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1.
Communications. You can request that our practice
communicate with you about your health and related issues
in a particular manner or at a certain location. For
instance, you may ask that we contact you at home, rather
than work. We will accommodate reasonable requests.
2. You can
request a restriction in our use or disclosure of your
health information for treatment, payment, or health care
operations. Additionally, you have the right to request
that we restrict our disclosure of your health information
to only certain individuals involved in your care or the
payment of your care, such as family members and friends.
We are not required to agree to you request; however, if
we do agree, we are bound by our agreement except when
otherwise required by law, in emergencies, or when the
information is necessary to treat you.
3. You have
the right to inspect and obtain a copy of the health
information that may be used to make decisions about you,
including patient medical records and billing records, but
not including psychotherapy notes. You must submit your
request in writing to Dental Prosthetics of Tucson.
4. You may
ask us to amend your health information if you believe it
is incorrect or incomplete, and as long as the information
is kept by or for our practice. To request an amendment,
your request must be made in writing and submitted to
Dental Prosthetics of Tucson. You must provide us with
a reason that supports your request for amendment.
5. Right to a
copy of this notice. You are entitled to receive a copy
of this Notice of Privacy Practices. You may ask us to
give you a copy of this notice at any time. To obtain a
copy of this notice, contact our front office.
6.
Right to file a complaint. If you believe your
privacy rights have been violated, you may file a
complaint with our practice or with the Secretary of the
Department of Health and Human Services. All
complaints must be submitted in writing. You will not be
penalized for filing a complaint.
7. Right to
provide an authorization for other uses and disclosures.
Our practice will obtain your written authorization for
uses and dislosures that are not identified by this notice
or permitted by applicable law. |