OTICE OF PRIVACY PRACTICES
Your Privacy Rights & How We Use Your Information
If you have any questions about this Privacy Policy, please contact our Office Manager.
1. Uses & Disclosures of Your Protected Health Information
How We Use Your Information for Treatment, Payment, & Operations
Your PHI may be used by our dental professionals and office staff, as well as disclosed to third parties involved in your healthcare, for the following purposes without requiring additional authorization:
✔ Treatment
We may use and share your PHI with other healthcare providers to coordinate or manage your care, including referrals or consultations with specialists.
✔ Payment
We may use and disclose your information to process payments for your treatment. This includes communicating with your insurance provider to verify eligibility, benefits, and claims processing.
✔ Healthcare Operations
We may use your PHI for operational purposes such as quality assessments, staff training, business management, and customer service improvements.
Additionally, we may:
- Utilize a sign-in sheet at the front desk.
- Call your name in the waiting room for your appointment.
- Contact you for appointment reminders, treatment follow-ups, or to inform you of new services available.
Whenever we share your PHI with a business associate, we have a written agreement ensuring they protect your privacy.
Uses & Disclosures That Require Your Written Authorization
Your PHI will not be used for any purpose outside of treatment, payment, or operations without your written consent, except when required by law. If you authorize additional disclosures, you may revoke that authorization at any time in writing.
2. Your Rights Regarding Your Protected Health Information
You have specific rights regarding your PHI, including:
✔ Right to Access & Copy Your Records
You may request copies of your dental and billing records. Some exceptions may apply, such as records compiled for legal proceedings.
✔ Right to Request a Restriction on Your PHI
You may request restrictions on how we use or disclose your PHI for treatment, payment, or operations. While we are not required to agree to these restrictions, if we do, we will honor them unless needed for emergency care.
✔ Right to Confidential Communication
You can request that we contact you via alternative methods (e.g., a different phone number or mailing address). We will accommodate reasonable requests.
✔ Right to Amend Your Records
If you believe there is incorrect or incomplete information in your records, you may request an amendment. While we reserve the right to deny such requests, you will be provided with an explanation and an opportunity to submit a statement of disagreement.
✔ Right to Receive an Accounting of Disclosures
You may request a list of instances where your PHI was shared for reasons other than treatment, payment, or healthcare operations. This does not include disclosures made with your authorization.
3. Filing a Complaint
If you believe your privacy rights have been violated, you have the right to file a complaint with:
✔ Our Office Manager at D’Art Dental
✔ The U.S. Department of Health and Human Services
We will not retaliate against you for filing a complaint.
Contact Us
For more information about this Privacy Policy or to exercise your rights, please contact our Office Manager.
This policy is effective as of 01/01/2025 and may be updated as needed to comply with legal requirements.
📅 D’Art Dental – Protecting Your Privacy & Providing Trusted Care in Miami, Coral Gables, & Hialeah.
