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HIPAA Notice of Privacy Practices

Glen Burnie Oral Surgery is committed to protecting the privacy and confidentiality of your protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Our Responsibilities

How we protect and manage your protected health information.

Our Responsibilities

We are required by law to:

  • Maintain the privacy and security of your protected health information.
  • Provide you with this Notice of Privacy Practices.
  • Follow the terms of this notice currently in effect.
  • Notify you promptly if a breach occurs that may compromise the privacy or security of your health information.

How We May Use and Disclose Your Health Information

Permitted uses and disclosures that support your care and our operations.

Treatment

We may use your health information to provide, coordinate, or manage your dental and oral surgery treatment.

  • Reviewing your medical history
  • Consulting with referring dentists or physicians
  • Discussing treatment plans
  • Prescribing medications
  • Sharing X-rays or imaging with specialists involved in your care

Payment

We may use and disclose your information to obtain payment for healthcare services.

  • Insurance claim submissions
  • Billing statements
  • Eligibility verification
  • Prior authorization requests

Healthcare Operations

We may use your information to support our daily operations, including:

  • Quality improvement
  • Staff training
  • Appointment scheduling
  • Internal audits
  • Risk management
  • Business planning

Appointment Reminders

We may contact you regarding upcoming appointments, follow-up care, treatment recommendations, and surgical instructions.

Communication may occur by:

  • Phone
  • Voicemail
  • Email
  • Text message (if authorized)

Individuals Involved in Your Care

Unless you object, we may share relevant health information with family members, caregivers, or individuals involved in your care or payment.

As Required by Law

We may disclose your information when required by federal, state, or local law, including:

  • Court orders
  • Public health reporting
  • Law enforcement requests
  • National security requirements

Your Rights

Rights available to you regarding your protected health information.

Request Access

Request copies of your health records.

Request Corrections

Ask us to correct inaccurate or incomplete information.

Request Confidential Communications

Ask us to contact you at a different address or phone number.

Request Restrictions

Request limitations on certain disclosures or uses of your health information.

Receive an Accounting of Disclosures

Request a list of certain disclosures we have made of your information.

Receive a Paper Copy

You may request a printed copy of this notice at any time.

Your Choices

Communication and information-sharing choices you may make.

Your Choices

You may decide whether we:

  • Leave voicemail messages
  • Send appointment reminders by text or email
  • Share information with family members
  • Contact you regarding treatment follow-ups

Complaints

If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.

You may contact:

Privacy Officer
Glen Burnie Oral Surgery

You may also file a complaint with:

U.S. Department of Health and Human Services
Office for Civil Rights

https://www.hhs.gov/ocr/privacy/hipaa/complaints/

Changes to This Notice

We reserve the right to modify this Notice at any time. Updated versions will be posted on our website and made available in our office.

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