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Please review and acknowledge our privacy practices before booking your appointment.

HIPAA Consent & Notice of Privacy Practices

Please read carefully before proceeding

Notice of Privacy Practices

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

Idaho Emergency Dental is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of your protected health information (PHI), to provide you with this Notice of our legal duties and privacy practices with respect to your PHI, and to notify you in the event of a breach of your unsecured PHI.

How We May Use and Disclose Your Health Information

We may use and disclose your health information for the following purposes:

  • Treatment: We may use your health information to provide you with dental treatment and services. We may also disclose your health information to other healthcare providers involved in your treatment.
  • Payment: We may use and disclose your health information to bill and collect payment for the dental services we provide to you.
  • Healthcare Operations: We may use and disclose your health information for our healthcare operations, which include quality assessment, training, and other administrative activities.
  • Appointment Reminders: We may contact you to remind you of upcoming appointments.
  • Treatment Alternatives: We may contact you about treatment options or other health-related benefits and services that may be of interest to you.

Your Rights Regarding Your Health Information

You have the following rights regarding your health information:

  • Right to Access: You have the right to inspect and obtain a copy of your health information.
  • Right to Amend: You have the right to request that we amend your health information if you believe it is incorrect or incomplete.
  • Right to Restrict: You have the right to request restrictions on certain uses and disclosures of your health information.
  • Right to Confidential Communications: You have the right to request that we communicate with you about your health information in a specific way or at a specific location.
  • Right to an Accounting: You have the right to request a list of certain disclosures we have made of your health information.
  • Right to a Copy of This Notice: You have the right to obtain a paper copy of this Notice upon request.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we can in writing.

Contact Information

If you have any questions about this Notice or wish to exercise any of your rights, please contact us at:
Idaho Emergency Dental
2320 E Gala St STE 200, Meridian, ID 83642
Phone: (208) 284-4481
Email: Email Us

Effective Date: This Notice is effective as of April 1, 2025, and will remain in effect until replaced.

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(208) 284-4481

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(208) 284-4481