Ann Arbor, MI (734) 975-8730
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NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Dexter Orthodontics is required by law to maintain the privacy of your Protected Health Information (PHI), provide you with notice of our legal duties and privacy practices, and notify you following a breach of unsecured PHI. We must follow the privacy practices described in this Notice while it is in effect.

We reserve the right to change our privacy practices and the terms of this Notice at any time, as permitted by law. Any changes will apply to all PHI we maintain and will be reflected in an updated Notice posted in our office and on our website.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

We may use and disclose your health information for the following purposes:

Treatment

We may use and disclose your health information to provide, coordinate, or manage your care. For example, we may share your information with other healthcare providers involved in your treatment.

Payment

We may use and disclose your health information to obtain payment for services provided. This includes billing, claims processing, and communication with insurance providers.

Healthcare Operations

We may use and disclose your health information for administrative purposes such as quality assessment, staff training, licensing, and business operations.

OTHER PERMITTED USES AND DISCLOSURES

We may also use or disclose your PHI without your authorization in the following circumstances:

  • Individuals Involved in Your Care – We may share information with family members or others involved in your care or payment
  • Required by Law – When disclosure is required by federal, state, or local law
  • Public Health Activities – To prevent or control disease, injury, or disability
  • Health Oversight Activities – For audits, investigations, inspections, and licensing
  • Law Enforcement – In response to legal processes such as subpoenas or court orders
  • Judicial and Administrative Proceedings – As required in legal matters
  • Workers’ Compensation – As necessary to comply with applicable laws
  • Serious Threats to Health or Safety – To prevent or reduce a serious threat
  • Research – When approved by appropriate review boards

Certain types of information, such as mental health records, substance use treatment records, or genetic information, may be subject to additional protections under applicable law.

USES AND DISCLOSURES REQUIRING AUTHORIZATION

Other uses and disclosures of your PHI will be made only with your written authorization, including:

  • Use or disclosure of psychotherapy notes
  • Marketing communications (when applicable)
  • Sale of PHI

You may revoke your authorization at any time in writing, except to the extent that action has already been taken.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the following rights:

Right to Access

You may inspect and obtain copies of your health records, subject to certain limitations.

Right to Request Amendments

You may request corrections to your health information if you believe it is inaccurate or incomplete.

Right to Request Restrictions

You may request limitations on how your information is used or disclosed. We are not required to agree to all requests.

Right to Confidential Communications

You may request that we communicate with you in a specific way or at a specific location.

Right to an Accounting of Disclosures

You may request a list of certain disclosures of your health information.

Right to a Paper Copy

You may request a paper copy of this Notice at any time.

Right to Breach Notification

You have the right to be notified of any breach of your unsecured PHI.

COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with Dexter Orthodontics or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

CONTACT INFORMATION

If you have questions or need additional information, please contact:

Dexter Orthodontics
7200 Dan Hoey Road, Suite B
Dexter, MI 48130
Email: info@dexterortho.com