Notice of Privacy Practices

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. If You Have Any Questions About This Notice, Please Contact Our Privacy Officer at contact@mattawan.dentist.

We are required by law to maintain the privacy of protected health information and to provide you with this Notice of our legal duties and privacy practices with respect to protected health information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health or condition and related health care services or payment of health care services.

This Notice was published and became effective on 1/15/2025. We are required to abide by the terms of this Notice currently in effect. We may change the terms of this Notice at any time. The new Notice will be effective for all protected health information that we maintain at that time. You may obtain a copy of any revised Notice by accessing our website, calling our Privacy Contact, or requesting a copy at your next appointment.

Use and Disclosures of Protected Health Information Without Your Authorization

To Contact You: We may use your protected health information to contact you to remind you about appointments, inform you about treatment options, or advise you about other health-related benefits and services.

Treatment: We may use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes coordinating your health care with a third party, consulting with another health care provider, or referring you to another health care provider.

Payment: We may use and disclose your protected health information to obtain or provide payment for your dental services. This may include sharing information with the person or entity responsible for paying, such as your health insurer.

Operations: We may use or disclose your protected health information for our health care operations, such as to support our business activities and to ensure that quality dental care is provided. Some of these activities involve quality assessments, peer or employee review, training health care professionals, and compliance-related activities.

Family and Friends: We may disclose your protected health information to individuals, such as family and friends, who are involved in your care or who help pay for your care. We may do this if you tell us we can do so, or if you know we are sharing your information with these people and you do not object.

Other Uses and Disclosures of Protected Health Information Without Authorization

We may use or disclose your protected health information without your authorization in certain other circumstances, such as when required by law or for public health and safety purposes. We will comply with the legal requirements and limitations applicable to these circumstances.

As Required by Law: We may use or disclose your protected health information when and as required by federal, state, or local law.

Public Health Activities: We may disclose your protected health information to a public health authority for public health activities such as to prevent or control disease, injury, or disability.

Lawsuits and Disputes: We may use or disclose your protected health information in response to a court or administrative order in an administrative or judicial proceeding.

Uses and Disclosures of Protected Health Information with your Authorization

All uses and disclosures of your protected health information not covered by this Notice will be made only with your written authorization. For example, we will not sell your protected health information without your written authorization.

Your Rights with Respect to Protected Health Information

You have the following rights with respect to your protected health information. You may exercise these rights by submitting a written request to our Privacy Contact.

Right to Inspect and Copy: You may inspect and obtain a copy of your protected health information maintained in your dental chart.

Right to Request Restrictions: You may request that we not use or disclose any part of your protected health information for a particular treatment, payment, or health care operations-related purpose.

Right to Request Confidential Communications: You may request that we communicate with you via alternative means or at an alternative location.

Right to Amend: You may request an amendment of your protected health information to correct an error or omission.

Right to an Accounting of Disclosures: You may request an accounting of certain disclosures of your protected health information made within a period up to six years prior to your request.

Right to Breach Notification: If we improperly use or disclose your protected health information, we will notify you as required by law.

Right to Paper Copy of This Notice: You may receive a paper copy of this Notice upon request, even if you have agreed to accept this Notice electronically.

Questions or Complaints