(718) 822-8787 Most insurances accepted
1200 Waters Pl Bronx, NY 10461
(718) 822-8787
Most insurances accepted
1200 Waters Pl Bronx, NY 10461
Table of contents
My New Jersey Dentist is committed to protecting the privacy and confidentiality of our patients’ information. This Privacy Policy outlines how we collect, use, and protect the information obtained through our practice.
Hutchinson Metro Dental
1200 Waters Pl Suite M107
Bronx, NY 10461
Our website address is https://www.bronxdentalspa.com/.
We collect personal and medical information necessary for providing healthcare services. This may include but is not limited to, patient names, contact details, medical history, and insurance information. Information is gathered through patient forms, consultations, and electronic health records.
Patient information is used for treatment, billing, appointment reminders, and internal record-keeping. We may share information with third parties, such as insurance companies, for the purpose of processing claims and facilitating treatment.
My New Jersey Dentist employs industry-standard security measures to protect patient information from unauthorized access, alteration, disclosure, or destruction. Access to patient records is restricted to authorized personnel only.
Patients have the right to access, review, and request corrections to their information by contacting [Your Contact Information]. Patients can withdraw consent for the use or sharing of their information, subject to legal or contractual obligations.
Patient information is retained for the duration necessary for treatment, billing, and legal compliance. When information is no longer required, it is securely disposed of.
For Treatment: We may use and disclose medical information about you to provide you with medical treatment or services. Example: In treating you for specific condition, we may need to know if you are allergic to specific drugs that could influence which medications we prescribe for the treatment purpose.
For Payment: We may use and disclose medical information about you so that treatment and services you receive from us may be billed and payment may be collected from your insurance, third party or you.
Health Care Operations: We may use or disclose, as-needed, your protected health information in order to support the business activities of your physician’s practice. These activities include, but are not limited to, quality assessment activities, employee review activities. For example, we may use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your dentist. We may also call you by name in the waiting room when one of our dentists is ready to see you. We may use or disclose your protected health information, as necessary, to contact you to remind you of your appointment.
We may use or disclose your protected health information in the following situations with your authorization. These situations include: as required by law; public health issues as required by law; communicable diseases; health oversight; abuse or neglect; Food and Drug Administration requirements; legal proceedings or law enforcement; coroners; funeral directors; organ donation; research; criminal activity; military activity and national security; workers’ compensation; inmates; and other required uses and disclosures. Under the law, we must make disclosures to you upon your request and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500.
Other permitted required uses and disclosures will be made only with your consent, authorization or opportunity to object unless required by law.
We believe all treatment started should be treatment completed. Incomplete treatment leads to problems, complications, misunderstandings, and usually further disease. Therefore, if a plan is agreed upon and started, it should be completed.
An appointment in our office is a bond of trust that we will be here to serve you and you will be present for treatment. We anticipate a mutual respect for each others’ time. We will see you at your appointed time, and we ask your adherence to your visit as scheduled.
We believe we have the responsibility to use the best professional care, skill, and judgment in planning and delivering your dental treatment. We will also establish mutually agreed upon written financial arrangements before treatment is begun, and expect your commitment to the same.
I understand that, under The Health Insurance Portability Accountability Act of 1996, I have certain rights to privacy in regards to my protected health information (PHI). I have received, read and understood The Notice of Privacy Practices.
Our practice reserves the right to change the terms of the Notice of Privacy Practices. I understand the Practice will provide me with a copy of its Notice of Privacy Practices on request.
Hutchinson Metro Dental
1200 Waters Pl Suite M107
Bronx, NY 10461
(718) 822-8787
Hutchinson Metro Dental: Victoria Kushensky, DDS
1200 Waters Pl, Suite M107
Bronx, NY 10461
(718) 822-8787