HIPAA Compliance Statement
Perfect Dental is committed to protecting the privacy of our patients’ health information. Our offices comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations, which set national standards for protecting the privacy of individually identifiable health information.
Our offices will not use or disclose protected health information (PHI) for any other purposes unless you provide written authorization or to the patient’s insurance company for the purposes of planning future treatment or collecting payment for treatment.
We maintain physical, electronic and procedural safeguards that comply with federal regulations to protect your PHI. We train our staff members to understand and follow our privacy policies, and to protect the privacy and security of your PHI.
You have certain rights with respect to your PHI, including the right to:
- Request that we restrict how we use or disclose your PHI
- Request that we amend your PHI if you believe it is incorrect or incomplete
- Obtain a copy of our privacy practices
- Request a copy of your PHI that we maintain
- Report a complaint if you believe that your privacy rights have been violated
If you have any questions about this privacy statement, or if you would like to exercise your rights with respect to your PHI, please contact your home office. Click here to read more about the HIPAA Privacy Rule.
Patient Notice Of Rights In Accordance With The American Disabilities Act.
Progressive Dental Management and its affiliated practices are dedicated to providing services to patients, companions, and visitors in a welcoming manner that respects, protects, and promotes patient rights.
Our team members will treat all patients, companions, and visitors receiving services with equality in a welcoming manner that is free from discrimination based on age, race, color, creed, ethnicity, religion, nation of origin, marital status, sex, sexual orientation, gender identity or expression, disability, veteran or military status, or any other basis prohibited by federal, state, or local law.
Our team will determine eligibility for and provide services and other benefits to all patients, companions, and visitors in a similar manner, without subjecting any individual to separate or different treatment on the basis of age, race, color, creed, ethnicity, religion, national origin, marital status, sex, sexual orientation, gender identity or expression, disability, veteran or military status, or any other basis prohibited by federal, state, or local law.
Our team members will inform patients, companions of the availability of and make reasonable accommodations for disabled patients consistent with federal and state requirements at no cost to the patient.
Any person who believes that he, she, or another person has been subjected to discrimination, which is not permitted, may file a complaint with the VP of Compliance/Compliance Coordinator.
Members of our team are not allowed to act in a way that could harm someone who opposes, complains about, or reports discrimination, files a complaint, or helps with an investigation of discrimination or other proceeding under federal, state, or local law.
If you have a discrimination complaint, you can report it to any team member or to the Compliance Coordinator in writing without fear of retaliation.
The U.S. Department of Health and Human Services Office for Civil Rights can help you if you think you haven’t gotten the help you need with your complaint. You can file a civil rights complaint with the Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, which can be found at https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf, or by mail or phone at:
Department of Health and Human Services of the United States
200 Independence Avenue, SW
Room 509F, HHH Building,
Washington, D.C., 20201
1-844-883-6627, TDD 844-883-6627
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html