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Center for Cosmetic, Implant, and Neuromuscular Dentistry – Notice of Privacy Practices

Center for Cosmetic, Implant, and Neuromuscular Dentistry – Notice of Privacy Practices

Published: June 2022.

Purpose: This Notice of Privacy Practices informs patients about our privacy practices as required by federal laws.

We must provide this Notice to each patient by the date of our first service delivery, including electronically, after April 12, 2003. We must attempt to obtain written acknowledgment of receipt from the patient. The Notice must be available at the office for patients to take with them and posted prominently. Revised Notices must be available upon request and distributed to new patients. The revised Notice must also be posted in the office.

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Our Legal Duty: We are required by federal and state law to maintain the privacy of your health information. We must follow the privacy practices described in this Notice and can change our privacy practices and the terms of this Notice at any time, as permitted by law. Changes will apply to all health information we maintain. A revised Notice will be available upon request and posted in the office.

You may request a copy of our Notice at any time. For more information, contact us using the information at the end of this Notice.

Uses and Disclosures of Health Information: We use and disclose health information about you for treatment, payment, and health care operations, such as:

  • Treatment: Using and disclosing your health information to provide and coordinate your healthcare.
  • Payment: Using and disclosing your health information to obtain payment for services.
  • Healthcare Operations: Using and disclosing your information for activities like quality assessment, training programs, accreditation, certification, and licensing.

Your Authorization: You may give us written authorization to use your health information or to disclose it to anyone for any purpose. You may revoke it in writing at any time, but revocation will not affect any use or disclosure permitted by the authorization while it was in effect.

To Your Family and Friends: We may disclose your health information to family or friends to help with your healthcare or payment, but only if you agree.

Person Involved in Care: We may notify a family member, personal representative, or another person responsible for your care about your location, general condition, or death. In emergencies, we will use our professional judgment to disclose only relevant health information.

Contact Us

If you wish to report an accessibility issue, have any questions or need assistance, please contact Cosmetic, Implant, & Neuromuscular Dentistry Customer Support as follows:

Email: info@timetosmile.com
Phone: 13104755598