Notice of Privacy Practices
Evergreen Family Dental
Evergreen Family Dental respects your privacy. We understand that your personal health information is very important and we will not disclose your information unless you tell us to do so, or unless the law authorizes or requires us to do so.
The law protects the privacy of the health information we create and obtain in providing our care and services to you. Federal and state law allows us to use and disclose your protected health information for purposes of treatment and health care operation. State law requires us to get your authorization to disclose this information for payment purposes.
The health and billing records we create and store are the property of Evergreen Family Dental. The protected health information in it, however, generally belongs to you. For help with your personal information, please contact us during normal business hours.
We are required to keep your protected health information private, give you the notice, and follow the terms of this notice. We have the right to change our practices regarding the protected health information we maintain. If you have questions, want more information, or want to report a problem about the handling of your protected health information, you may contact us during normal business hours.
Notice of Privacy Practices – Acknowledgement
We keep record of the dental care services we provide you. You may ask to see and copy that record. You may also ask to correct that record. You may contact the office to see vour record or get more information.
Our Notice of Privacy Practices describes in more detail how your health information may be used and disclosed, and how you can access your information.