THIS NOTICE DESCRIBES HOW YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED BY SOLOMON KIDS PEDIATRIC DENTISTRY AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
YOUR RIGHTS: When it comes to your health information you have certain rights. This section explains your rights.
Treatment: We can use your health information and share it with other professionals who are treating you. Example: we may share your health information with an outside doctor for a referral. We will also provide your health care providers with copies of various reports to assist them with your treatment.
Payment: We can use or share your health information to bill and get payment from health plans or other entities. Example: we give information about you to your health insurance plan so it will pay for your healthcare.
Health Care Operations: We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: we use health information about you to manage your treatment and services.
SUD Treatment Information:
If we receive or maintain information about you from a substance use disorder treatment program covered by 42 CFR Part 2 (a “Part 2 Program”), we may use and disclose that information for treatment, payment, or health care operations if you have provided a general consent allowing the Part 2 Program to do so. If we receive your Part 2 Program record through a specific consent you provide to us or another party, we will use and disclose it only as permitted by that consent.
Part 2 Program records are protected by federal law, and any further disclosure is prohibited unless allowed by 42 CFR Part 2. We will not use or disclose your Part 2 Program record, or testimony about it, in any civil, criminal, administrative, or legislative proceedings against you unless you authorize it or a court orders it after providing you notice.
Other ways we can use or share your health information – We are allowed or required to share you information in other ways – usually in ways that contribute to the public good, such as public health and research. We must meet many conditions in the law before we can share your information for these purposes.
CHANGES TO THIS NOTICE – We can change the terms of this notice, and the changes will apply to all the information we have about you. The new notice will be available on request, in our office and on our website.
Privacy Officer – Katie Connolly, Compliance
katie.connolly@solomondentistry.com
843-871-0842
Effective date: 1/1/2018
Revision Date: 2/16/2026
Solomon Kids Pediatric Dentistry 2080 Royle Rd. Suite C Summerville, SC 843-419-1635
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This practice secures your personal information from unauthorized access, use or disclosure. This practice secures the personally identifiable information you provide on computer servers in a controlled, secure environment, protected from unauthorized access, use or disclosure. When personal information (such as a credit card number) is transmitted to other websites, it is protected through the use of encryption, such as the Secure Socket Layer (SSL) protocol.
This practice will occasionally update this Statement of Privacy to reflect company and customer feedback. We encourage you to periodically review this Statement to be informed of how this practice is protecting your information.
This practice secures your personal information from unauthorized access, use or disclosure. This practice secures the personally identifiable information you provide on computer servers in a controlled, secure environment, protected from unauthorized access, use or disclosure. When personal information (such as a credit card number) is transmitted to other websites, it is protected through the use of encryption, such as the Secure Socket Layer (SSL) protocol.