Notice of Privacy Practices

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.

Last updated May 2024

Lotus Dental Wellness is dedicated to protecting your medical information. This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment, or healthcare operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information.

Our Legal Duty:

We are required by law to maintain the privacy and security of your protected health information. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. We must follow the duties and privacy practices described in this notice and give you a copy of it.

Uses and Disclosures of Protected Health Information:

We may use and disclose your protected health information in the following ways:

1. Treatment: We may use your health information to provide you with dental treatment. For example, we may disclose your health information to specialists involved in your care.

2. Payment: We may use and disclose your health information to bill and collect payment for your dental services. For example, we may provide information to your insurance company to receive payment for services.

3. Healthcare Operations: We may use and disclose your health information for our dental operations. For example, we may use your information for quality assessment activities.

4. Appointment Reminders: We may use and disclose your health information to contact you as a reminder of your dental appointments.

5. Required by Law: We may use or disclose your health information when required to do so by law.

6. Public Health Activities: We may disclose your health information for public health activities such as preventing or controlling disease.

7. Health Oversight Activities: We may disclose health information to health oversight agencies for activities authorized by law.

8. Law Enforcement: We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena.

Your Rights:

You have the following rights regarding your health information:

1. Right to Inspect and Copy: You have the right to inspect and obtain a copy of your health information.

2. Right to Amend: If you feel that your health information is incorrect or incomplete, you have the right to request an amendment.

3. Right to an Accounting of Disclosures: You have the right to request an accounting of disclosures of your health information.

4. Right to Request Restrictions: You have the right to request restrictions on certain uses and disclosures of your health information.

5. Right to Request Confidential Communications: You have the right to request that we communicate with you about your health information in a certain way or at a certain location.

6. Right to a Paper Copy: You have the right to obtain a paper copy of this notice upon request.

Changes to this Notice:

We reserve the right to change this notice and make the new notice effective for health information we already have about you as well as any information we receive in the future.

Complaints:

If you believe your privacy rights have been violated, you may file a complaint with Lotus Dental Wellness or with the Secretary of the Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Contact Information:

If you have any questions about this notice or would like further information, please contact:

om@lotusdentalwellness.com

Effective Date: May 2024

This notice is effective as of May 2024.