Notice of Privacy Practices

Effective Date: September 1, 2025

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Our Commitment to Your Privacy

Gibson Orthodontics is dedicated to maintaining the privacy of your protected health information (PHI). We are required by law to maintain the privacy of your PHI and to provide you with this notice of our legal duties and privacy practices with respect to your PHI. This notice applies to all of your health records generated by this practice.

Understanding Your Protected Health Information (PHI)

Your PHI includes information about your past, present, or future health or condition, the provision of health care to you, or the payment for such health care. This information includes your name, address, birth date, phone number, and information about your dental and orthodontic treatment.

How We May Use and Disclose Your PHI

We may use and disclose your PHI for the following purposes without your prior authorization:

  • For Treatment: We may use and disclose your PHI to provide, coordinate, or manage your health care and related services. For example, we may disclose your PHI to a general dentist or another specialist to whom we refer you for additional treatment.
  • For Payment: We may use and disclose your PHI to bill and collect payment for the services we provide. For example, we may provide your PHI to your dental insurance company to obtain payment for your orthodontic treatment.
  • For Health Care Operations: We may use and disclose your PHI for our practice’s internal operations. These uses and disclosures are necessary to run our practice and ensure that all of our patients receive quality care. For example, we may use your PHI to review our treatment and services and evaluate the performance of our staff.

Uses and Disclosures That Do Not Require Your Authorization

We may also use and disclose your PHI for the following purposes as permitted or required by law:

  • As Required by Law: We will disclose your PHI when required to do so by federal, state, or local law.
  • Public Health Activities: We may disclose your PHI for public health purposes, such as reporting of communicable diseases, or to a public health authority authorized to receive such information.
  • Health Oversight Activities: We may disclose your PHI to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections.
  • Judicial and Administrative Proceedings: We may disclose your PHI in response to a subpoena or other lawful process.
  • Law Enforcement: We may disclose your PHI to a law enforcement official for specific law enforcement purposes.
  • Research: We may disclose your PHI to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your PHI.
  • Coroners, Medical Examiners, and Funeral Directors: We may disclose your PHI to a coroner or medical examiner to identify a deceased person or determine the cause of death.
  • Workers’ Compensation: We may disclose your PHI as authorized by and to the extent necessary to comply with laws relating to workers’ compensation or other similar programs.

 

Your Rights Regarding Your PHI

You have the following rights regarding your PHI. To exercise any of these rights, please contact our Privacy Officer at the contact information provided at the end of this notice.

  • Right to Inspect and Copy: You have the right to inspect and receive a copy of your PHI that we maintain. We may charge a reasonable fee for the costs of copying, mailing, and other supplies associated with your request.
  • Right to Request an Amendment: If you feel that the PHI we have about you is incorrect or incomplete, you may ask us to amend it. We may deny your request for an amendment if we do not agree with the information, but we will provide you with a written explanation.
  • Right to an Accounting of Disclosures: You have the right to request an “accounting of disclosures.” This is a list of certain disclosures we have made of your PHI, other than for treatment, payment, or health care operations.
  • Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose about you for treatment, payment, or health care operations. We are not required to agree to your request, unless you ask us to restrict disclosures to a health plan for a service for which you have paid out-of-pocket in full.
  • Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail.
  • Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice, even if you have agreed to receive this notice electronically.

Changes to This Notice


We reserve the right to change our privacy practices and the terms of this notice at any time. Any changes will apply to all of your PHI that we maintain. If we make material changes to this notice, a revised copy will be posted in our office and on our website. You may obtain a copy of the current notice at any time.


Complaints


If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint with us, please contact our Privacy Officer. We will not retaliate against you for filing a complaint.


Contact Information


If you have any questions about this notice, please contact:
Gibson Orthodontics
Address: 70 E Horizon Ridge Pkwy #170, Henderson, NV 89002
Phone: 702-564-1037