Mantena Dental & Implant Center

Notice of 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.

I. Dental Practice Covered by this Notice

This Notice describes the privacy practices of Mantena Dental & Implant Center (“Dental Practice”). “We” and “our” means the Dental Practice. “You” and “your” means our patient.

II. How to Contact Us/Our Privacy Official

If you have any questions or would like further information about this Notice, you can contact Mantena Dental & Implant Center Privacy Official at:
info@mantenadental.com

III. Our Promise to You and Our Legal Obligations

The privacy of your health information is important to us. We understand that your health information is personal and we are committed to protecting it. This Notice describes how we may use and disclose your protected health information 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. Protected health information is information about you, including demographic details, that may identify you and relates to your past, present, or future physical or mental health or condition and related health care services.

We are required by law to:
– Maintain the privacy of your protected health information;
– Provide you with this Notice of our legal duties and privacy practices with respect to that information; and
– Abide by the terms of our Notice that is currently in effect.

IV. Last Revision Date

This Notice was last revised on January 21, 2025.

V. How We May Use or Disclose Your Health Information

1. Common Uses and Disclosures
   1. Treatment: We may use your health information to provide you with dental treatment or services, such as cleaning or examining your teeth or performing dental procedures. We may disclose health information about you to dental specialists, physicians, or other health care professionals involved in your care.
   2. Payment: We may use and disclose your health information to obtain payment from health plans and insurers for the care that we provide to you.
   3. Health Care Operations: We may use and disclose health information about you in connection with health care operations necessary to run our practice, including quality assurance, financial or billing audits, legal matters, and business planning.
   4. Appointment Reminders: We may use or disclose your health information when contacting you to remind you of a dental appointment. We may contact you by postcard, letter, phone call, voice message, text, or email.

VI. Your Written Authorization for Any Other Use or Disclosure of Your Health Information

Uses and disclosures of your protected health information not described in this notice will be made only with your written authorization unless otherwise permitted or required by law. You may revoke this authorization at any time in writing.

VII. Your Rights with Respect to Your Health Information

You have the following rights regarding your health information:
– Right to Access and Review
– Right to Amend
– Right to Restrict Use and Disclosure
– Right to Confidential Communications, Alternative Means, and Locations
– Right to an Accounting of Disclosures
– Right to a Paper Copy of This Notice
– Right to Receive Notification of a Security Breach

VIII. Special Protections for Certain Health Information

Certain federal and state laws require special privacy protections for specific health conditions. If your treatment involves such information, you may contact us for further details on these protections.

IX. Our Right to Change Our Privacy Practices and This Notice

We reserve the right to change the terms of this Notice at any time. Any changes will apply to all health information we maintain. We will update and post the revised Notice on our website and in our office. You may request a copy at any time. The effective date of this Notice is January 21, 2025.

X. How to Make Privacy Complaints

If you have any complaints about your privacy rights or how your health information has been used or disclosed, you may file a complaint by contacting our Privacy Official at info@mantenadental.com.

You may also file a written complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.