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HIPPA Privacy Policy

HIPAA Notice of Privacy Practices

Effective Date: 11/20/97
Last Updated: 08/22/25

This Notice describes how your health information may be used and disclosed, and how you can access this information. Please review it carefully.

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Our Legal Duty

We are committed to protecting your privacy and the confidentiality of your Protected Health Information (PHI). We are required by law to:

  • Maintain the privacy and security of your PHI.

  • Provide you with this Notice describing our legal duties and privacy practices.

  • Notify you if a breach occurs that may have compromised the privacy or security of your PHI.

  • Follow the terms of this Notice until it is replaced or revised.

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How We May Use and Disclose Your Health Information

We may use and share your PHI without your authorization in the following ways:

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For Treatment

We may use and share your PHI with healthcare providers who are involved in your care (e.g., specialists, laboratories, pharmacies).

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For Payment

We may use and disclose your PHI to process payments for your treatment, including insurance billing.

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For Healthcare Operations

We may use your PHI for administrative, quality improvement, and practice management purposes.

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As Required by Law

We may share PHI when required by federal, state, or local law, including:

  • Public health reporting (e.g., disease prevention, abuse reporting)

  • Law enforcement requests

  • Legal proceedings and court orders

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Other Uses

  • Appointment reminders

  • Treatment alternatives and health-related services

  • Business associates (e.g., IT vendors, billing companies) who are required by law to safeguard your information

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Other Uses Requiring Authorization

Any other use or disclosure of your PHI not described above will require your written authorization. You may revoke your authorization at any time in writing.

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Your Privacy Rights

You have the following rights regarding your health information:

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1. Right to Access

You can request a copy of your health records and billing information. Requests must be in writing. We may charge a reasonable fee for copies.

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2. Right to Amend

If you believe information in your record is incorrect, you may request an amendment in writing. We may deny the request in some cases, but we will provide a written explanation.

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3. Right to an Accounting of Disclosures

You may request a list of times we have shared your PHI in the past six years, except for certain uses (treatment, payment, healthcare operations).

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4. Right to Request Restrictions

You can request that we limit how we use or share your PHI for treatment, payment, or operations. While we are not required to agree, we will comply if possible.

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5. Right to Confidential Communications

You can request that we contact you in a specific way (e.g., at work instead of home). We will accommodate reasonable requests.

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6. Right to Receive a Paper Copy

You can request a paper copy of this Notice at any time.

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7. Right to File a Complaint

If you believe your privacy rights have been violated:

You will not face retaliation for filing a complaint.

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Our Responsibilities

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

  • We will inform you promptly if a breach occurs that may have compromised your PHI.

  • We will follow the terms of this Notice and provide updates if practices change.

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

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Changes to This Notice

We reserve the right to change this Notice and make the new Notice apply to all PHI we maintain. Updates will be posted on our website and available at our office.

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Contact Information

If you have any questions about this Notice or your privacy rights, please contact:
Practice Name: Spainhower Dental Care
Phone: 801-775-8005
Email: spainhowerdentalcare@yahoo.com
Address: 2112 N. Hill Field Rd. Ste 2A, Layton, Ut. 84041

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