This office uses and discloses health information about you and/or family members for purposes of treatment, payment and dental practice operations. For example:
TREATMENT: We may use or disclose your dental health information to dental colleagues, your physician or other health care providers rendering treatment;
PAYMENT: We may use and disclose your dental treatment information through regular mail, fax or electronic transmission to your dental insurance carrier to obtain payment for services rendered. Limited treatment information may also be disclosed to billing services which assist the office in preparing monthly billing statements.
DENTAL PRACTICE OPERATIONS: We may use and disclose your health information in conjunction with our health care operations, which include quality assessment and improvement activities, reviewing the competence or qualifications of personnel who work in this office, evaluating performance, conducting training programs within the office, accreditation, certification, licensing or credentialing activities. Your health information may also be disclosed to our attorneys and consultants as necessary to respond to any type of investigation or legal action pertaining to the quality of treatment provided to you.
YOUR AUTHORIZATION: In addition to our use of your health information for treatment, payment, or dental practice operations, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us such an authorization, you have the right to revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect.
DISCLOSURE TO FAMILY AND FRIENDS: You have the right for us to disclose your own personal dental health information to you as described in the Patient Rights section of our Privacy Policies. We may also disclose your dental health information to a family member, friend, or other person to the extent necessary to help with your dental care or with payment for your dental care, but only if you agree that we may do so.
PERSONS INVOLVED IN CARE: We may use or disclose dental health information to identify or assist in the identification of you or a family member in conjunction with a forensic investigation. In the event of your incapacity or in emergency circumstances, we will disclose health information based on our professional judgment. In that instance, we will disclose only that information that is directly relevant to the treating entity’s involvement in your health care. We will also use our professional judgment and experience to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, dental supplies, X-rays or other similar forms of health information.
MARKETING: We will not use your dental health information or images of your face and/or teeth for marketing communication without your specific written authorization to do so.
SUBPOENA: We may use or disclose your health information when we are required to do so by law through subpoena.
ABUSE OR NEGLECT: We may disclose dental information of minor patients to appropriate authorities if we have reason to believe that they are possible victims of abuse, neglect or domestic violence or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health or safety or the health or safety of others.
NATIONAL SECURITY: We may disclose to military authorities the dental health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials the dental information required for lawful intelligence, counterintelligence, and other national security activities. We may disclose dental information to correctional institutions or law enforcement officials having lawful custody of protected dental information of inmates or patients under certain circumstances.
APPOINTMENT REMINDERS: We may use or disclosure your health information to greater degree than we consider minimally necessary for the purpose of each disclosure.