Healthcare Compliance
Notice of Privacy Practices (HIPAA)
THIS NOTICE DESCRIBES HOW MEDICAL AND DENTAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW CAREFULLY.
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), W | DENTAL is required to maintain the privacy of your Protected Health Information (PHI) and to provide you with this formal Notice of our legal duties and privacy practices.
1. Permitted Uses and Disclosures
We may use and disclose your Protected Health Information for the following primary clinical purposes:
- Treatment: Providing, coordinating, or managing your dental and oral healthcare, including consultations with dental specialists or diagnostic imaging providers.
- Payment: Billing and collecting payment from you, your dental insurance carrier, or designated third-party payers for treatments received.
- Healthcare Operations: Quality assessment, staff evaluations, clinical audits, licensing, and compliance with healthcare accrediting bodies.
2. Your Individual Rights Under HIPAA
As a patient of W | DENTAL, you hold federal statutory rights regarding your health information:
Right to Inspect and Copy
You have the right to inspect and obtain a copy of your dental charts, radiographs, and billing records.
Right to Amend
If you believe your health record is incomplete or inaccurate, you may submit a written request to amend the record.
Right to an Accounting of Disclosures
You may request a list of certain disclosures we have made of your health information outside of treatment, payment, and operations.
Right to Request Restrictions
You have the right to request restrictions on how your health information is used or disclosed for treatment or payment.
Right to Confidential Communications
You may request that we communicate with you by alternative means (such as a specific phone number or mailing address).
Right to a Paper Copy
You are entitled to receive a physical paper copy of this Notice of Privacy Practices upon request at our reception desk.
3. Our Legal Duties
W | DENTAL is mandated by law to maintain the confidentiality of Protected Health Information, notify affected individuals following a breach of unsecured health data, and abide by the terms of the Notice currently in effect.
4. Questions & Filing Complaints
If you have questions about our privacy policies or believe your privacy rights have been violated, you may file a complaint directly with our office Privacy Official or with the Secretary of the U.S. Department of Health and Human Services (HHS) Office for Civil Rights. You will not be retaliated against for filing a complaint.
Practice Privacy Contact:
W | DENTAL — Attn: Privacy Official
18–26 Cornaga Ave, Far Rockaway, NY 11691
Telephone: (347) 230-4441
CONCEPT WEBSITE — DEMO ONLY — NOT AFFILIATED WITH W | DENTAL