Privacy Policy

818 Dental

Notice of Privacy Practices

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.

I. Dental Practice Covered by this Notice

This Notice describes the privacy practices of 818 Dentistry (“Dental Practice”). “We” and “our” means the Dental Practice. “You” and “your” means our patient.

II. How to Contact Us / Our Privacy Official

If you have any questions or would like further information about this Notice, you can contact 818 Dentistry Privacy Official at:
Email: 818familydental@gmail.com

III. Our Promise to You and Our Legal Obligations

The privacy of your health information is important to us. We understand that your health information is personal and we are committed to protecting it.

This Notice describes how we may use and disclose your protected health information to carry out treatment, payment, or health care operations and for other purposes permitted or required by law.

We are required by law to:

• Maintain the privacy of your protected health information;

• Give you this Notice of our legal duties and privacy practices; and

• Abide by the terms of this Notice currently in effect.

IV. Last Revision Date

This Notice was last revised on April 14, 2023.

V. How We May Use or Disclose Your Health Information

A. Common Uses and Disclosures

1. Treatment – For your dental care and treatment.

2. Payment – To receive reimbursement from health plans and insurers.

3. Health Care Operations – For operations like quality reviews, audits, and staff training.

4. Appointment Reminders – Contacting you by postcard, phone, text, or email.

5. Treatment Alternatives and Health-Related Benefits – Informing you about other care options.

6. Disclosure to Family Members and Friends – Involved in your care unless you object.

7. Disclosure to Business Associates – Third parties who perform services on our behalf under contractual obligations to protect your information.

B. Less Common Uses and Disclosures

1. Disclosures Required by Law

2. Public Health Activities

3. Victims of Abuse, Neglect or Domestic Violence

4. Health Oversight Activities

5. Lawsuits and Legal Actions

6. Law Enforcement Purposes

7. Coroners, Medical Examiners and Funeral Directors

8. Organ, Eye and Tissue Donation

9. Research Purposes

10. Serious Threat to Health or Safety

11. Specialized Government Functions

12. Workers’ Compensation

VI. Your Written Authorization for Any Other Use or Disclosure of Your Health Information

Any use or disclosure not covered in this Notice (e.g. marketing, sale of health info) will only be made with your written authorization. You may revoke your authorization in writing at any time.

VII. Your Rights with Respect to Your Health Information

To exercise any of these rights, submit a written request to our Privacy Official listed above.

A. Right to Access and Review

You may request to access or obtain copies of your health information in a preferred format.

B. Right to Amend

You may request an amendment if your records are incorrect or incomplete.

C. Right to Restrict Use and Disclosure

You may request limits on how your information is used or shared, including with insurers (if paid in full out-of-pocket).

D. Right to Confidential Communications

You can request communications through alternative means or locations for safety reasons.

E. Right to an Accounting of Disclosures

You can request a report of certain disclosures made in the past six years, excluding some exceptions.

F. Right to a Paper Copy of this Notice

You may request a printed copy at any time, even if you’ve agreed to receive it electronically.

G. Right to Receive Notification of a Security Breach

We are required to notify you by mail within 60 days if your information is compromised.

VIII. Special Protections for HIV, Alcohol and Substance Abuse, Mental Health and Genetic Information

Some health information (e.g., HIV, mental health, substance abuse, genetic info) may be subject to additional protections under state or federal laws.

IX. Our Right to Change Our Privacy Practices and This Notice

We may change this Notice at any time. Updated versions will be available on our website and in our office. The effective date of the latest Notice is April 14, 2023.

X. How to Make Privacy Complaints

If you believe your rights have been violated, you may:

• Contact our Privacy Official (see contact info above)

• File a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights