Dr. Oliver creates a record of the care and services you receive from us. We call this record your health information. We are required by law to keep your health information private. We are also required to provide you with this notice so that you will know how we use and release your health information. This notice also lists the rights you have regarding your health information. We will abide by the terms of this notice. We reserve the right to change the terms of this notice and our privacy practices at any time, Any changes will apply to the health information we already have. When we make changes to our privacy practices, we will post an updated notice in the places where you may get treatment from Dr. David Oliver DMD.

HOW DR. OLIVER MAY USE AND RELEASE YOUR HEALTH INFORMATION:

Uses and Releases Relating to Treatment, Payment, or Health Care Operations:

For Treatment. For example, a doctor treating you for chest pain may need to know if you had any existing heart problems so that he/she can make an informed decision concerning your treatment. Additionally, we will/may contact you to (1) remind you of your appointment by calling or mailing you a postcard; or (2) discuss treatment alternatives or other health-related benefits that may be of interest to you as a patient.

To Obtain Payment for Treatment. For example, we will release some of your health information to your health insurance company in order to receive payment for your treatment.

For Health Care Operations. For example, administrative personnel reviewing the quality and appropriateness of the care you receive may use your health information. Additionally, we may contact you to participate in fundraising activities. You may request to opt out of fundraising activities by contacting Dr. David Oliver.

Uses and Releases That Do Not Require Your Permission:

Emergencies. We may use or release your health information in an emergency situation.

Food and Drug Administration. We may use and release your health information to a person or company required by the Food and Drug Administration to track adverse events and as otherwise required.

Workman's Compensation. We may use and release your health information as necessary to comply with workman's compensation laws and other similar legally-established programs.

Federal, State, or Local Law. We may use and release your health information when required by law.

Government Agencies and Law Enforcement. We may release your health information to government agencies and law enforcement.

Ordered by a Court, Tribunal, or Other Judicial Proceeding. We may release your health information when ordered by a court, tribunal, or other judicial proceeding.

Public Health Reasons. We may use or release your health information for public health reasons.

Coroners, Medical Examiners, and Funeral Home Directors. We may release your health information to a coroner, medical examiner, or funeral director.

Health Oversight Reasons. We may release your health information to the government to be used to oversee the healthcare system.

Organ and Tissue Donation. We may use and release your health information for organ and tissue donation.

Research Reasons. We may release your health information for review to prepare a research study and when approved by an institutional review board.

Disaster Relief Reasons. We may release your health information for the reason of coordinating disaster relief efforts.

Specialized Government Functions. We may release the health information of military personnel and veterans in certain situations to the government. We may also release your health information for national security reasons.

Advert a Serious Threat to Health or Safety. We may release your health information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person, such as instances of child and/or elderly abuse or neglect.

People Who Help Take Care of You. We may provide your health information to a family member, friend, or other person if they help take care of you, or if they are responsible for paying for your care, unless you tell us not to. In emergencies, you will not be given the chance to tell us not to provide the information to those who take care of you. Hospital Directory. If you are admitted to one of our hospitals or units, your name, location within the hospital, and religious affiliation will be listed in the hospital directory, unless you tell us not to list you. This information may be released to persons who ask for you by name, such as family and friends, and to members of the clergy.

Other uses and releases will be made, of your health information, only with your written permission. You may take back permission once you have given it and your refusal to provide permission will not be held against you; however, it may prevent us from completing a task you have requested, such as enrollment in a research study or to create a report for your attorney. The request to take back the permission must be made to Dr. Oliver in writing. You cannot take back permission if Dr. Oliver has already acted in reliance of the permission and as needed to maintain the integrity of a research study. Other uses and releases will be made, of your health information, only with your written permission. You may take back permission once you have given it and your refusal to provide permission will not be held against you; however, it may prevent us from completing a task you have requested, such as enrollment in a research study or to create a report for your attorney. The request to take back the permission must be made to Dr. Oliver in writing. You cannot take back permission if Dr. Oliver has already acted in reliance of the permission and as needed to maintain the integrity of a research study.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the right to see and get copies of your health information. With only a few exceptions, you have the right to look at or get copies of your health information that we have. You must make the request in writing. If we do not have your health information, but we know who does, we will tell you how to get it. We will respond to you within 30 to 90 days after receiving your written request. In certain situations, we may deny your request. If we do, we will tell you, in writing, our reasons for the denial and explain your right to have the denial reviewed. If you request copies of your health information, we may charge you a fee based on our cost. Instead of providing the health information you requested, we may provide you with a summary or explanation of the health information as long as you agree to accept a summary and the cost in advance.

 You have the right to request a correction to your health information. If you believe that your health information is incorrect or information is missing, you may request that the information be changed or added. You must make the request in writing. You must also give us a reason for your request. We will let you know if we accept your request within 60 days of receiving your request. Under certain circumstances, we may deny the request. If we deny your request, we will let you know why. We will also explain your right to file a written statement of disagreement with the denial. If we approve your request, we will make the change to your information. We will let you know when the change is made. We will also let concerned parties know when the change is made.

You have the right to request a listing of releases we have made of your health information. You have the right to an accounting of all entities that obtained information unrelated to treatment, payment, or healthcare operations without your permission, except as otherwise required by law. We will respond within 60 days of receiving your request. Your request must state the time period desired for the accounting, which must be less than a six-year period and starting after April 14, 2003. The list will contain the date of the release, the name of the recipient and address if known, a description of the information released, and the reason for the release. If you make more than one request in the same year, you will be charged a fee based on the cost of each additional request.

You have the right to request limits on the use and release of your health information. You have the right to request a limit on the health information we use or release about you for treatment, payment, or healthcare operations. We will consider your request but are not legally required to accept it. If we accept your request, we will put any limits in writing and abide by them, except in some situations, such as during emergencies. You may not limit the uses and releases that we are legally required to allow or make.

You have the right to choose how we communicate with you. You have the right to request that we communicate with you in a certain way. For example, you may request that we contact you by phone rather than by mail. We will agree to the request as long as we can easily provide it in the format that you requested. We require that you make requests for confidential communications in writing. If you would like more information on accessing, obtaining a copy, or obtaining a listing of the releases we have made of your health information, you may contact us one of the following ways:

Dr. David Oliver

P.O. Box 846

Franklin, NC 28744

(828) 349-1469 

If you have any questions about this notice, complaints about our privacy practices, or would like more information on how to file a complaint with Dr. David Oliver DMD, please contact: 

P.O. Box 846

Franklin, NC 28744