Shawn Young, DMD
1840 East Baseline Rd., Ste. C-7
Tempe, AZ 85283
NOTICE OF PRIVACY PRACTICES
The privacy of your health information is important to us. This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please read it carefully.
OUR LEGAL DUTY
We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this notice about our privacy practices, our legal duties, and your rights concerning your health information.
USES AND DISCLOSURES OF HEALTH INFORMATION
We use and disclose health information about you for treatment purposes, and for processing insurance claims. For example:
Treatment: We may use or disclose your health information to a physician or other healthcare provider providing treatment to you.
Processing Insurance Claims: We may use and disclose your health information to obtain payment for services we provide to you.
Your Authorization: Unless you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this notice.
To Your Family and Friends: We must disclose your health information to you. We may disclose your health information to a family member, friends or other person to the extent necessary to help with your healthcare or with payment for your healthcare, but only if you agree that we may do so.
Persons Involved in Care: We may use or disclose health information, to notify a family member, your personal representative, or another person responsible for your care, of your location and/or general condition. We will also use our professional judgment and our experience when allowing a person to pick up prescriptions, medical supplies, x-rays, or other similar forms of your health information.
Required by Law: We may use or disclose your health information when we are required to do so by law.
Abuse or Neglect: We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect or domestic violence or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health or safety or the health or safety of others.
Appointment Reminders: We may use or disclose your health information to provide you with appointment reminders (such as voicemail messages, e-mail, postcard or letters).
PATIENT RIGHTS
Access: You have the right to look at or get copies of your health information. You must make a request in writing to obtain access to your health information. We will charge you a reasonable cost based fee for expenses such as copies and staff time.
