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HIPAA INFORMATION

Your Privacy Matters

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.

Arrow Oral Surgery is committed to protecting your privacy. We are required by law to maintain the confidentiality of your Protected Health Information (PHI) and to provide you with this notice explaining our legal duties and privacy practices.

How We May Use and Disclose Your Information

We may use or share your health information in the following ways:

For Treatment

We may use your PHI to provide, coordinate, or manage your care. This includes sharing information with your dentist, physician, or other healthcare providers involved in your treatment.

For Payment

We may use or disclose your PHI to obtain payment for services rendered. This includes submitting claims to your insurance company, verifying coverage, and billing you for any remaining balances.

For Healthcare Operations

We may use your PHI for administrative purposes such as staff training, quality assessment, and improving the services we provide.

When Required by Law

We may disclose your PHI when required to do so by federal, state, or local law—such as for public health reporting or legal proceedings.

For Appointment Reminders and Patient Communication

We may contact you via phone, text, mail, or email to remind you of appointments or to share information related to your care. You may request preferred methods of communication at any time.

For Your Protection and Public Safety

We may disclose PHI to prevent or lessen a serious threat to health or safety, or as required in certain public health situations (e.g., reporting communicable diseases).

Other Uses and Disclosures Require Your Authorization

Any use or disclosure of your PHI not described in this Notice—such as marketing or sharing information with third parties—will only occur with your written authorization. You may revoke that authorization at any time in writing.

Your Rights Regarding Your Health Information

You have the right to:

  • Access Your Records: Request to review or obtain copies of your PHI.

  • Request Corrections: Ask us to correct information you believe is inaccurate or incomplete.

  • Request Confidential Communications: Specify how and where we contact you regarding medical matters.

  • Request Restrictions: Ask us to limit how your PHI is used or shared (though we may not always be able to agree to such requests).

  • Receive a List of Disclosures: Request a record of certain disclosures we’ve made of your PHI.

  • Receive a Paper Copy of This Notice: You may request a paper copy of this Notice at any time, even if you have received it electronically.

To exercise any of these rights, please contact our Privacy Officer using the contact information below.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your PHI.

  • We will notify you if a breach occurs that may have compromised your information.

  • We must follow the duties and privacy practices described in this Notice.

  • We will not use or share your information other than as described here unless you authorize us in writing.

Changes to This Notice

We may update or revise this Notice as our practices or laws change. The updated version will be posted in our office and on our website with the new effective date.