⚠️ This HIPAA NPP template was generated for review. Final version must be reviewed by a HIPAA-knowledgeable attorney before public posting and must also be available in printed form at the office reception desk.
Terms of Use
Last Updated: [DATE TO BE FILLED PRE-LAUNCH]
1. Acceptance of Terms
By accessing and using this website, you agree to be bound by these Terms of Use and all applicable laws and regulations.
2. Use of Website Content
The content on this website, including text, graphics, and images, is for informational purposes only. It is not intended to be a substitute for professional medical or dental advice, diagnosis, or treatment.
3. No Doctor-Patient Relationship
Your use of this website or communication with us through the website does not create a doctor-patient relationship. Such a relationship is only established after a formal consultation and examination at our office.
4. Intellectual Property
All content on this site is the property of Eldridge Family Dentistry, LLC and is protected by copyright and other intellectual property laws.
5. External Links
This website may contain links to third-party sites. We are not responsible for the content or privacy practices of those sites.
6. Limitation of Liability
Eldridge Family Dentistry, LLC shall not be liable for any damages arising out of your use of or inability to use this website.
7. Governing Law
These terms are governed by the laws of the State of Iowa.
HIPAA Notice of Privacy Practices
Effective Date: [DATE TO BE FILLED PRE-LAUNCH]
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.
1. Our Commitment to Your Privacy
We are required by law to maintain the privacy of your protected health information (PHI) and to provide you with this notice of our legal duties and privacy practices.
2. How We May Use and Disclose Your PHI
We use your PHI for treatment, payment, and healthcare operations (TPO):
- Treatment: We may share your PHI with other healthcare providers involved in your care.
- Payment: We use your PHI to bill and collect payment from you or your insurance carrier.
- Healthcare Operations: We use your PHI to run our practice and ensure quality care.
3. Disclosures Without Your Authorization
We may disclose your PHI without your authorization as required by law, for public health activities, or in response to a court order.
4. Your Rights Regarding Your PHI
You have the right to:
- Inspect and copy your PHI.
- Request an amendment to your PHI.
- Request an accounting of disclosures.
- Request restrictions on certain uses and disclosures.
- Request confidential communications.
5. Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services.
6. Contact Information
For more information about our privacy practices, please contact our Privacy Officer:
Privacy Officer
Eldridge Family Dentistry
201 N 6th Ave, Eldridge, IA 52748
Phone: (563) 285-8662