HIPAA 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.
This notice applies to protected health information created, received, or maintained by Bobb Dental at Northgate as part of providing dental care.
Our Responsibility to Protect Your Information
Bobb Dental at Northgate is required by law to maintain the privacy and security of your protected health information, also called PHI. We are required to provide you with this notice of our legal duties and privacy practices, follow the terms of this notice, and notify you if a breach occurs that may have compromised the privacy or security of your information.
We will not use or share your information other than as described here unless you tell us we can in writing. You may change your mind at any time by notifying us in writing.
How We May Use and Share Your Health Information
Treatment
We may use your health information and share it with other professionals involved in your care. For example, we may share information with a dental specialist, laboratory, pharmacy, or another healthcare provider involved in your treatment.
Payment
We may use and share your health information to bill and collect payment for services. For example, we may provide information to your dental or medical insurance plan so it may process a claim or reimburse you for covered services.
Healthcare Operations
We may use and share your information to run our practice, improve your care, train team members, manage scheduling, review quality of care, and contact you when needed.
Other Ways We May Use or Share Your Information
We may also use or share your information when allowed or required by law, including for public health and safety, health oversight activities, workers’ compensation, law enforcement requests, court or administrative orders, and other legal obligations.
We may contact you about appointment reminders, treatment options, follow-up care, account matters, and practice-related communication. We may also use secure third-party systems to help manage appointments, communication, forms, billing, and office operations.
Uses That Require Your Written Authorization
In many situations, we must receive your written authorization before using or sharing your health information for purposes not described in this notice. This may include certain marketing communications, the sale of protected health information, or other uses where authorization is required by law.
If you provide authorization, you may revoke it at any time in writing. We cannot take back any uses or disclosures already made based on your prior authorization.
Your Health Information Rights
You have certain rights regarding your protected health information, including the right to:
- Request a copy of your dental records or health information.
- Ask us to correct information you believe is incorrect or incomplete.
- Request confidential communication in a specific way or at a specific location.
- Ask us to limit certain uses or disclosures of your information.
- Request a list of certain disclosures we have made of your information.
- Receive a paper copy of this notice upon request.
- Choose someone to act on your behalf if they have legal authority.
- File a complaint if you believe your privacy rights have been violated.
Requests, Questions, and Complaints
To ask questions about this notice, request a copy of your records, or exercise one of your privacy rights, please contact our office.
30 N Gate Station Dr, Suite 302
Marble Hill, GA 30148
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.
Changes to This Notice
We may change the terms of this notice at any time. The new notice will apply to all health information we maintain. If we make material changes, the updated notice will be available on our website and upon request from our office.
Website Privacy Note
This HIPAA notice applies to protected health information handled by Bobb Dental at Northgate in connection with patient care. General website interactions, such as browsing pages or submitting non-clinical contact forms, may also be addressed in our general Privacy Policy.