Our Responsibilities
We are 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

• Follow the terms of the notice currently in effect

• Notify you if a breach occurs that may have compromised the privacy or security of your information

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How We May Use and Disclose Your Health Information

We may use or disclose your PHI for the following purposes:

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1. Treatment

We may use your health information to provide you with medical treatment or services. We may disclose your information to other healthcare providers who are involved in your care.

2. Payment

We may use and disclose your information to bill and collect payment for the services provided to you.

3. Healthcare Operations

We may use and disclose your PHI to operate our practice, improve your care, and contact you when necessary.

4. Appointment Reminders and Health-Related Benefits

We may contact you for appointment reminders or to inform you about health-related products and services that may interest you.

Other Uses and Disclosures

We may also disclose your PHI in the following circumstances:

• As required by law (e.g., public health, law enforcement, national security)

• To prevent a serious threat to health or safety

• To comply with workers’ compensation laws

• To authorized family members or others involved in your care (unless you object)

• For organ and tissue donation

• For research purposes, under certain conditions
   

Any other uses and disclosures of your PHI not covered by this notice or required by law will be made only with your written authorization.

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Your Rights

You have the right to:

• Request a copy of your medical record (electronic or paper)

• Request a correction to your medical record

• Request confidential communications

• Ask us to limit the information we share

• Get a list of those with whom we’ve shared your information

• Choose someone to act for you

• File a complaint if you believe your privacy rights have been violated
   

To exercise any of these rights, please contact our Privacy Officer at the information provided below.

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Changes to This Notice

We reserve the right to change this notice and make the revised notice effective for all PHI we maintain. A current copy will be posted in our office and on our website. The effective date is listed at the top of this page.

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Contact Us

If you have any questions about this notice or if you wish to file a complaint, contact:

 

Privacy Officer
Max Implants
480-745-2430
info@max-implants.com
www.dentalimplantsphx.com

You may also file a complaint with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.

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