G.O. Dental Care ("we," "us," or "our") is committed to protecting the privacy of your [patient] personal information. This Privacy Policy explains how we collect, use, and disclose your Protected Health Information (PHI) as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and other personal information. We are dedicated to maintaining the confidentiality of your health information and providing you with clear information about our privacy practices.
1. Information We Collect:
We may collect the following types of information:
- Protected Health Information (PHI): This includes information related to your past, present, or future physical or mental health or condition, the provision of health care to you, or the payment for your health care. Examples include your medical history, dental records, treatment plans, x-rays, insurance information, and billing information.
- Personal Information: This may include your name, address, phone number, email address, date of birth, and emergency contact information.
2. How We Collect Information:
We collect information in the following ways:
- Directly from long-term care facilities: We collect your information from the longterm care facility.
- Directly from you: We collect information you provide to us through intake forms, questionnaires, during consultations, and other interactions.
- From other healthcare providers: With your consent, we may collect information from other healthcare providers involved in your care.
- From your insurance provider: We may collect information from your insurance provider to verify coverage and process claims.
3. How We Use Your Information:
We may use your information for the following purposes:
- Providing dental care: We use your PHI to diagnose your dental conditions, develop treatment plans, and provide dental services.
- Billing and payment: We use your information to process payments for services rendered and communicate with your insurance provider.
- Appointment scheduling and reminders: We may use your contact information to schedule appointments, send appointment reminders, and inform you about changes to our services.
- Communication: We may use your information to communicate with you about your dental care, treatment options, and other health-related information.
- Quality improvement: We may use your information to evaluate and improve the quality of our services.
- Legal and regulatory compliance: We may use your information to comply with applicable laws and regulations.
4. Disclosure of Your Information:
“We will not share your opt-in to an SMS campaign with any third party for purposes unrelated to providing you with the services of that campaign. 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. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.”
However, we may disclose your information to the following parties:
- Healthcare providers: We may disclose your information to other healthcare providers involved in your care, with your consent.
- Business associates: We may disclose your information to business associates who perform services on our behalf, such as billing and coding companies. We require our business associates to protect the confidentiality of your information.
- Insurance providers: We may disclose your information to your insurance provider to process claims and verify coverage.
- Legal authorities: We may disclose your information to legal authorities if required by law or court order.
- Others involved in your care: We may disclose your information to family members or friends involved in your care, but only with your permission.
5. Your Rights:
You have the following rights regarding your PHI:
- Right to access and copy: You have the right to access and copy your PHI.
- Right to request amendment: You have the right to request an amendment to your PHI.
- Right to request restrictions: You have the right to request restrictions on the use or disclosure of your PHI.
- Right to request confidential communications: You have the right to request confidential communications of your PHI.
- Right to an accounting of disclosures: You have the right to receive an accounting of disclosures of your PHI.
- Right to a paper copy of this notice: You have the right to receive a paper copy of this Privacy Policy.
6. Security:
We maintain reasonable and appropriate safeguards to protect the confidentiality and security of your information. However, no method of transmission over the Internet, or method of electronic storage, is 100% secure.
7. Changes to this Privacy Policy:
We may update this Privacy Policy from time to time. Any changes will be posted on this page.
8. Contact Us:
If you have any questions or concerns about this Privacy Policy, please contact us at:
Phone: 832.930.4646
Email: office@godentalcare
Address: 825 Town and Country Ln. Suite 1200, Houston, TX 77024
9. HIPAA Compliance:
We are committed to complying with all applicable HIPAA regulations.