HIPAA Notice
Nutmeg Perio – Notice of Privacy Practices
This notice describes how medical and dental information about you may be used and disclosed and how you can access this information. Please review it carefully.
At Nutmeg Perio, we are committed to protecting the privacy and security of your health information. This notice explains our legal duties and privacy practices regarding your Protected Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
Our Responsibilitiesn We Collect
Nutmeg Perio is required by law to:
Maintain the privacy and security of your protected health information (PHI)
Provide you with this notice of our legal duties and privacy practices
Notify you promptly if a breach occurs that may compromise the privacy or security of your information
Follow the duties and privacy practices described in this notice
How We May Use and Disclose Your Health Information
Treatment
We may use and disclose your health information to provide, coordinate, or manage your dental and periodontal care.
For example, your dental records may be shared with specialists, laboratories, or other healthcare providers involved in your treatment.
Payment
We may use and disclose your information to obtain payment for services we provide.
For example, we may share necessary information with your dental insurance provider to process claims or determine eligibility and coverage.
Healthcare Operations
We may use and disclose your health information for administrative and operational purposes such as:
Quality assessment and improvement
Staff training
Appointment scheduling
Internal administrative activities
Appointment Reminders and Communication
We may contact you by phone, email, or text message to:
Remind you about appointments
Provide follow-up care instructions
Share information related to your treatment
As Required by Law
We will disclose your health information when required to do so by federal, state, or local law. This may include reporting certain diseases, responding to court orders, or cooperating with law enforcement when legally required.
Your Rights Regarding Your Health Information
You have the following rights regarding your protected health information:
Right to Access
You have the right to inspect and obtain a copy of your medical or dental records.
Right to Request Corrections
If you believe information in your record is incorrect or incomplete, you may request that we amend the record.
Right to Request Confidential Communications
You may request that we contact you in a specific way or at a specific location.
Right to Request Restrictions
You may request restrictions on how we use or disclose your health information for treatment, payment, or healthcare operations.
Right to Receive an Accounting of Disclosures
You have the right to request a list of certain disclosures of your health information made by our practice.
Right to Obtain a Copy of This Notice
You may request a paper copy of this notice at any time, even if you have agreed to receive it electronically.
Uses and Disclosures That Require Authorization
We will obtain your written authorization before using or disclosing your health information for purposes not described in this notice.
You may revoke your authorization at any time in writing.
Contact Information
If you have any questions or concerns about this Privacy Policy, you may contact us using the information below:
Nutmeg Perio
2614 Boston Post Road
Suite 34C, West Hall – Lower Level
Guilford, CT 06437, USA
Phone:
1-203-533-7169
1-203-533-7196
1-888-224-0283
Email:
[email protected]
Website:
https://nutmegperio.org/
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