Last updated September 23th, 2013
Protected health information (PHI), about you, is maintained as a wrrtten and/or electronic record of your contacts or visits for healthcare services with our practice. Specifically, PHI is information about you, including demographic information (i.e., name, address, phone, etc.), that may identify you and relates to your past, present or future physical or mental health condition and related healthcare services.
Our practice is required to follow specific rules on maintaining the confidentiality of your PHI, using your information, and disclosing or sharing this information with other healthcare professionals involved in your care and treatment. This Notice describes your rights to access and control your PHI. It also describes how we follow applicable rules and use and disclose your PHI to provide your treatment, obtain payment for services you receive, manage our healthcare operations and for other purposes that are permitted or required by law.
Following is a statement of your rights, under the Privacy Rule, in reference to your PHI. Please feel free to discuss any questions with our staff.
We are required to follow the terms of this notice. We reserve the right to change the terms of our notice, at any time. Upon your request, we will provide you with a revised Notice of Privacy Practices 1f you call our office and request that a revised copy be sent to you in the mail or ask for one at the time of your next appointment. The Notice will also be posted in a conspicuous location within the practice, and if such is maintained by the practice, on it's web site.
This means you have the right to authorize any use or disclosure of PHI that is not specified within this notice. For example, we would need your written authorization to use or disclose your PHI for marketing purposes, for most uses or disclosures of psychotherapy notes, or if we intended to sell your PHI. You may revoke an authorization, at any time, in writing, except to the extent that your healthcare provider, or our practice has taken an action in reliance on the use or disclosure indicated in the authorization.
This means you have the right to ask us to contact you about medical matters using an alternative method (i.e., email, telephone), and to a destination (i.e., cell phone number, alternative address, etc.) designated by you. You must inform us in writing, using a form provided by our practice, how you wish to be contacted 1f other than the address/phone number that we have on file. We will follow all reasonable requests.
This means you may inspect, and obtain a copy of your complete health record. If your health record is maintained electronically, you will also have the right to request a copy in electronic format. We have the rrght to charge a reasonable fee for paper or electronic copies as established by professional, state, or federal guidelines.
This means you may ask us, in writing, not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. If we agree to the requested restriction, we will abide by it, except 1n emergency circumstances when the information is needed for your treatment. In certain cases, we may deny your request for a restriction. You will have the right to request, in writing, that we restrict communication to your health plan regarding a specific treatment or service that you, or someone on your behalf, has paid for in full, out-of-pocket. We are not permitted to deny this specific type of requested restriction.
This means you may request an amendment of your PHI for as long as we maintain this information. In certain cases, we may deny your request.
This means that you may request a listing of disclosures that we have made, of your PHI, to entities or persons outside of our office.
You have the right to receive written notification 1f the practice discovers a breach of your unsecured PHI, and determines through a risk assessment that notification is required.
If you have questions regarding your privacy rights, please feel free to contact our Privacy Manager. Contact information is provided on the following page under Privacy Complaints.
Following are examples of uses and disclosures of your protected health information that we are permitted to make. These examples are not meant to be exhaustive, but to describe possible types of uses and disclosures.
We may use and disclose your PHI to provide, coordinate, or manage your healthcare and any related services. This includes the coordination or management of your healthcare with a third party that is involved in your care and treatment. For example, we would disclose your PHI, as necessary, to a pharmacy that would fill your prescriptions. We will also disclose PHI to other Healthcare Providers who may be involved in your care and treatment.
We may use or disclose your PHI, as necessary, to contact you to remind you of your appointment. We may contact you by phone or other means to provide results from exams or tests and to provide information that describes or recommends treatment alternatives regarding your care. Also, we may contact you to provide information about health-related benefits and services offered by our office, for fund-raising activities, or with respect to a group health plan, to disclose information to the health plan sponsor. You will have the right to opt out of such special notices, and each such notice will include instructions for opting out.
Your PHI will be used, as needed, to obtain payment for your healthcare services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the healthcare services we recommend for you such as, making a determination of eligibility or coverage for insurance benefits.
We may use or disclose, as needed, your PHI in order to support the business activities of our practice. This includes, but is not limited to business planning and development, quality assessment and improvement, medical review, legal services, auditing functions and patient safety activities.
The practice may elect to use a health information organization, or other such organization to facilitate the electronic exchange of information for the purposes of treatment, payment, or healthcare operations.
Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person, that you 1dent1fy, your PHI that directly relates to that person's involvement in your healthcare. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose PHI to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care, of your general condition or death. If you are not present or able to agree or object to the use or disclosure of the PHI, then your healthcare provider may, using professional Judgment, determine whether the disclosure is in your best interest. In this case, only the PHI that is necessary will be disclosed.
We are also permitted to use or disclose your PHI without your written authorization for the following purposes: as required by law; for public health activities; health oversight activities; in cases of abuse or neglect; to comply with Food and Drug Administration requirements; research purposes; legal proceedings; law enforcement purposes; coroners; funeral directors; organ donation; criminal activity; military activity; national security; worker's compensation; when an inmate in a correctional facility; and if requested by the Department of Health and Human Services in order to investigate or determine our compliance with the requirements of the Privacy Rule.
Our organization diligently collects personal information, including but not limited to name, email address, and phone number, upon registration for our comprehensive range of services. Additionally, we may gather detailed usage data and specific device information to enhance and optimize our service offerings, ensuring a tailored and efficient user experience.
The information provided is meticulously utilized to deliver and continuously improve our services, tailor your experience to your unique preferences and needs, and communicate pertinent updates or promotional offers that may be of interest to you. This data-driven approach allows us to provide a more personalized and relevant service to our valued users.
We employ robust, industry-standard security protocols and cutting-edge technologies to safeguard your data against unauthorized access, modification, or disclosure. Our dedicated team of security experts constantly monitors and updates our systems to ensure the highest level of protection for your personal information. Information obtained as part of the SMS consent process will not be shared with third parties.
You retain the option to opt-in or opt-out of marketing communications at any time via your account settings or by directly contacting our support team. We respect your preferences and will promptly update your communication settings according to your wishes.
You are entitled to access, rectify, or delete your personal data at any time. To exercise these fundamental rights, please contact our dedicated privacy team through the appropriate channels provided. We are committed to responding promptly and efficiently to all user requests regarding their personal data.
For any privacy-related inquiries or concerns, please do not hesitate to email our dedicated privacy team at midtowndentalfld@gmail.com or call at (954) 791-7172. Our knowledgeable staff is available to assist you with any questions or issues you may have regarding your personal data and privacy.
We will inform you of any substantial changes to this policy through email or our official website. It is recommended that you periodically review this policy to stay informed about how we protect your personal information and respect your privacy rights.
This comprehensive privacy policy is consistently available for your reference in the footer of our website and within the settings section of our application. We strive to ensure that our users can easily access and understand our privacy practices at all times.
We maintain a strict policy of not sharing your SMS consent or phone number with third parties or affiliates for marketing purposes. Your contact information is treated with the utmost confidentiality and is used solely for the purposes explicitly stated in this privacy policy.
Terms and Conditions for SMS
A. Introduction
Welcome to Midtown Dental Studio. By accessing or using our services, including receiving SMS communications, you agree to comply with and be bound by these Terms and Conditions. If you do not agree with these terms, please do not engage with our services.
B. Consent for SMS Communication
By providing your consent to receive SMS communications, you acknowledge and agree to receive text messages from Midtown Dental Studio at the phone number you provide. Information obtained as part of the SMS consent process will not be shared with third parties.
C. Types of SMS Communications
If you have consented to receive text messages, you may receive SMS communications related to the following:based on the subscribed service, such as weekly updates, monthly notices, or event- or promotion-related communications.
D. Message Frequency:
Message frequency may vary depending on the type of communication. For example, you may receive up to [X] SMS messages per week related to your [appointments/billing, etc.].
E. Standard Messaging Disclosures
Messaging frequency may vary. Message and data rates may apply. You can opt-out of receiving SMS messages at any time by texting "STOP" to the number from which you received the message. For assistance, text HELP or visit our website at https://www.midtowndentalfl.com/ Visit https://www.midtowndentalfl.com/privacy-notice for privacy policy and for Terms of Service.
F.Potential Fees for SMS Messaging:
Please note that standard message and data rates may apply, depending on your carrier’s pricing plan. These fees may vary if the message is sent domestically or internationally.
G.Opt-In Method:
You may opt-in to receive SMS messages from Midtown Dental Studio in the following ways:Verbally, during a conversation By submitting an online form By filling out a paper form
H. Opt-Out Method:
You can opt out of receiving SMS messages at any time. To do so, simply reply "STOP" to any SMS message you receive. Alternatively, you can contact us directly to request removal from our messaging list.
I. HELP
If you are experiencing any issues, you can reply with the keyword HELP. Or, you can get help directly from us at (insert the link)
Additional Options:If you do not wish to receive SMS messages, you can choose not to check the SMS consent box on our forms.
J. Privacy
We respect your privacy and will only use the information you provide to communicate with you via SMS as outlined above. Your personal data will not be shared with third parties unless required by law or as necessary to deliver the requested service.
K. Modifications
We reserve the right to update or modify these Terms and Conditions at any time. Any changes will be posted on this page with an updated revision date. By continuing to engage with our services, you agree to be bound by any changes to these terms.
L. Acknowledgment of Terms
By subscribing to Midtown Dental Studio messaging service, you acknowledge that you have read and agree to these terms and conditions.
No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. Information sharing to subcontractors in support services, such as customer service, is permitted. All other use case categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.
You have the right to complain to us, or directly to the Secretary of the Department of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying the Privacy Manager at:
We will not retaliate against you for filing a complaint.
Office Hours:
Monday - Thursday 8:00am to 5pm
Fri, Sat & Sun: Closed