Dentistry by John Barras DDS may collect and use personal health information for the purposes of diagnosis and treatment. Personal health information may also be used for billing processes and other necessary office operations. We are required by law to post, and abide by, the terms of this notice. This notice may be updated at any time. Updated policies will replace any previously published notices. For a copy of this notice please contact our office manager.
Diagnosis and Treatment
Personal health information may be shared with other health professionals for the purposes of diagnosis and treatment. This can include third-party specialists.
Billing and Payment
For the purposes of billing and payment, personal information may be shared with third-party billing entities and insurance carriers. Any information shared is done accordance with the law.
Necessary Office Operations
We may disclose personal health information to those possessing a legal right to the information, such as a legal guardian. Personal health information may also be shared with family members involved in treatment or payment.
Additional Legal Requirements
We are obligated to share necessary personal health information in cases of abuse, neglect, and unsafe or unsanitary conditions. Any unlawful behavior shared during the course treatment will be reported. This may include but is not limited to government and law enforcement agencies. Personal health information may be shared as part of a Workers’ Compensation claim with the appropriate entities, as applicable under the law.
We will honor court-ordered requests for personal health information. We may disclose personal health information in any case where required by law. Any additional requests for personal information require your written authorization, which may be revoked at any time by contacting our office.
We may use personal health information to offer information about products and services. If you do not wish to receive these messages you may opt out at any time by contacting the office manager. This information covers HIPAA provisions for protecting patient information and privacy. The information contained within does not constitute legal advice. This notice does not cover federal and state laws or guidelines.
Patient Bill of Rights
Right to Access Personal Health Information
Patients have the right to access copies of personal health information, yet some exceptions do apply. Requests to obtain copies of personal health information must be submitted to our office in writing. Please send requests for copies of personal health information to the address listed at the completion of this notice. For physical copies of personal health information, photocopies may be provided in lieu of originals. Fees may apply for supplies, labor, and postage.
Right to Disclosure of Shared Information
Patients have the right to an account of all disclosures of personal health information made by this office. To request a record of personal health information disclosures please contact our office manager using the mailing address at the end of this notice.
Right to Request Restriction of Personal Health Information
Patients have the right to request restrictions on the use and disclosure of personal health information. To submit a request please include the information you’d like to restrict, whom to restrict access to, and what level of restrictions to apply. Requests may be denied in certain circumstances. Mail detailed requests to the address listed at the bottom of this notice.
Right to Amend Personal Health Information
Patients have the right to request amendments to personal health information. As with other requests, amendment requests must be made in writing. Requests must include the information you’d like to change and why. Patients will be notified of approval or rejection. Rejections will include an explanation and instructions for appeal.
Right to Notice of Privacy Breach
Our office employs the latest in cybersecurity measures to protect patient information. In case of electronic breach, patients will be notified in accordance with the law.
Right to Submit a Complaint
Patient privacy is our utmost concern. If you feel we have collected, used, disclosed or otherwise compromised your personal health data please contact our office using the address listed at the end of this notice. Complaints may also be submitted to the U.S. Dept. of Health and Human Services.
Your personal information is important, and we believe in your rights to protecting it. We will never retaliate against complaints in any way. Please submit all written correspondence to:
Dentistry by John Barras, DDS
Attn: Office Manager
1330 Post Oak Blvd. #1300
Houston, TX 77056