Torrey Dental

STATEMENT OF PRIVACY PRACTICES

Marcus N. Torrey, DDS and his team are dedicated to protecting the privacy rights of our patients and the confidential information entrusted to us. The commitment of each employee to ensure that your health information is never compromised is a principal concept of our practice. We may, from time to time, amend our privacy policies and practices. A current copy will always be available for your review at our office.

PROTECTING YOUR PERSONAL HEALTHCARE INFORMATION

We use and disclose the information we collect from you only as allowed by the Health Insurance Portability and Accountability Act and the State of Washington. This includes relating to your treatment, payment and our dental care operations. Your personal health information is never to be otherwise given to anyone-even family members-without your written consent. You, of course, may give written authorization for us to disclose this information to anyone you choose, for any purpose.

Our office and electronic systems are secure from unauthorized access and our employees are trained to make certain that the confidentiality of your records is always protected. If by any way your personal health information is compromised you will receive notification, as required by law. Our privacy policy and practices apply to all former, current and future patients, so you can be confident that your protected health information will never be improperly disclosed or released.

COLLECTING PROTECTED HEALTH INFORMATION

We will only request personal information needed to provide our standard of quality dental care, implement payment activities, conduct normal practice operations and comply with the law. This may include your name, address, telephone number(s), Social Security Number, employment data, medical history, health records, etc. While most of the information will be collected from you, we may obtain information from third parties if it is deemed necessary. Regardless of the source, your personal information will always be protected to the full extent of the law.

DISCLOSURE OF YOUR PROTECTED HEALTH INFORMATION

As stated above, we may disclose information as required by law. We are obligated to provide information to law enforcement and governmental officials under certain circumstances. We will obtain your written authorization before using or disclosing your personal health information for purposes other than those provided in this Notice (or otherwise permitted or required by law). You may revoke an authorization in writing at any time. Upon receipt of the written revocation, we will stop using or disclosing your personal health information, except to the extent that we have already taken action. We will not use your information for marketing purposes without your written consent.

We may use and/or disclose your healthcare information to communicate reminders about your appointments including email, texts, voicemail messages, answering machines and postcards.

PATIENT RIGHTS

You have the right to request copies of your healthcare information; to request copies in a variety of formats; and to request a list of instances in which we, or business associates, have disclosed your protected information for uses other than stated above. All such requests must be in writing. We may charge for your copies in an amount allowed by law. You have the right to request restrictions on our use or disclosure of your personal health information. We are not required to agree to your request except in the case where the disclosure is to a health plan for purposes of carrying out payment. If you believe your rights have been violated, we urge you to notify us immediately. You can also notify the US Department of Health and Human Services.

Please let us know if you have any questions concerning your privacy rights and protection of your personal health information.

*Updated August 1, 2015