This Notice describes how health information about you may be used and disclosed and how you can get access to this information. We are required by law to maintain the privacy of protected health information and to notify affected individuals following a breach of unsecured protected health information. We reserve the right to change our privacy practices and when we make a significant change, we will change this Notice and post the new Notice at our practice location and on this site.
We may use and disclose your health information for different purposes, including treatment, payment, and health care operations. Some information, such as HIV related information, genetic information, mental health records, etc. may be entitled to special confidentiality and we will abide by these special protections.
We may use and disclose your health information for your treatment, such as working with a specialist. We may use and disclose your health information to obtain reimbursement for services you receive from us, such as in billing, collections, claims management to obtain payment from you, an insurance company or another third party. We may disclose health information to family or any others identified by you when they are involved in your care or in the payment for your care. We may use or disclose your health information to assist in disaster relief efforts, public health acitivities, national security, compliance with HIPAA, workers compensation investigations, law enforcement, oversight activities by the government and any other time we are required to do so by law. We may disclose your health information to researchers if they have established protocals to ensure the privacy of your information. We may release your health information to a coroner of medical examiner.
We may contact you to provide information about sponsored activities of fundraising programs; you may opt out of receiving this information. Your authorization is required for the use of you health information for marketing purposes or any other purposes other than those povided for in this Notice. You may revoke an authoriztion in writing at any time.
You have the right to get copies of you health information. You must make the request in writing. We can charge you a fee for the supplies and labor in creating such copies. You have the right to receive an accounting of disclosures. You have the right to request additional restrictions by submitting a written request that includes what information you want to limit and whether you want to limit use or disclosure and to whom you want this limit to apply. We are not required to agree to your request except in the case where the disclosure is to a health plan for payment and you have already made payment in full. You have the right to request that we amend your health information; if we deny your request we will provide you with an explanation as to why. You will receive notifications of breaches of your unsecured protected health information as required by law.
We support your right to the privacy of your health information. If you have questions or concerns, please contact us. You can reach us by mail: Christopher Grenzer, DMD, 11565 SW Hall Blvd, Tigard, Oregon, 97223. You can reach us by phone: 503-620-6640.