Privacy Policy

We are committed to protecting the privacy of your health information.

We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect.

Effective Date: April 10, 2024

This Notice describes how Monroe Smiles Dental uses and discloses your protected health information (PHI) and how you can get access to this information. Please review it carefully.

Your Rights

You have the right to:

Get a copy of your paper or electronic medical record
Correct your paper or electronic medical record
Request confidential communication of your health information
Ask us to limit the information we share about you for treatment, payment, or our healthcare operations
Get a list of those with whom we’ve shared your information
Get a copy of this privacy policy
Choose someone to act on your behalf
File a complaint if you believe your privacy rights have been violated

Your Choices

You have some choices regarding how we use and share your information. We will try our best to accommodate your reasonable requests. These choices include:

Sharing information with family, friends, or others involved in your care
Sharing information in a disaster relief situation
Including your information in a hospital directory

Our Uses and Disclosures

We may use and disclose your PHI for the following reasons:

To treat you
To run our dental practice, improve your care, and contact you when necessary
To bill for your services and get payment from health plans or other entities
To help with public health and safety issues
To do research
To comply with the law
To respond to organ and tissue donation requests
To work with a medical examiner or funeral director
To address workers’ compensation, law enforcement, and other government requests
To respond to lawsuits and legal actions

Our Responsibilities

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 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.

For More Information

U.S. Department of Health and Human Services Office for Civil Rights: https://www.hhs.gov/hipaa/index.html

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

If you have any questions about this notice or your privacy rights, please contact (734) 241-1144 or drpatel@monroesmilesdental.com.