This notice describes how your medical information may be used or disclosed and how you can gain access to it. Please read this notice carefully.
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is a federal program that requires strict confidentiality for all your personal health information. That includes all your medical and dental information used or disclosed by us in any form, whether electronic, written or verbal. The Act gives you significant rights to understand and control how your health information is used. The Act also provides penalties for the misuse of Protected Health Information (PHI).
Your PHI may be used or disclosed by our dentists, office staff or others involved in your care and treatment, whether providing healthcare services to you, paying your healthcare bills, supporting the operation of our practice or any other lawful use.
Treatment: We will use and disclose your PHI to provide, coordinate or manage your healthcare and related services. This includes the coordination or management of your healthcare by a third party. For example, your PHI may be given to a physician you have been referred to in order to ensure that he or she has the necessary information to diagnose or treat you.
Healthcare Operations: We may use or disclose your PHI to support our business activities. These activities may include quality assessment, employee review and conducting or arranging other business activities. We may also use a sign-in sheet at the registration desk where you will be asked to sign your name/ indicate your dentist. We may call you by name in our reception area when your dentist is ready to see you. We may use or disclose your PHI, as necessary, to contact you to remind you of your appointment. We may phone your home and leave a message (on an answering machine or with the person answering the phone) to remind you of an upcoming appointment, the need to schedule a new appointment or to call our office. We may also mail a postcard reminder or letter to your home address. Please tell us if you prefer that we call or contact you at another phone number or location.
We may use or disclose your PHI under the following circumstances without your authorization. These include, as required by law:
Required Uses and Disclosures: The law requires us to disclose to you when we are investigated by the Secretary of the Department of Health and Human Services to determine our compliance with HIPAA. Other permitted and required uses and disclosures will be made only with your consent, authorization or opportunity to object unless required by law. You may revoke this authorization in writing at any time except to the extent that your dentist or the dentist’s practice has taken action in reliance on the use or disclosure indicated in your authorization.
Payment: Your PHI will be used, as needed, to obtain payment for services. For example, obtaining further approval for dental services may require that your relevant PHI be disclosed to your health or dental insurance plan to obtain approval for a health-related procedure. An example of how this might be used in the dental office could include, sharing of necessary information for a sleep appliance or for an oral surgery to a medical insurance carrier, should we use cross coding.
You have the right to inspect and copy your PHI. Under federal law, however, you may not inspect or copy the following records:
You have the right to request a restriction of your health information. This means you may ask us not to use or disclose any part of your PHI for the purposes of treatment, payment or healthcare operations. You may also request nondisclosure of any part of your PHI to family members or friends who may be involved in your care or for notification purposes described in these Privacy Practices. Your request must state the specific restriction and to whom you want the restriction to apply.
Your dentist is not required to agree to your requested restriction. If your dentist believes it is in your best interests to permit use and disclosure of your PHI, your PHI will not be restricted. You then have the right to use another dental professional.
You have the right to request to receive confidential communications from us by alternative means or at an alternative location. You have the right to obtain a paper copy of this Notice from us, upon request, even if you have agreed to accept this Notice alternatively (e.g., electronically).
You have the right to have your dentist amend your PHI. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and provide you with a copy of any such rebuttal. You have the right to receive an accounting of certain disclosures we have made, if any, of your PHI.
We reserve the right to change the terms of this Notice and will inform you of any changes. You then have the right to object or withdraw as provided in this Notice.
You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint by notifying our privacy officer at our office and main telephone number. We will not retaliate against you for exercising your right to file a complaint.
This Notice was published and is effective on or before 11/8/2016.
Contact: Kimberly Martin, DMD
Patricia Martin, DDS
Call: 575.521.0127University Family Dental, PC
705 University Avenue, Suite B, Las Cruces, NM 88001
Comfortable, relaxed and pampering dental care awaits you at University Family Dental. Since 2006, we have served the Las Cruces, NM area and its nearby communities. Our highly skilled and experienced dental professionals are known for their affable personality and great chairside manners. Look to them for a unique, personalized dental care that promises splendid results.
I was greeted by a friendly face immediately and was seen 2 minutes after I walked through the door. The staff is extremely professional, and always makes sure you're comfortable, including offering hand treatments with every cleaning. I would never go anywhere else for my dental services and surprisingly enough, I look forward to my visits at University Family Dental.
I'd like to think Dr Martin and her wonderful staff they were delightful and very warm and the atmosphere was beautiful considering it's Christmas I really appreciate that it was so so spirited thank you guys for being such a great stuff I look forward to seeing you again Happy holidays to all.
My experience with them was very pleasant. They were very professional and friendly and honest. They explain everything very well and I would definitely recommend them to all my friends and family.
I have had dental and gum problems for years. At last I found a dentist who stopped the pain, gave me a "bite", a smile and great whitening solution for my teeth. Wonderful dentist and staff! Thankful I found Dr. Kim and her crew! Plus, they have a wax treatment for your hands!!!! It's like a dental spa!
Great staff, awesome service and always with a big smile....
Very friendly fun and professional all wrapped up in one