HIPAA Compliance Information
We greatly value our patients and the trust you place in us. We are fully committed to protecting your information and privacy by adhering to all HIPAA guidelines. Below is a detailed overview of how we ensure your confidentiality.
Alpha Dental Excellence in Langhorne
Notice of Privacy Practices
Upon written request:
You may also:
Choose someone to act on your behalf: If you have appointed someone with medical power of attorney or if they are your legal guardian, that person may exercise your rights and make decisions regarding your health information. We will require proof of this relationship before taking any action.
Request a paper copy of this notice: Even if you have agreed to receive this notice electronically, you can still request a paper copy. We will provide a copy to you promptly.
File a complaint: If you believe your rights have been violated, you can file a complaint with our designated Privacy Officer at [Practice Officer, address, phone number, and email address].
File a complaint with the US Department of Health and Human Services: You may also file a complaint with the Office for Civil Rights by sending a letter to 200 Independence Ave, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints.
Non-retaliation policy: We will not retaliate or take any adverse action against you for filing a complaint.
OUR RESPONSIBILITIES
Maintain the privacy and security of your protected health information: We are committed to ensuring the confidentiality and safety of your health information.
Notify you of any breaches: If a breach occurs that may affect the privacy or security of your information, we will notify you promptly.
Adhere to duties and privacy practices: We will follow the duties and privacy practices outlined in this notice and provide you with a copy of it.
Limit use and sharing of your information: We will not use or share your information beyond what is described in this notice, unless we receive your written consent. If you provide consent and later change your mind, simply notify us in writing, and we will respect your decision.
Your Choices
For certain types of health information, you have the right to make decisions about what we share and with whom. If you have clear preferences regarding how we share your information in the situations described below, please let us know.
In these situations, you have the option to tell us to:
- Share information with your family, close friends, or others involved in your care.
- Share information in the event of a disaster relief situation.
If you are unable to communicate your preferences, such as when you are unconscious, we may still share your information if we believe it is in your best interest. Additionally, we may share your information when necessary to prevent or reduce a serious and imminent threat to health or safety.
In the following cases, we will never share your information without your written permission:
- For marketing purposes.
- For the sale of your information.
- For most sharing of psychotherapy notes.
- In the case of fundraising, we may contact you for fundraising efforts, but you have the right to request that we no longer contact you.
