OUR HIPAA COMPLIANCE
NOTICE OF PRIVACY PRACTICES
Dental Care of Port Jervis
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 Responsibilities
Dental Care of Port Jervis is required by federal law (HIPAA) and New York State law to:
- Maintain the privacy and security of your protected health information (“PHI”)
- Provide you with this Notice of Privacy Practices
- Follow the terms of the notice currently in effect
- Notify you following a breach of unsecured PHI as required by HIPAA and New York law
How We May Use and Disclose Your Health Information
We may use or disclose your health information without your authorization for the following purposes:
Treatment
To provide, coordinate, or manage your dental care and related services, including sharing information with other health care providers involved in your care.
Payment
To bill and receive payment from insurance companies or other third-party payers.
Health Care Operations
For practice operations such as quality assessment, staff training, licensing, audits, legal services, and business management.
As Required by Law
To comply with federal, New York State, or local laws, regulations, court orders, or subpoenas.
Public Health and Safety
For public health activities, reporting abuse or neglect, preventing serious threats to health or safety, or for law enforcement purposes as permitted by law.
Uses and Disclosures Requiring Your Authorization
We will obtain your written authorization before using or disclosing your health information for purposes not listed above, including:
- Marketing (where required by law)
- Disclosure of psychotherapy notes (if applicable)
- Sale of health information
- You may revoke your authorization at any time in writing.
New York SHIELD Act & Data Security
In accordance with the New York Stop Hacks and Improve Electronic Data Security (SHIELD) Act, we maintain reasonable administrative, technical, and physical safeguards to protect private information. In the event of a breach involving private information, we will provide notice as required by New York law, which may include notification to affected individuals and New York State authorities.
Contact Information
Practice Name: Dental Care of Port Jervis
Address: 137 Pike St. Port Jervis NY, 12771
Phone: 845 856 4439 or 845 858 2273
Email: dentalcareofpj@gmail.com
Changes to This Notice
We reserve the right to change this notice at any time. Changes will apply to all PHI we maintain. The updated notice will be available in our office and on our website, if applicable.