This notice describes how health information about you may be used and how you can get access to this information from Anchorage Midtown Dental Center. These are federal regulations. Please review them carefully.
You may review the full notice of privacy practices here.
Our Legal Duty
We must follow the privacy practices that are described in this notice while it is in effect. This notice takes effect 4/9/12 and will remain in effect until we replace it.
Uses And Disclosure Of Your Health Information
Anchorage Midtown Dental Center uses and discloses health information about you for treatment, payment and various healthcare operations. For treatment, your dentist, physician or other health care provider may use or disclose your health information in order to provide treatment for you.
We may also use and disclose your health information to obtain payment for any services we provide. We may use and disclose your health information in connection with our health care services and operations. These health care services and operations include quality assessment and improvement activities, reviewing the competence or qualifications of health care professionals, evaluating practitioner and provider performance, conducting training programs, accreditations, certification licensing or credentialing activities, just to name a few.
Your Authorization Of Our Use And Disclosure Of Your Health Information
In addition to our use of your health information for treatment, payment or health care operations, you may give us written permission to use your health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. We may also disclose your health information to a family member, friend or other person to the extent necessary to help with your health care or with payment for your health care, but only if you agree that we may do so.
We may disclose your health information to notify, assist in the notification of a family member, your personal representative or other person responsible for your care, of your location, your general condition or death. We will not use your health information for marketing communications. We may use or disclose your health information when we are required to do so by law.
Dr. Guy Burk
2805 Dawson St.
Anchorage, AK 99503