review activities, training of dental/dental assistant students, licensing, and conducting or arranging for other business activities. For example, we may disclose your protected health information to dental/dental assistant school students that see patients at our office. In addition, we may use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your dentist. We may also call you by name in the waiting room when your dentist is ready to see you. We may use or disclose your protected health information, as necessary, to contact you to remind you of your appointment.
We may use or disclose your protected health information in the following situations without your authorization. These situations include: as Required By Law, Public Health issues as required by law, Communicable Diseases, Health Oversight, Abuse or Neglect, Food and Drug Administration requirements, Legal Proceedings, Law Enforcement, Coroners, Funeral Directors, and Organ Donation, Research, Criminal Activity, Military Activity and National Security, Workers’ Compensation, Inmates, Required Uses and Disclosures. Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500.
Other permitted and required uses and disclosures will be made only with your consent, authorization or opportunity to object unless required by law.
You may revoke this authorization, at any time, in writing, except to the extent that your dentist or the dentist’s practice has taken an action in reliance on the use or disclosure indicated in the authorization.