1ST IMPRESSIONS

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ORTHODONTICS - Dr. Colin Gibson DDS, MS
1333 W. 120th Ave #303
Denver, CO 80234

303-452-2277

Additional Section

Denver Orthodontist

This section outlines our office privacy policy. You are welcome to read, print, or ask for a copy of the privacy policy when you come to our office. Thanks.

PRIVACY NOTICE

All information that is obtained from you by this office is protected and kept confidential. Every reasonable measure to prevent unauthorized disclosure of you protected health information is practiced.

Uses and disclosures:

- Your protected health information is accessed and used for healthcare related

purposes only.

- Your protected health information is never sold, rented, transferred, exchanged,

and or used for non-healthcare related purposes including marketing activities

without your written authorization.

- Your protected health information is disclosed to third-party entities without

your written authorization for the purpose of treatment, to obtain payment

for treatment, and for healthcare operations.

Certain Circumstances

Your protected health information can be disclosed without your written authorization

In certain limited circumstances:

- Medical emergencies

- In situations required by law

- Individuals involved in your care

- When requested by public health agency or law enforcement agency.

For any purposes other than treatment, obtaining payment, healthcare operations, or certain circumstances, we will ask for your written authorization before using or disclosing your protected health information. If you choose to sign an authorization to disclose protected health information, you can revoke that authorization at any time.

Patient Rights

- You have the right to request in writing to inspect and/or receive a copy of your

health information.

- You have the right to request an alternate means or location to receive

communications regarding your health information.

- You have the right to request in writing to amend, correct, or delete any recorded health information within our possession.

- You have the right to request in writing an accounting of certain disclosures

of your health information that were made by this office.

1ST IMPRESSIONS Orthodontics

1333 W. 120th Ave. #303

Denver, CO 80234

303-452-2277

44898