Privacy Policy

Our Legal Duty

Copper Sky Dental PLLC is required by federal and state law to maintain the privacy of your health information (Protected Health Information or "PHI"), to provide you with this notice of our legal duties and privacy practices, and to notify you following a breach of your unsecured health information. We are required to abide by the terms of the Notice currently in effect.

Uses and Disclosures of Health Information

We use and disclose health information about you for treatment, payment, and healthcare operations. For example:

• Treatment: We may use or disclose your health information to a physician, dentist, oral surgeon, or other healthcare provider providing treatment to you.
• Payment: We may use and disclose your health information to obtain payment for services we provide to you. This includes submitting claims to your dental insurance provider.
• Healthcare Operations: We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, and evaluating practitioner and provider performance.

Your Authorization

In addition to our use of your health information for treatment, payment, or healthcare operations, you may give us written authorization 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.

To Your Family and Friends

We must disclose your health information to you, as described in the Patient Rights section of this Notice. We may disclose your health information to a family member, friend, or other person to the extent necessary to help with your healthcare or with payment for your healthcare, but only if you agree that we may do so.

Required by Law

We may use or disclose your health information when we are required to do so by law (e.g., in response to a court order, subpoena, or to public health authorities).

Patient Rights

• Access: You have the right to look at or get copies of your health information, with limited exceptions. You must make a request in writing to obtain access to your health information.
  Arizona Law Note: In accordance with A.R.S. § 12-2294, we will provide copies of your records within 15 business days of receiving your written request.

  We may charge a reasonable cost-based fee for expenses such as copies and staff time as permitted by Arizona law.

• Disclosure Accounting: You have the right to receive a list of instances in which we or our business associates disclosed your health information for purposes, other than treatment, payment, healthcare operations, and certain other activities, for the last 6 years.
• Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in an emergency).
• Alternative Communication: You have the right to request that we communicate with you about your health information by alternative means or to alternative locations (e.g., only calling your cell phone). Your request must be in writing.
• Amendment: You have the right to request that we amend your health information. Your request must be in writing, and it must explain why the information should be amended.

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