Payne-Sanghvi Oral & Maxillofacial Surgery
Oral Surgery
Stockton, CA
(209) 951-6387 or (209) 333-1238
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    • Stockton Office
    • Lodi Office

Patient Information

  • Introduction
  • First Visit
  • Scheduling
  • Financial Policy
  • Insurance
  • Privacy Policy
  • Online Videos
  • Patient Registration

Patient Privacy Policy

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

Under certain circumstances your protected health information can be disclosed without your written authorization. These include:
Medical emergencies
In situations required by law
Other individuals involved in your care
When requested by a public health agency
When requested by a law enforcement agency
For any purpose 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 authorizationto disclose protected health information, you can revoke that authorization in writing 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 to restrict some of the uses and disclosures of your health information.*
You have the right to request in writing an accounting of certain disclosures of your health information that were made by this office.*
 
*Conditions and limitations may apply; obtain additional information from front desk.
Changes to this notice: We reserve the right to change privacy practices and the conditions of this notice at any time and without prior notice. In the event of changes, an update notice will be posted and a copy will be sent to you.
 
 
 
 
 

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Address: 756 Porter Avenue, Suite 400 • Stockton, CA 95207 • Phone: (209) 951-6387 or (209) 333-1238


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