This new law is careful to describe that you have the following rights related to your health information.

Restrictions
You have the right to request restrictions on certain uses and disclosures of your health information. Our office will make every effort to honor a reasonable request from our patients.

Confidential Communications
You have the right to request that we communicate with you in a certain way. You may request that we only communicate your health information privately with no other family members present or through mailed communication that is sealed.  We will make every effort to honor your reasonable request for confidential communications.

Inspect and Copy Your Health Information
You have the right to read, review, and copy your health information, including your complete chart, x-rays, and billing records. If you would like a copy of your health information, please let us know. We may charge you a reasonable fee to duplicate and assemble your copy.

Amend Your Health Information
You have the right to ask us to update or modify your records if you believe your health information records are incorrect or incomplete.  We will be happy to accommodate you as long as our office maintains this information. In order to standardize our process, please provide us with your request in writing and describe your reason for the change.

Your request may be denied if the health information record in question was not created by our office, is not part of our records or if the records containing your health information are determined to be accurate and complete.

Documentation of Health Information
You have the right to ask us for a description of how and where your health information was used by our office for any reason other than for treatment, payment, or health operations. Our documentation procedures will enable us to provide information on health information usage from April 14, 2003 forward. Please let us know in writing the time period for which you are interested. Thank you for limiting your request to no more than two years at a time. We may charge you a reasonable fee for your request.

Request a Paper Copy of This Notice
You have the right to obtain a copy of this notice of privacy practices directly from our office at any time. Stop by our office to pick one up, visit our website: www.gardnergrins.com or call and we will mail a copy to you.

We are required by law to maintain the privacy of your health information and to provide to you and your representative this notice of our privacy practices. We are required to practice the policies and procedures described in this notice, but we do reserve the right to change the terms of our notice. If we change our privacy practices, we will be sure all of our patients receive a copy of the revised notice.

You have the right to express complaints to us or to the Secretary of Health and Human Services, if you believe your privacy rights have been compromised. We encourage you to express any concerns you may have regarding the privacy of your information. Please let us know of your concerns or complaints in writing.

Wm. Graham Gardner, DDS, PC
1206 Willow Lawn Drive
Richmond VA 23226
804.282.6436
Contact: Sandra Powell