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Your Protected Health Information (PHI)
PHI includes any information that can identify you and that
relates to your past, present, or future physical or mental
health, treatment, or payment for healthcare services. This may
include your name, date of birth, contact information, dental
history, insurance information, and appointment records.
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How We May Use and Disclose Your PHI
We may use and share your PHI for the following purposes without
your written authorization:
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Treatment - To provide, coordinate, or manage
your dental care and related services. For example, we may
share your PHI with specialists, labs, or pharmacies involved
in your treatment.
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Payment - To obtain payment for the dental
services we provide. For example, we may share your PHI with
your insurance company or billing provider.
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Healthcare Operation - To support our
business activities such as quality improvement, staff
training, licensing, and accreditation.
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Appointment Reminders and Communication - We
may contact you via phone, voicemail, email, or text message
for appointment confirmations, reminders, and treatment
follow-up — unless you request an alternative method of
contact.
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Other Uses and Disclosures Permitted or Required by Law
We may also disclose your PHI in limited situations including:
- When required by federal, state, or local law
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For public health activities (e.g., reporting communicable
diseases)
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To prevent or reduce a serious threat to health or safety
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For health oversight agencies (e.g., audits, investigations)
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For legal proceedings or law enforcement (with proper
documentation)
- For workers' compensation claims
- To coroners, medical examiners, and funeral directors
- For research (under approved protocols)
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Uses and Disclosures Requiring Your Written Authorization
All other uses and disclosures of your PHI not covered in this
notice will require your explicit written authorization. This
includes:
- Marketing purposes
- Sale of your health information
- Use of psychotherapy notes (if applicable)
You may revoke any authorization in writing at any time.
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SMS Messaging Privacy
We value your trust when you opt in to receive text messages
from us.
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We will not share or sell your opt-in to an SMS campaign with
any third party for purposes unrelated to providing you with
the services of that campaign.
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We may share your personal data, including your SMS opt-in or
consent status, with third parties that help us provide our
messaging services, including but not limited to platform
providers, phone companies, and any other vendors who assist
us in the delivery of text messages.
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All of the above categories exclude text messaging originator
opt-in data and consent; this information will not be shared
with any third parties.
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Your Rights Regarding Your PHI
You have the following rights under HIPAA:
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Right to Access - You may request a copy of
your dental records in paper or electronic format.
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Right to Amend - If you believe your records
are incorrect or incomplete, you may request a correction.
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Right to Restrict Use - You may request
limitations on how we use or share your PHI. While we're not
required to agree to all requests, we will comply with
restrictions related to out-of-pocket payments.
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Right to Confidential Communication - You may
request to be contacted at a specific phone number or address.
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Right to an Accounting of Disclosures - You
may request a list of certain disclosures we've made of your
PHI.
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Right to a Paper Copy of This Notice - You
can request a printed copy of this policy at any time, even if
you agreed to receive it electronically.
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Our Responsibilities
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We are required by law to maintain the privacy and security of
your PHI.
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We must notify you if a breach occurs that may compromise the
privacy or security of your information.
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We must follow the terms of this Privacy Policy and provide
updates as needed.
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Changes to This Privacy Policy
We reserve the right to revise this policy at any time. Updates
will apply to all PHI we maintain and will be available in our
office and on our website.
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Questions or Complaints
If you have any questions about this policy or believe your
privacy rights have been violated, please contact our Privacy
Officer:
Sabre Springs Dentistry
11385 Poway Road #103
San Diego, CA 92128
Phone:
(858) 486-8611
Email:
admin@sabrespringsdentistry.com
You may also file a complaint with the U.S. Department of Health
& Human Services. We will not retaliate against you for filing a
complaint.