HIPAA Privacy Policy

Last Update: 1/1/2024

Introduction: Pediatric Dental Associates is committed to maintaining the privacy of your personal health information and to providing quality care and services. This Privacy Policy describes how we handle your Protected Health Information (PHI) in compliance with HIPAA and applicable state laws.

Our Responsibility: We are required by law to:

• • Maintain the privacy of your health information.
  • Provide you with a notice of our legal duties and privacy practices with respect to PHI.
  • Follow the terms of the privacy policy currently in effect.

How We May Use and Disclose Health Information:

For Treatment: We may use your health information to provide and coordinate the treatment and services you receive. For example, we may share health information with other professionals involved in your care.

For Payment: We may use and disclose your health information for payment-related functions related to health care services. This may include contacting your insurance provider.

For Health Care Operations: We may use and disclose health information for operational purposes. These uses and disclosures help us improve the quality of care we provide and reduce healthcare costs.

Your Rights Regarding Health Information:

Right to Access: You have the right to access, inspect, and receive a copy of your PHI.

Right to Amend: You have the right to request an amendment to your health record if you believe it is incorrect or incomplete.

Right to an Accounting of Disclosures: You have the right to request a list of the disclosures we have made of your child’s PHI.

Changes to This Notice: We reserve the right to change this privacy policy. We will post a copy of the current policy in our facility with its effective date.

Complaints: If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with our office, contact our Office Manager at (541) 686-2446. You will not be penalized for filing a complaint.

Contact: For further information about this privacy policy, please contact our Office Manager at (541) 686-2446.