Effective date: January 8, 2024
This Notice describes how medical/dental information about you may be used and disclosed, and how you can get access to this information. Please review it carefully.
Our Commitment to Your Privacy
Ashar Dentistry is required by law to maintain the privacy of your Protected Health Information (PHI), to provide you with this Notice of our legal duties and privacy practices, and to notify you following a breach of unsecured PHI.
How We May Use and Disclose Your Health Information
- Treatment: We may use and share your health information to provide, coordinate, or manage your dental care, including sharing information with other healthcare providers involved in your treatment.
- Payment: We may use and share your health information to bill and collect payment for treatment and services, including with your dental insurance provider.
- Healthcare Operations: We may use and share your health information for our practice’s operations, such as quality assessment, staff training, and administrative purposes.
- As Required by Law: We will disclose health information when required by federal, state, or local law.
- Appointment Reminders and Treatment Alternatives: We may contact you to provide appointment reminders or information about treatment options.
Your Rights Regarding Your Health Information
You have the right to: request restrictions on certain uses and disclosures; request confidential communications; inspect and obtain a copy of your health information; request corrections to your records; receive an accounting of certain disclosures; obtain a paper copy of this Notice; and file a complaint if you believe your privacy rights have been violated.
Filing a Complaint
If you believe your privacy rights have been violated, you may file a complaint with our practice or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be penalized for filing a complaint.
Changes to This Notice
We reserve the right to change this Notice and to make the revised Notice effective for health information we already have as well as information we receive in the future.
Contact Us
Ashar Dentistry
6201 S. Custer Rd, Ste 600, McKinney, TX 75024
Phone: 972-838-7009
