TYLER ORTHODONTICS

NOTICE OF PRIVACY PRACTICES

Email: info@tylerortho.com
Website: tylerortho.com

This notice describes how medical information about you may be used and disclosed, how we protect your information, and how you can access this information. Please review it carefully.

YOUR RIGHTS

When it comes to your health information, you have certain rights. This section explains those rights and some of our responsibilities.

Get an Electronic or Paper Copy of Your Medical Record

You may ask to see or receive an electronic or paper copy of your medical record and other health information we maintain about you. Please contact Tyler Orthodontics to learn how to make a request.

We will provide a copy or summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee where permitted by law.

Ask Us to Correct Your Medical Record

You may ask us to correct health information about you that you believe is incorrect or incomplete.

We may deny your request in certain circumstances, but if we do, we will explain the reason to you in writing within 60 days.

Request Confidential Communications

You may ask us to contact you in a specific way, such as at your home or office phone number, or to send correspondence to a different address.

We will accommodate all reasonable requests.

Ask Us to Limit What We Use or Share

You may ask us not to use or share certain health information for treatment, payment, or our health care operations.

We are not always required to agree to your request and may decline if the restriction could affect your care.

If you pay for a health care service or item entirely out-of-pocket, you may ask us not to share information about that service or item with your health insurer for payment or health care operations purposes.

We will honor that request unless we are required by law to share the information.

Get a List of Those With Whom We Have Shared Information

You may request an accounting of certain disclosures of your health information made during the six years prior to the date of your request, including who received the information and why.

The accounting will generally exclude disclosures made for treatment, payment, health care operations, and certain other disclosures permitted by law.

We will provide one accounting per year at no charge. We may charge a reasonable, cost-based fee for additional requests made within a 12-month period.

Get a Copy of This Privacy Notice

You may request a paper copy of this notice at any time, even if you previously agreed to receive it electronically. We will provide you with a paper copy promptly.

Choose Someone to Act for You

If you have given someone medical power of attorney or if someone is your legal guardian, that individual may exercise your rights and make choices regarding your health information.

We will verify that the individual has appropriate authority before taking action.

File a Complaint if You Believe Your Rights Have Been Violated

You may file a complaint with Tyler Orthodontics if you believe we have violated your privacy rights.

Please contact us at:

Tyler Orthodontics
Email: info@tylerortho.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

We will not retaliate against you for filing a complaint.

YOUR CHOICES

For certain health information, you may tell us your preferences regarding what information we share.

You may tell us whether you want us to:

• Share information with family members, close friends, or others involved in your care.

• Share information during a disaster-relief situation.

• Include your information in a hospital directory, when applicable.

• Contact you regarding fundraising activities, when applicable.

If you are unable to communicate your preference—for example, if you are unconscious—we may share information when we believe doing so is in your best interest.

We may also share information when necessary to reduce a serious and imminent threat to health or safety.

We generally will not use or disclose your health information for the following purposes without your written authorization:

• Marketing purposes when authorization is required by law.

• Sale of your health information.

• Most uses and disclosures of psychotherapy notes.

If we contact you regarding fundraising activities, you may tell us not to contact you again.

OUR USES AND DISCLOSURES

How Do We Typically Use or Share Your Health Information?

Treatment

We may use your health information and share it with other health care professionals who are treating you.

Example: Your orthodontist may communicate with your dentist, oral surgeon, physician, or another health care provider regarding information relevant to your treatment.

Running Our Practice

We may use and share your health information to operate Tyler Orthodontics, improve the quality of your care, and contact you when necessary.

Example: We may use health information to manage your orthodontic treatment, appointments, and services.

Billing for Services

We may use and share your health information to bill for services and obtain payment from insurance companies, health plans, or other entities.

Example: We may provide information about your orthodontic treatment to your dental insurance company so that it can process benefits or payment.

OTHER WAYS WE MAY USE OR SHARE YOUR INFORMATION

We may be permitted or required to use or share your health information for other purposes under state or federal law.

Public Health and Safety

We may share health information for certain public health and safety purposes, including:

• Preventing disease.

• Assisting with product recalls.

• Reporting adverse reactions to medications.

• Reporting suspected abuse, neglect, or domestic violence.

• Preventing or reducing a serious threat to someone's health or safety.

Research

We may use or share health information for health research when permitted by applicable law.

Compliance With the Law

We will disclose information when state or federal law requires us to do so, including disclosures to the U.S. Department of Health and Human Services when necessary to demonstrate compliance with federal privacy laws.

Organ and Tissue Donation

We may share health information with organ procurement organizations when applicable.

Medical Examiners and Funeral Directors

We may share health information with a coroner, medical examiner, or funeral director when an individual dies and such disclosure is permitted or required by law.

Workers' Compensation, Law Enforcement, and Government Requests

We may use or disclose health information:

• For workers' compensation claims.

• For certain law enforcement purposes.

• To health oversight agencies for activities authorized by law.

• For certain special government functions, including military, national security, and presidential protective services.

Lawsuits and Legal Proceedings

We may disclose health information in response to a court or administrative order or, when legally permitted, in response to a subpoena or other lawful process.

OUR RESPONSIBILITIES

Tyler Orthodontics is required by law to maintain the privacy and security of your protected health information.

We will notify you as required by law if a breach occurs that may have compromised the privacy or security of your information.

We must follow the duties and privacy practices described in this Notice and make a copy available to you.

We will not use or share your information other than as described in this Notice unless you authorize us to do so in writing or the law otherwise permits or requires the use or disclosure.

If you provide written authorization, you may revoke that authorization at any time by notifying us in writing, subject to applicable legal limitations.

CHANGES TO THIS NOTICE

We reserve the right to change the terms of this Notice and to make the revised Notice effective for all health information we maintain, including information created or received before the changes.

The current Notice will be available upon request, at our office, and on our website.

WEBSITE PRIVACY POLICY

Privacy Policy for Tyler Orthodontics

Tyler Orthodontics ("Tyler Orthodontics," "Company," "we," "us," or "our") is committed to protecting the privacy of our patients and visitors to our website.

This Privacy Policy explains how we collect, use, safeguard, and disclose information provided to us and is intended to help you make informed decisions when using our website and services.

For purposes of this Privacy Policy, "Service" refers to the services and information available through tylerortho.com, including information about our practice, orthodontic treatment, and methods of contacting our office.

"You" and "your" refer to users of our website and services.

I. INFORMATION WE COLLECT

We may collect both Personal Information and Non-Personal Information.

Personal Information

Personal Information may include information you voluntarily provide through our website, such as:

• Name

• Email address

• Telephone number

• Information submitted through contact or appointment-request forms

Additional personal and health information may be collected through patient forms or during the course of orthodontic treatment. Protected health information is handled in accordance with applicable privacy laws and our Notice of Privacy Practices.

Information Collected Through Technology

You may browse portions of our website without providing Personal Information.

When you use our website, certain information may be collected