HIPAA Privacy Notice

This document outlines the privacy practices of Moderna Dental Inc., operating under the name Moderna Dental (“Moderna Dental”), and specifies the conduct expected from all members of Moderna Dental’s team when managing your health information.

Commitment to Protecting Your Health Information Moderna Dental places a high value on the privacy of your medical information, recognizing its personal and sensitive nature. We strive to safeguard your medical records and provide a secure treatment environment, ensuring both privacy and quality medical care. This notice encompasses all records related to your medical care at Moderna Dental, whether created or received by us.

It’s important to note that other healthcare providers (such as doctors, hospitals, and home health agencies) may follow different policies or notices regarding your medical information.

Here, we detail the methods Moderna Dental may employ to use and disclose your health information, defined as “protected health information” (PHI). PHI includes identifiable information about you, encompassing demographic details that pertain to your past, present, or future physical or mental health and related healthcare services.

Additionally, we outline your rights and Moderna Dental’s obligations concerning your PHI. We are legally obliged to:

• Ensure the privacy of your PHI.
• Provide you with this notice outlining our legal duties and privacy practices related to your PHI.
• Adhere to the terms of the currently effective notice.

Consent for Uses and Disclosures for Treatment, Payment, and Health Care Operations Your status as a patient at Moderna Dental implies your consent for us to use your PHI for treatment, payment, and healthcare operations, collectively referred to as “TPO”.

For treatment purposes, we may share your PHI with medical professionals within Moderna Dental to diagnose and treat your condition. Your PHI may also be disclosed to other doctors for referral purposes or to ensure continuity of care.

For payment activities, your PHI will be shared with insurance companies to secure compensation for services rendered to you. Additionally, your PHI may be utilized and disclosed for healthcare operations to enhance the quality of care we provide. This could include using your PHI for internal audits or quality assessment activities.

Other Uses and Disclosures of Your PHI Without additional authorization from you, Moderna Dental may engage in various other legally permitted uses and disclosures of your PHI. These include sharing your PHI with family members, friends, or others involved in your care, as long as it pertains to their role in your healthcare or payment related to your care. In cases where you are unable to make healthcare decisions, disclosures may be made in your best interest based on professional judgment. Your PHI may also be used for notifying family or others responsible for your care in the event of your location change, general condition, or death, and in disaster relief efforts to coordinate care and communication with those involved in your healthcare.

Emergency Situations In emergencies, your PHI may be disclosed to provide necessary treatment. Whenever possible, we will attempt to obtain acknowledgment of this notice post-treatment, emphasizing our commitment to your privacy even in urgent care scenarios.