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HIPPA Notice of Privacy Practices
 

This Notice of Privacy Practices describes how Carson Dental Care ("we," "our," or "us") may use and disclose your protected health information (PHI) and how you can access your information under the Health Insurance Portability and Accountability Act (HIPAA).

 

1. Our Commitment to Your Privacy

At Carson Dental Care, your privacy is important to us. We are committed to protecting your personal health information and ensuring it is used only in accordance with applicable laws and regulations.

 

2. What Is Protected Health Information (PHI)?

PHI includes any information that can be used to identify you and relates to your past, present, or future physical or mental health, the provision of healthcare, or payment for healthcare services. Examples include:

  • Name, address, phone number

  • Medical history or diagnosis

  • Insurance details

 

3. How We May Use and Disclose Your PHI

We may use and disclose your PHI for the following purposes:

Treatment

We may use your PHI to provide dental care, including sharing it with other healthcare providers involved in your treatment.

Payment

We may use your PHI to bill and collect payment for the services we provide. This may include sharing information with your insurance company.

Healthcare Operations

We may use your PHI for administrative purposes, such as staff training, quality assurance, and improving our services.

Legal Requirements

We may disclose your PHI as required by federal, state, or local law.

Public Health and Safety

We may share PHI to prevent or control disease, report adverse reactions, or comply with public health authorities.

With Your Authorization

We will obtain your written authorization for any other use or disclosure of your PHI not covered by this notice. You may revoke this authorization at any time.

 

4. Your Rights Regarding Your PHI

You have the following rights regarding your PHI:

Access to Records

You can request to review or receive copies of your PHI. Fees may apply for copies.

Request Corrections

You may request that we amend your PHI if you believe it is incorrect or incomplete.

Request Restrictions

You may request that we limit the use or disclosure of your PHI. While we will consider your request, we are not required to agree to it unless you have paid for a service out-of-pocket and request that information not be disclosed to your health insurer.

Confidential Communications

You may request that we contact you using specific methods (e.g., email or phone) or at a specific location.

Accounting of Disclosures

You have the right to receive a list of certain disclosures of your PHI made for purposes other than treatment, payment, or healthcare operations.

File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with our office or the U.S. Department of Health and Human Services (HHS). Filing a complaint will not affect your care.

 

5. Our Responsibilities

  • We are required by law to maintain the privacy of your PHI and provide you with this notice.

  • We will notify you promptly if a breach occurs that compromises the privacy or security of your PHI.

  • We will abide by the terms of this notice unless and until it is updated.

 

6. Changes to This Notice

We reserve the right to change this Notice of Privacy Practices and will post the updated version on our website and in our office. The changes will apply to all PHI we maintain.

 

7. Contact Information

For questions, concerns, or requests related to your privacy rights, please contact us:

Carson Dental Care
240 W Carson St, Carson, CA 90745
Phone: (310) 549-5580

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