Mateo Dental Arts – Notice of Privacy Practices
This notice describes how your health information may be used and disclosed and how you can get access to this information. Please review it carefully. The privacy of your health information is important to us.
Federal and state laws require us to maintain the privacy of your health information. We are also required to provide this notice about our office’s privacy practices, our legal duties and your rights regarding your health information. We are required to follow the practices that are outlined in this notice while it is in effect. This notice takes effect upon the date of signature and will remain in effect until we replace it.
We reserve the right to change our privacy practices and the terms of this notice at any time, provided such changes are permitted by applicable law. We reserve the right to make changes in our privacy practices and the new terms of our notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change this notice and make the new notice available upon request. For more information about our privacy practices or additional copies of this notice, please contact us (contact information below).
We use and disclose health information about you for treatment, payment, and health care operations.
We may use or disclose your health information to another dentist or other health care providers providing treatment that we do not provide. We may also share your health information with a pharmacist to provide you with a prescription or with a laboratory that performs tests or fabricates dental prostheses or orthodontic appliances.
We may use and disclose your health information to obtain payment for services we provide to you, unless you request that we restrict such disclosure to your health plan when you have paid out-of-pocket and in full for services rendered.
Health Care Operations
We may use and disclose your health information in connection with our health care operations, for example in sending appointment reminders. Other health care operations include but are not limited to quality assessment and improvement activities, reviewing the competence or qualifications of health care professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing, or credentialing activities. The California Confidentiality of Medical Information Act does limit the types of health care operations in which we can use or disclose your health information without your authorization. For example, if the dental practice is sold or merged, the new owner will seek permission to use your information to continue to treat you. Your authorization also is required if a credit or collection agency seeks your health information.
We may use business associates to conduct the above transactions. We may also use and disclose your health information if required by law or for public health, benefit, and safety purposes. For example:
Public Health and Safety
We may disclose your health information to a public health authority as part of lawful activities to prevent or control disease, injuries, and disabilities and to the U.S. Food and Drug Administration to report safety issues with drugs and medical devices. We may disclose your health information to appropriate authorities if we reasonably believe that you are a victim of abuse, neglect or domestic violence or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health or safety or the health or safety of others.
We may disclose your health information to government regulatory agencies, such as the Dental Board of California or the U.S. Department of Health and Human Services, to carry out their legal responsibilities in investigations, inspections, audits, enforcement, and licensing.
Law Enforcement, Coroners and Legal Proceedings
We may disclose your health information to a law enforcement agency, coroner, or medical examiner for official purposes such as identifying an individual or reporting crimes. We may be compelled to disclose your health information in response to a subpoena, court order, discovery request or other legal process. We may disclose to correctional institutions or law enforcement officials having lawful custody of protected health information of inmates or patients under certain circumstances.
We may disclose your health information to the extent permitted for workers’ compensation.
We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counterintelligence and other national security activities.
You may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it is in effect. Unless you give us a written authorization, we cannot use or disclose your health information for any reason except those permitted uses described in this notice.
We may request your authorization to use your name, image or testimonial in our social media platforms and marketing efforts.
We may request your authorization to release your insurance information to another healthcare provider.
We may use and disclose your health information in the following circumstances:
To Family, Friends and Persons Involved in Your Care
We may use or disclose health information to notify or assist in the notification of (including identifying or locating) a family member, your personal representative, or another person responsible for your care, of your location, your general condition or your death. If you are present, then prior to use or disclosure of your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose health information based on a determination using our professional judgment disclosing only health information that is directly relevant to the person’s involvement in your health care. We will also use our professional judgment and our experience with common practice to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, aligners, X-rays, or other similar forms of health information.
You have the right to request restrictions on disclosure to family members, other relatives, close personal friends, or any other person identified by you.
Marketing Health-Related Services
We may contact you about products or services related to your treatment, case management or care coordination or to propose other treatments or health-related benefits and services in which you may be interested. We may also encourage you to purchase a product or service when you visit our office. If you are currently an enrollee of a dental plan, we may receive payment for communications to you in relation to our provision, coordination, or management of your dental care, including our coordination or management of your health care with a third party, our consultation with other health care providers relating to your care or if we refer you for health care. We will not otherwise use or disclose your health information for marketing purposes without your written authorization. We will disclose whether we receive payments for marketing activity you have authorized.
Change of Ownership
If this dental practice is sold or merged with another practice or organization, your health records will become the property of the new owner. Your information will be used to notify you of the change and the new owner may seek to obtain your permission to use your information to continue to treat you. You may request that copies of your health information be transferred to another dental practice.
To learn more about San Mateo Dental Arts or to schedule an appointment, please call or text San Mateo Dentist Dr. Phan Today (650) 345-7981!
San Mateo Dentist Dr. Sheena Phan
San Mateo Dental Arts
150 N San Mateo Dr
San Mateo, CA 94401
Call or Text (650) 345-7981
New Patient Welcome Center
San Mateo Dentist Dr. Sheena Phan
150 N San Mateo Dr
San Mateo, CA 94401
Call or Text 650-345-7981
Our Office Hours
Monday: 8:00am – 5:00pm
Tuesday: 8:30am – 5:30pm
Wednesday: 8:00am – 5:00pm
Thursday: 7:00am – 5:00pm
Open Every 1st & 3rd Friday
8am – 2pm
Dental Services San Mateo
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