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(989) 872-3870

6240 Hill Street
Cass City, MI 48726

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Copyright © 2003
James D. Thomas, DDS, PC
All Rights Reserved

Health Privacy Rules
The new federal health privacy regulations, which are a part of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), went into effect April 14, 2003. These regulations require extra protections for the privacy of patients’ health information by certain health care providers, including our office, and by other companies which may have access to your Protected Health Information (PHI). They also establish additional rights for patients regarding their health information.

Notice of Privacy Practices
If you have visited our office recently, you have probably already noticed some effects of the HIPAA privacy regulations. You may have read our Notice of Privacy Practices and been asked to sign an acknowledgment form. As required by the regulations, our Notice of Privacy Practices informs our patients of our office policies regarding how their PHI may be used and disclosed, and how they can gain access to this information. The Notice describes Our Obligation to our Patients, the Uses and Disclosures of Health Information, Your Rights as a Patient, and How to Submit Questions and Complaints. To read the Notice, click on the link above or in the left panel.

Acknowledgement and Consent Form
HIPAA privacy regulations require us to present our Notice of Privacy Practices to our patients and to ask for their signature acknowledging they have received this policy. You may refuse to sign this form. In addition, existing privacy law in Michigan requires our office to obtain your written consent before we disclose any of your information, with some exceptions. You can read more about this on the form we use to obtain your acknowledgement and consent by clicking on the link above or on the left panel. When you come into our office, we will ask you to sign the Acknowledgement and Consent portions of this form. If you wish, you may print out the form, complete it and bring it to your next visit.