Notice of Privacy Practices (HIPAA)

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. This summary is provided for your convenience; a complete Notice of Privacy Practices is available at our office upon request.

How we may use and disclose your health information

We may use and disclose your protected health information (PHI) for these purposes:

• Treatment: to provide, coordinate and manage your dental care, including with other providers involved in your care
• Payment: to bill and obtain payment from you, your insurer or a financing provider
• Health care operations: for quality assessment, scheduling, staff review and administrative functions
• Appointment reminders and information about treatment options or health-related benefits
• As required or permitted by law, including for public health and safety

Your rights regarding your health information

• Request access to and a copy of your records
• Request an amendment to your records
• Request an accounting of certain disclosures
• Request restrictions on certain uses and disclosures
• Request confidential communications (for example, at a specific phone number)
• Receive a paper copy of the full Notice of Privacy Practices
• Be notified in the event of a breach of your unsecured PHI

To exercise these rights, please contact our office.

Our responsibilities

We are required by law to maintain the privacy of your PHI, provide you this Notice of our legal duties and privacy practices, and follow the terms of the Notice currently in effect. We will notify you if a breach occurs that may have compromised the privacy or security of your information.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.

Effective date and changes

This Notice is effective as of the “Last updated” date above. We reserve the right to change our privacy practices and this Notice, and to make the revised Notice effective for all PHI we maintain. Updated notices will be posted at our office and on this Site.

Contact: Golden Triangle Dentistry · 25460 Medical Center Dr, Suite 202, Murrieta, CA 92562 · (951) 677-1054. You can also reach us through our Contact page.