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Our doctors, clinical staff, employees, Business Associates (outside contractors we hire), their subcontractors and other involved parties follow the policies and procedures set forth in this Notice.
If at this facility, your primary caretaker / doctor is unavailable to assist you (i.e.
HIPAA is a Federal Law that gives you significant new rights to understand and control how your health information is used.
Federal HIPAA Omnibus Rule and state law provide penalties for covered entities, business associates, and their subcontractors and records owners, respectively that misuse or improperly disclose PHI.
Our Business Associates will also follow Omnibus Rule and have any of their Subcontractors that may directly or indirectly have contact with your PHI, sign Confidentiality Agreements to Federal Omnibus Standard.
You may take back or revoke your consent or authorization at any time (unless we already have acted based on it) by submitting our Revocation Form in writing to us at our address listed above.for the Healthcare Facility of: Mc Clure Pediatric Dentistry 14660 SH 121, Building 300 Frisco, TX 75035 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION under the HIPAA Omnibus Rule of 2013.PLEASE REVIEW IT CAREFULLY For purposes of this Notice “us” “we” and “our” refers to the Name of this Healthcare Facility: Mc Clure Pediatric Dentistry and “you” or “your” refers to our patients (or their legal representatives as determined by us in accordance with state informed consent law).However, in the event that there is a breach in protecting your PHI, we will follow Federal Guide Lines to HIPAA Omnibus Rule Standard to first evaluate the breach situation using the Omnibus Rule, 4-Factor Formula for Breach Assessment.Then we will document the situation, retain copies of the situation on file, and report all breaches (other than low probability as prescribed by the Omnibus Rule) to the US Department of Health and Human Services at: will also make proper notification to you and any other parties of significance as required by HIPAA Law.
We will not condition treatment on you signing an authorization / acknowledgement, but we may be forced to decline you as a new patient or discontinue you as an active patient if you choose not to sign the authorization/ acknowledgement or revoke it.