Wildflower Orthodontics
Privacy Policy

Organ and Tissue Donation: If you are an organ donor, we may release medical information to organizations that handle organ procurement or organ, eye, or tissue transplantation or to an organ donation bank, as necessary to facilitate organ or tissue donation and transplantation.

Military and Veterans: If you are a member of the Armed Forces, we may release medical information about you as required by military command authorities. We may also release medical information about foreign military personnel to the appropriate foreign military authority.

Public Health Risks: We may disclose medical information about you for public health activities. These activities generally include the following:

• To prevent or control disease, injury, or disability
• To report births and deaths
• To report a victim of abuse, neglect, or domestic violence
• To report reactions to medications
• To notify people of product, recalls, repairs, or replacements
• To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition

Health Oversight Activities: We may disclose medical information to federal or state agencies that oversee our activities. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws. We may disclose protected health information to persons under the Food and Drug Administration’s jurisdiction to track products or to conduct post-marketing surveillance.

Lawsuits and Disputes: If you are involved in a lawsuit or dispute, we may disclose medical information about you in response to a court or administrative order. We may also disclose medical information about you in response to a subpoena, discovery request, or other lawful process served on us by someone else involved in the dispute.

Law Enforcement: We may release medical information if asked to do so by a law enforcement official:

• In response to a court order, subpoena, warrant, summons, or similar process
• To identify or locate a suspect, fugitive, material witness, or missing person
• About the victim of a crime, if, under certain limited circumstances, we are unable to obtain the person’s agreement
• About a death we believe may be the result of criminal conduct
• About criminal conduct on our premises
• In emergency circumstances, to report a crime, the location of the crime or victims, or the identity, description, or location of the person who committed the crime.

Coroners, Medical Examiners, and Funeral Directors: We may release medical information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release medical information about patients to funeral directors as necessary to carry out their duties.

Inmates: If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release medical information about you to the correctional institution or law enforcement official. This release would be necessary for the institution to provide you with health care, to protect your health and safety or the health and safety of others, or for the safety and security of the correctional institution.

Serious Threats: As permitted by applicable law and standards of ethical conduct, we may use and disclose protected health information if we, in good faith, believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public.

Disaster Relief: When permitted by law, we may coordinate our uses and disclosures of protected health information with public or private entities authorized by law or by charter to assist in disaster relief efforts.

Your Rights:

1. You have the right to request restrictions on our uses and disclosures of protected health information for treatment, payment, and health care operations. However, we are not required to agree to your request.
2. You have the right to reasonably request to receive communications of protected health information by alternative means or at alternative locations.
3. Subject to payment of a reasonable copying charge as provided by state law, you have the right to inspect or obtain a copy of the protected health information contained in your medical and billing records and in any other practice records used by us to make decisions about you, except for:
   
   

• • Psychotherapy notes, which are notes recorded by a mental health professional documenting or analyzing the contents of a conversation during a private counseling session or a group, joint, or family counseling session, and that have been separated from the rest of your medical record.
  • Information compiled in a reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding.
  • Protected health information involving laboratory tests when your access is required by law.
  • If you are a prison inmate and obtaining such information would jeopardize your health, safety, security, custody, or rehabilitation, or that of other inmates, or the safety of any officer, employee, or other person at the correctional institution or a person responsible for transporting you.
  • If we obtained or created protected health information as part of a research study for as long as the research is in progress, provided that you agreed to the temporary denial of access when consenting to participate in the research.
  • Your protected health information is contained in records kept by a federal agency or contractor when your access is required by law.
  • If the protected health information was obtained from someone other than us under a promise of confidentiality and the access requested would be reasonably likely to reveal the source of the information

We may also deny a request for access to protected health information if:

1. A licensed health care professional has determined, in the exercise of professional judgment, that the access requested is reasonably likely to endanger your life or physical safety or that of another person.
2. The protected health information makes reference to another person (unless such other person is a health care provider) and a licensed health care professional has determined, in the exercise of professional judgment, that the access requested is reasonably likely to cause substantial harm to such other person.
3. The request for access is made by the individual’s personal representative and a licensed health care professional has determined, in the exercise of professional judgment, that the provision of access to such personal representative is reasonably likely to cause substantial harm to you or another person.

If we deny a request for access for any of the three reasons described above, you have the right to have our denial reviewed in accordance with applicable law.

1. You have the right to request a correction to your protected health information, but we may deny your request for correction if we determine that the protected health information or record that is the subject of the request:

• Was not created by us, unless you provide a reasonable basis to believe that the originator of protected health information is no longer available to act on the requested amendment.
• Is not part of your medical or billing records.
• Is not available for inspection as set forth above.
• Is not accurate and complete.

In any event, any agreed-upon correction will be included as an addition to, and not a replacement of, already existing records.

1. You have the right to receive an accounting of disclosures of protected health information made by us to individuals or entities other than you for the period provided by law, except for disclosures:

• • To carry out treatment, payment, and health care operations as provided above.
  • To persons involved in your care or for other notification purposes as provided by law.
  • For national security or intelligence purposes as provided by law.
  • To correctional institutions or law enforcement officials as provided by law.
  • That occurred prior to April 14, 2003.
  • Those that are otherwise not required by law to be included in the accounting.

2. You have the right to request and receive a paper copy of this notice from us.

3. The above rights may be exercised only by written communication to us. Any revocation or other modification of consent must be in writing and delivered to us.