William H. Noyes DDS Family, TMJ & Cosmetic Dentistry

HIPaA Privacy Policy

Privacy Notice

The following privacy notice summarizes information, which is intended to describe how you/your child's information will be used. It will also describe how you may gain access to this information.WHEN WE WILL UTILIZE AND SHARE YOUR PERTINENT HEALTH INFORMATION. According to HIPP A, we may use health information about you or your child without your written permission for the limited purpose of:

  1. Payment: We will share information on your dental health with your dental insurance companies as needed to bill for the services that are rendered in out office.
  2. Treatment: This includes providing, managing and coordinating your care with other dental specialists as needed to meet your comprehensive dental needs.
  3. Health-Care Operations: We will access your medical information to improve the quality of care as well as train out staff. We can also send you recall cards about your upcoming preventative hygiene appointment or contact you by phone or email about your upcoming appointment. We can also contact you about patient-care issues and treatment choices and tell you about additional services that might best meet you dental needs.

Other Times Information Can Be Shared

  1. To prevent or control disease-such infectious diseases to the State Board of Health.
  2. If you give our office permission in writing, we will communicate with your family and others involved in your care.
  3. When required by law.

Authorization

We will obtain written authorization for such things as:

  1. HIV testing and/or results if an employee is stuck by a needle that was utilized during your dental treatment.
  2. Any communication between you and your mental health provider, if applicable.

Your Patient Rights

  1. Inspect and receive copies of your medical information.
  2. Request, in writing, (amendment), changes to your health information. We will try to honor your request, if appropriate. It is, however, not legally required.
  3. Request, in writing, that we limit how-your child's/your health information is shared or utilized.
  4. Withdraw, in writing, any authority you have given to share your health information. (We cannot take back information that we have previously given out.)
  5. Request in writing, and receive a record of times that we have shared your health information without your written permission except when related to treatment, payment, or health-care operations.


Per our office philosophy, all new patients over the age of 16 years old will first see Dr. Noyes for a comprehensive initial oral evaluation. This includes: periodontal screening, a full series of necessary x-rays, a TMJ examination and the development of a comprehensive, individualized treatment plan.  We reserve 1 and 1/2 hours for your new patient appointment.

New Patient Packet

We do appreciate and request that you complete our new patient information.  Such information will provide our office with critical information regarding your individual dental health and dental treatment goals. In addition, we will provide important information regarding dental insurance.  We do request that you download this information and bring it to your appointment to avoid a delay in beginning your appointment on time.  Please do not hesitate to contact our office should you have any additional questions.  Please note that we accept most major dental insurance plans

 

Information Documents