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Timothy Nugent DDS | Privacy Policy - HIPPA in Naperville

Timothy Nugent DDS/DuPage Dental, PC

Family & Cosmetic Dentistry

Member American Dental Association

           & Code of Ethics

 Call: 630-579-1600 for appointment

 Contact:  officecontact@tnugentdds.com


Privacy Policy - HIPPA

Privacy Policy

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.

The Health Insurance Portability and Accountability Act (HIPPA) is a federal program that requires that all medical and dental records and other individually identifiable health information used or disclosed by us in any form, whether electronically, on paper or orally, are kept properly confidential. This Act gives you, the patient, significant new rights to understand and control how your health information is used.

This Notice of Privacy Practices describes how we may use and disclose your Protected Health Information (PHI) to carry out treatment, payment or health care 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.

We reserve the right to change our privacy practices and the terms of this notice at any time, provided such changes are permitted by applicable law. A copy of the current notice in effect will be available in our facility and on our website. You may request a copy of the current notice at any time.

Uses and Disclosure of Protected Health Information

Treatment: We may disclose your medical information, without your prior approval, to another dentist, a physician or other health care provider, providing you treatment for the purpose of diagnosing and providing treatment. For example, your health information may be disclosed to an oral surgeon or orthodontist for necessary treatment.

Payment: Your medical information may be used to seek payment from your insurance plan. Your insurance plan may request and receive information on dates that you received services in our facility.

Health Care Processes: We may use or disclose your protected health information for purposes specific to the business of this practice. These activities include, but are not limited to, quality assessment activities, employee review activities, and conducting or arranging for other business activities. We may use or disclose your protected health information (PHI) to support business activities, such as filing insurance claims. In addition, we may call you by name in the waiting room when your doctor is ready to see you. We may also use your PHI to contact you for appointment reminders via telephone; in some cases we may leave a voice message on an answering machine or with the person answering the phone. We may also mail a postcard reminder to your home address. If you would prefer that we call or contact you at another number or via email, please let us know.

Public Health Activities: We may use or disclose your protected health information (PHI) without your authorization, when required by law and when authorized by law for the following kinds of Public Health and Public benefit activities. We may use and disclose your health information when required by federal or state law; when required in court or administrative proceedings; for public health activities; to health oversight agencies; to coroners, medical examiners, and funeral directors; to the military; to federal officials for lawful intelligence and national security activities; to correctional institutions regarding inmates; to law enforcement officials; to report abuse, neglect, or domestic violence; to avert a serious threat to your health or safety or the health and safety of others; and as authorized by state worker's compensation laws. We must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of HIPPA.

Authorization by You: At any time you may provide in writing your authorization for use and disclosure of your protected health information for any purpose.

Person Involved In Care: We may disclose your medical information to a family member, friend or any other person you involve in your care or payment for your care. You may object to these disclosures. We may disclose your name, location or general condition in the event of an emergency.

Health Related Services:  The use of your health information for the purpose of communicating with you about health related products , services, payment for those services and treatment alternatives. Business Associates that are under contract with us may use your medical information if the information is necessary for such function. Our associates are required to protect the privacy of your information.

Personal Communication: We may send you reminders about your dental care or appointments.

Your Rights

Access: You have the right to review your protected health information, with limited exceptions.

Your request to obtain access to your information must be in writing. We may need to charge you a reasonable cost-based fee for expenses including copies and staff time.

Disclosure Accounting: Your rights include the choice to receive a review of every time we or our business associates disclosed your protected health information for reasons other than treatment, payment, healthcare information and certain other activities for the last six years. Additional reasonable cost based fees may be extended if your requests for such information are more than one time per year.

Restrictions: You may request we apply additional restrictions to any disclosure of your health care information. We are not required to respond to the application of these additional restrictions. If we agree to follow your request regarding additional restrictions we will follow the agreed restrictions unless an emergency situation dictates otherwise.

Alternative Communication: Your rights include the instruction to request how you are communicated to regarding your protected health information. Your request must be in writing and can spell out other ways or other locations regarding your protected health information communication. You must identify agreed upon explanations of payment arrangements under alternative communications.

Amendment: You can initiate a written request to amend your protected health information. Included in the amendment must be an explanation why information should be amended. Certain conditions may exist where we may reject your request.

Electronic Notice: If you receive a notice electronically, you are entitled to receive that notice in writing as well.

Breach of Medical Information: You have the right to receive notice of a breach of your medical information.

Questions and Complaints

If you are unsure or concerned that your protected health information has not been protected or if you believe an error was made to amend the use or disclosure of your protected health information; or to us communicate to you by an alternative means or at an alternative location, you have the right to bring this issue forward. You may make a complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services at your request.

Privacy of your protected health information remains extremely important; we are committed to your privacy. If you file a concern with the U.S. Department of Health and Human Services, we will not retaliate in any way. We are available to assist you with any questions, concerns or complaints.

This notice was published on/or before 9/23/13

Dupage Dental P.C.

636 Raymond Drive

Suite 102

Naperville, IL 60563



Naperville Dentist | Privacy Policy - HIPPA. Timothy Nugent is a Naperville Dentist.