THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
Please Review Carefully
If you have any questions about this Notice of Privacy Practices (‘Notice’), please contact:
Privacy Officer Phone Number: 617-484-5266; Fax Number: 617-484-2739
SECTION A: Who Will Follow This Notice?This Notice describes Belmont Oral, Facial & Implant Surgery (hereafter referred to as ‘Provider’) Privacy Practices and that of:
Any workforce member authorized to create medical information referred to as Protected Health Information (PHI) which may be used for purposes such as Treatment, Payment and Healthcare Operations. These workforce members may include:
SECTION B: Our Pledge Regarding Medical Information We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive at the Provider. We need this record to provide you with the quality care and to comply with certain legal requirements. This Notice applies to all of the records of your care generated or maintained by the Provider, whether made by Provider personnel or your personal doctor.
This Notice will tell you about the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information.
We are required by law to:
SECTION C: How We May Use and Disclose Medical Information About YouThe following categories describe different ways that we use and disclose medical information. For each category of uses or disclosures we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.
Serving the Following CitiesCambridge MA • Lexington MA • Concord MA • Arlington MA • Waltham MAWatertown MA • Woburn MA • Belmont MA