HIPAA Notice of Privacy Practices
Effective Date: January 1, 2024
This Notice describes how medical and dental information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Who We Are
Vista Dental (including Vista Dental of Chicago and Vista Dental of Skokie) is committed to protecting the privacy of your health information. This Notice of Privacy Practices applies to all locations operated by Vista Dental.
Our Duties Under HIPAA
We are required by law to:
- Maintain the privacy of your protected health information (PHI)
- Provide you with this Notice of our legal duties and privacy practices
- Follow the terms of the notice currently in effect
- Notify you if there is a breach of your unsecured PHI
How We May Use and Disclose Your Health Information
Treatment: We may use and disclose your PHI to provide, coordinate, or manage your dental care and related services. For example, your dentist may share information with a specialist or laboratory as part of your treatment.
Payment: We may use and disclose your PHI to obtain payment for services we provide to you. For example, we may submit claims to your dental insurance company.
Health Care Operations: We may use and disclose your PHI for our dental practice operations, such as quality assessment, staff training, and business management.
Appointment Reminders: We may contact you to provide appointment reminders or information about treatment alternatives.
As Required by Law: We may disclose your PHI when required to do so by federal, state, or local law.
Public Health Activities: We may disclose your PHI to public health authorities for activities such as reporting diseases or injuries.
Your Rights Regarding Your Health Information
You have the following rights with respect to your PHI:
- Right to Access: You have the right to inspect and obtain a copy of your dental records.
- Right to Amend: You have the right to request an amendment to your dental records if you believe they are inaccurate.
- Right to an Accounting of Disclosures: You have the right to request a list of certain disclosures we have made of your PHI.
- Right to Request Restrictions: You have the right to request restrictions on certain uses and disclosures of your PHI.
- Right to Confidential Communications: You have the right to request that we communicate with you in a specific way or at a specific location.
- Right to a Copy of This Notice: You have the right to a paper copy of this Notice at any time.
- Right to File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with Vista Dental or with the U.S. Department of Health and Human Services Office for Civil Rights.
Changes to This Notice
We reserve the right to change this Notice and to make the revised or changed Notice effective for medical information we already have about you as well as any information we receive in the future. The current Notice will always be posted in our offices and on this website.
Contact Us
If you have questions about this Notice or wish to exercise your rights, please contact us:
Vista Dental of Chicago
4641 W. Foster Ave, Chicago, IL 60630
Phone: (312) 584-0041
Email: [email protected]
Vista Dental of Skokie
3602 W. Touhy Ave, Skokie, IL 60076
Phone: (847) 737-9702
Email: [email protected]
To file a complaint with HHS, visit: www.hhs.gov/ocr
