This Privacy Statement describes the types of personal information Doctor Stephen C. Brown Oral Surgery collects through the website located at (the “Dr. Brown Oral Surgery Website” http://dentalsurgeryvirginia.com), and how we use, share and protect that information. This Privacy Statement does not govern the collection of information through any website, or any other means, other than through the Dr. Brown Oral Surgery Website.
The below specifically describes our Privacy Statement:
- We do not collect personal information through the Dr. Brown Oral Surgery Website unless you voluntarily provide such information to us. Personal information such as name, address, phone number and email address is collected through the Dr. Brown Oral Surgery Website from visitors who submit a contact or request form, register for events, or request that we provide a link to the Website to a third party. We use personal information to respond to your inquiries, register you for events, or for any other purposes for which you provide such information.
- Our web server automatically recognizes and records certain information about visitors to the Dr. Brown Oral Surgery Website. This includes date and time of access, IP address, web browser type and version, and address of the website from which you entered the Dr. Brown Oral Surgery Website. The web server does not record e-mail addresses. We use this information only to optimize and improve the content of the Dr. Brown Oral Surgery Website.
- We use temporary, session-specific cookies to track Dr. Brown Oral Surgery Website traffic. Cookies do not reveal or contain any identifying or personal data, cannot read any information on your computer, and cannot interact with other cookies on your hard drive. Cookies stay on the user’s hard drive to identify site visits and whether the user is a returning visitor.
- We do not sell, rent, or otherwise share personal information about visitors of the Dr. Brown Oral Surgery Website, except as described herein. We may share non-personal information with third parties who provide us statistical information about the use of the Dr. Brown Oral Surgery Website.
- We undertake reasonable security measures to protect the information collected through the Dr. Brown Oral Surgery Website. While we place a priority on the security of personally identifiable information, we cannot guarantee the security of any information you transmit to us through the Dr. Brown Oral Surgery Website.
- The Dr. Brown Oral Surgery Website may contain links to external websites for your convenience. We do not endorse these websites and are not responsible for the content, accuracy or privacy practices of such websites.
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.
We respect our legal obligation to keep private any health information that identifies you. We are obligated by law to give you notice of our privacy practices. This Notice describes how we protect your health information and what rights you have regarding it.
TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS.
The most common reason-why we use or disclose your health information is for treatment, payment or health care operations. Examples of how we use or disclose information for treatment purposes are: setting up an appointment for you; testing or examining your mouth; prescribing medications and faxing them to be filled; referring you to another doctor or clinic for care or services; or getting copies of your health information from another professional that you may have seen before us. Examples of how we use or disclose you health information for payment purposes are: asking you about your health or care plans, or other sources of payment; preparing and sending bills or claims ; and coLlecting unpaid amounts (either ourselves or through a collection agency or attorney). “Health care operations” mean those administrative and managerial functions that we have to do in order to run our office. Examples of how we use or disclose your health information for health care operations are: fmancial or billing audit; internal quality assurance; personnel decisions; participation in managed care plans; defense of legal matters; business planning; and outside storage of our records.
We routinely use your health information inside our office for these purposes without any special permission. If we need to disclose your health information outside of our office for these reasons, we usually will not ask you for special written permission.
USES AND DISCLOSURES FOR OTHER REASONS WITHOUT PERMISSION
In some limited situations, the law allows or requires us to use or disclose your health information without your permission. Not all of these situations wiii apply to us; some may never come up at our office at all. Such uses or disclosures are:
- when a state or federal law mandates that certain health information be reported for a specific purpose; for public health purposes, such as contagious disease reporting, investigation or surveillance; and notices to and from the federal Food and Drug Administration regarding drugs or medical devises.
- disclosures to governmental authorities about victims of suspected abuse, neglect or domestic violence;
- uses and disclosures for health oversight activities, such as for the licensing of doctors; for audits by Medicare or Medicaid; or for investigation of possible violations of health care laws;
- disclosures for judicial and administrative proceedings, such as in response to subpoenas or orders of courts or administrative agencies;
- disclosures for Jaw enforcement purposes, such as to provide information about someone who is or suspected to be a victim of a crime; to provide information about a crime at our office; or to report a crime that happened somewhere else; disclosures to a medical examiner to identify a dead person or to determine the cause of death; or to funeral directors to aid in burial; or to organizations that handle organ or tissue donations.
- uses or disclosures for health related research;
- uses and disclosures to prevent a serious threat to health or safety;
- uses or disclosures for specialized government functions, such as for the protection of the president or high ranking government officials; for lawful national intelligence activities; for military purposes; or for the evaluation and health of members of the foreign service;
- disclosures relating to worker’s compensation programs;
- incidental disclosures that are an unavoidable by -product of permitted uses or disclosures;
- disclosures to “business associates” who perform health care operations for us and who commit to respect the privacy of your health information;
We may call or write to remind you of scheduled appointments, or that it is time to make a routine appointment. We may also call or write to notify you of other treatments or services available at our office that might help you.
OTHER USES AND DISCLOSURES
We will not make any other uses or disclosures of your health information unless you sign a written “authorization form.” The content of an “authorization form” is detennined by federal law. Sometimes, we may initiate the authorization process if the use or disclosure is our idea. Sometimes, you may initiate the process if it’s your idea for us to send your information to someone else. Typically, in this situation you will give us a properly completed authorization form, or you can use one of ours.
If we initiate the process and ask you to sign an authorization form, you do not have to sign it. If you do not sign the authorization, we cannot make the use or disclosure. If you do sign one, you may revoke it at any time unless we have already acted in reliance upon it. Revocations must be in writing. Send them to this office.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
The law gives you many rights regarding your health information. You can:
- ask us to restrict our uses and disclosures for purposes of treatment (except emergency treatment), payment or health care operations. We do not have to agree with this, but if we agree, we must honor the restrictions that you want. To ask for restrictions, please contact us
- ask us to communicate with you in a confidential way, such as by phoning you at work rather than at home, by mailing health information to a different address, or by using mail to your personal address. We will accommodate these request if they are reasonable, and if you pay us for any extra cost. If you want to ask for confidential communications, please contact us.
- ask to see or to get photocopies of your health information. By law, there are a few limited situations in which we can refuse to pennit access or copying. For the most part, however, you will be able to review or have a copy of your health information within 15 days of asking us (or sixty days if the information is stored off-site). you may have to pay for photocopies in advance. If we deny your request, we will send you a written explanation, and instructions about how to get an impartial review of our denial if one is legally available. By law, we an have one 30 day extension of the time for us to give you access or photocopies if we send you a written notice of the extension. If you want to review or get photocopies of your health information, send a written request to this office at the address, fax orE Mail shown at the beginning of this Notice.
- ask us to amend your health information if you think that is is incorrect or incomplete. If we agree, we will amend the information within 60 days from when you ask us. We will send you the corrected information to persons who we know got the wrong information , and others that you specify. If we do not agree, you can write a statement of your position, and we will include it with your health information along with any rebuttal statement that we may write. Once your statement of position and/or our rebuttal is included in your health information, we will send it along whenever we make a pennitted disclosure of your health information. By law, we can have one 30 day extension of time to consider a request for amendment if we notify you in writing of the extension. If you want to ask us to amend your health information, send a written request, including your reasons for the amendment, to one of our offices.
- get a list of the disclosures that we have made of your health information within the past six years (or a shorter period if you want). By law, the list will not include: disclosures for purposes of treatment, payment or healthcare operations; disclosures with your authorization; incidental disclosures; disclosures required by law; and some other limited disclosures. You are entitled to one such list per year without charge. If you want more frequent lists, you will have to pay for them in advance. We will usually respond to your request within 60 days of receiving it, but by law we can have one 30 day extension in writing. If you want a list, send a written request to this office at the address, fax orE Mail shown at the beginning of this Notice.
- get additional paper copies of this Notice of Privacy Practices upon request. It does not matter whether you got one electronically or in paper form already. If you want additional paper copies, please contact us.
OUR NOTICE OF PRIVACY PRACTICES
By law, we must abide by the terms of this Notice of Privacy Practices until we choose to change it. We reserve the right to change this notice at any time as allowed by law. If we change this Notice, the new privacy practices will apply to your health information that we already have as well as to such information that we may generate in the future. If we change our Notice of Privacy Practices, we will post the new notice in our office and have copies available in our office.
If you think that we have not properly respected the privacy of your health information, you can file a complaint to us. We will not retaliate against you if you make a complaint. If you want to complain to us, send a written complaint to one of our offices. If you prefer, you can discuss your complaint in person or by phone.
We may change this Privacy Statement at any time without prior notice to you. We will post a notice on the home page of the Dr. Brown Oral Surgery Website to notify you of any significant changes to this Privacy Statement.
FOR MORE INFORMATION
If you have any questions or comments about this Privacy Statement, please email us at Info@DrBrownOS.com.