Our Notice of Privacy and security Practices provides to you information about how we may use and disclose registration and health information about you an adult, a child or a minor that is a guardian. The Doctor and Staff assures you that all records are protected and secured with a process level of encrypted information technology.
You have the right to review ournotice of privacy practicesbefore signing a consent for diagnosis and or treatment. As provided in our notice, the terms of our notice may change to reflect current policy Laws ofHIPPA,that of PPACAand our practices. If we change our notice, you may obtain a revised copy by contacting us: The Office of Privacy at 24 Hour Dentist®.
You have the right to request that we constrict how protected health information about you is used or disclosed for treatment, laboratory, payment, or health care operations. We are not required to agree to this restriction, but if we do, we are bound by our agreement.
You understand that photographs, videotapes, digital, or other images may be recorded to document your care and security; and that you consent to this. This includes but not limited to the treatment and waiting area. You understand that 24 Hour Dentist® will retain the ownership rights to these photographs, videotapes, digital other images or casting, but that you will be allowed access to view them and obtain copies. You understand that your records and these images will be stored in a secure manner that will protect your privacy and that they will be kept for the time period required by law as outlined by 24 Hour Dentist® policy. Images that identify you will be released and/or used outside the office only upon written authorization from stature of law , your legal representative or you.
By signing our form, you consent to our use and disclosure of protected health information about you for treatment, payment, laboratory and health care operations.You have the right to revoke this consent in writing, except when we have already made disclosures in reliance on your prior consent.