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.

I. Who We Are

This Notice of Privacy Practices (“Notice”) describes the privacy practices ofOralTrim, LLC and its affiliates, including certain affiliated professional entities, their physicians, healthcare practitioners, and other personnel (“we” or “us”).

II. Our Privacy Obligations

We are required by law to maintain the privacy of your health information (“Protected Health Information” or “PHI”) and to provide you with this Notice of our legal duties and privacy practices with respect to your PHI. We are also obligated to notify you following a breach of unsecured PHI. When we use or disclose your PHI, we are required to abide by the terms of this Notice.

III. Permissible Uses and Disclosures Without Your Written Authorization

A. Treatment, Payment, and Healthcare Operations

We may use and disclose PHI in order to treat you, obtain payment for services provided to you, and conduct our Healthcare Operations:

Treatment: We may use and disclose your PHI to provide treatment — for example, to diagnose and treat your condition. We may also disclose PHI to other healthcare providers involved in your treatment.
Payment: We may use and disclose your PHI to obtain payment for services that we provide to you.
Healthcare Operations: We may use and disclose your PHI for our healthcare operations, which include internal administration and activities that improve the quality and cost effectiveness of the care we deliver.

B. Disclosure to Family Members and Caregivers

We may use or disclose your PHI to a family member, close personal friend, or other person identified by you when you are present and provide agreement, or when we reasonably infer that you do not object.

C. Public Health Activities

We may disclose your PHI for public health activities including reporting disease, injury, or disability; reporting child abuse and neglect; and reporting information about products under the jurisdiction of the FDA.

D. Other Permissible Disclosures

We may also disclose your PHI in the following circumstances:

To health oversight agencies for authorized oversight activities.
In the course of judicial and administrative proceedings in response to legal orders.
To law enforcement officials as required or permitted by law.
To coroners, medical examiners, or funeral directors as authorized by law.
For research purposes when approved by an Institutional Review Board.
To prevent or lessen a serious and imminent threat to health or safety.
For specialized government functions such as military or national security activities.
As required for workers' compensation or similar programs.
As otherwise required by law.

IV. Uses and Disclosures Requiring Your Written Authorization

We must obtain your written authorization for uses and disclosures of PHI for marketing purposes and disclosures that constitute the sale of PHI. Other uses and disclosures not described in this Notice will be made only with your written permission.

Federal and state law requires special privacy protections for certain highly confidential information, which may include information about mental health services, substance abuse treatment, HIV/AIDS testing, sexually-transmitted diseases, genetic testing, and domestic abuse.

V. Your Rights Regarding Your PHI

Right to Access: You have the right to inspect and obtain a copy of your PHI maintained by us.
Right to Amend: You have the right to request that we amend your PHI if you believe it is inaccurate or incomplete.
Right to an Accounting of Disclosures: You have the right to receive an accounting of certain disclosures of your PHI.
Right to Request Restrictions: You have the right to request restrictions on certain uses and disclosures of your PHI. We are not required to agree to all restrictions.
Right to Confidential Communications: You have the right to request that we communicate with you about health matters in a certain way or at a certain location.
Right to a Copy of This Notice: You have the right to obtain a paper copy of this Notice upon request.
Right to Be Notified of a Breach: You have the right to be notified following a breach of your unsecured PHI.

VI. Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have about you as well as any information we receive in the future. We will post a copy of the current Notice on our website.

VII. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us at support@oraltrim.com or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

VIII. Contact Information

For questions about this Notice or to exercise your rights, please contact us at support@oraltrim.com.