Your Rights
You have certain rights regarding your health information. This section explains your rights and some of our responsibilities to you.
- Access to Your Medical Record: You can request a copy of your medical record, either electronically or on paper. We will provide you with a copy or summary, typically within 30 days of your request. A reasonable fee may apply.
- Correction of Your Medical Record: You have the right to request that we correct any inaccurate or incomplete health information in your record. We will review your request and respond within 60 days.
- Confidential Communications: You can specify how you would like us to contact you or where to send mail. We will accommodate all reasonable requests.
- Limitation of Information Use or Sharing: You can request to limit how we use or share your health information for treatment, payment, or healthcare operations. We may deny your request if it affects your care, but we will explain our reasons.
- Your Choices:
You can inform us of your preferences regarding sharing specific health information in certain situations, such as:
- Sharing with family, friends, or caregivers
- Sharing during a disaster relief situation
- Inclusion in a hospital directory
Restrictions on Information Sharing
We will not share your information for marketing purposes or sell your information to third parties.
Our Uses and Disclosures
We may use and disclose your PHI for the following reasons:
- Treatment: To provide you with dental care and coordinate with other healthcare providers.
- Running Our Practice: To manage your treatment and services, and for administrative tasks.
- Billing for Your Services: To obtain payment from your health insurance plan.
- Public Health and Safety Issues: To report certain diseases or prevent serious threats to health or safety.
- Research: With your authorization, your information may be used for research projects.
- Compliance with the Law: As required by law, such as for court orders or law enforcement investigations.
- Responding to Organ and Tissue Donation Requests
- Working with Medical Examiners or Funeral Directors
- Addressing Workers' Compensation, Law Enforcement, and Government Requests
- Responding to Lawsuits and Legal Actions
- Appointment Reminders: We may use various methods to remind you of appointments, such as voicemail messages, texts, postcards, or letters.
Requesting a Copy of this Privacy Notice
You can request a paper copy of this notice at any time.
Choosing Someone to Act for You
If you have a designated health care proxy or legal guardian, that person can exercise your rights and make choices about your health information.
How We Typically Use or Share Your Health Information
We typically use or share your PHI for the following purposes:
- Running Our Practice: This includes managing your treatment, scheduling appointments, and billing.
- Billing for Your Services: We provide information to your health insurance plan for payment purposes.
Other Uses or Sharing of Health Information
We may share your information for public health activities or research, but only after meeting strict legal requirements.
Our Responsibilities
We are committed to protecting the privacy and security of your health information. We will:
- Promptly notify you if a breach occurs that may compromise your information.
- Comply with the terms of this Privacy Policy and provide you with a copy.
- Not use or share your information other than as described here without your written permission. You may revoke your permission at any time by notifying us in writing.
Changes to the Terms of this Notice
We reserve the right to update this Privacy Policy. The updated notice will be available on our website, and a copy will be mailed to you.
This Notice of Privacy applies to all affiliated entities of Prosthodontics & Implants Northwest (Kim E. Larson, DDS).
