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If you request a list of disclosures more than once in 12 months, we can charge you a reasonable fee. North Carolina Dental Society Missions of Mercy (MOM) free dental clinics, Student Health Action Coalition (SHAC, Dental SHAC), The Student National Dental Association (SNDA) CAAREs clinic, The Samaritan Health Center (SHC) Dental Clinic, https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf, http://www.hhs.gov/ocr/filing-with-ocr/index.html, ocrportal.hhs.gov/ocr/smartscreen/main.jsf, www.hhs.gov/ocr/filing-with-ocr/index.html. Para cualquier otro caso de uso y / o divulgacin de su PHI diferente a los descritos en este comunicado de prcticas de privacidad, solicitaremos su autorizacin. Sharing information allows us to ask for coverage under your plan or policy and for approval of payment before we provide the services. Official DAT scores are required. Confidencialidad: Los derechos de privacidad de los pacientes estn protegidos bajo la ley de Health Insurance Portability and Accountability Act (HIPAA), las leyes estatales aplicables y las polticas de Carolina Dentistry. Some of these laws are discussed in other sections above. We are here to help! Arrive at your appointment early, and be prepared to fill out registration paperwork if you hadn't already done so. Tambin puede ser necesario que enviemos la misma informacin al departamento de la facultad que revisa su atencin. You may have additional rights under other laws. "Dental Costs With and Without Insurance," Accessed Oct. 10, 2019. Phone: (919) 962-6332 Before you begin working, you must tome to the Clinical . When considering your application timelines, remember that you must also complete our supplemental application by this deadline. You will be assigned one particular student to perform the dental work. Together, we passionately serve our people, our community and our field. Podremos cobrarle algunas tarifas. If we accept your request to amend the information, we will make reasonable efforts to inform others of the amendment, including persons you name who have received PHI about you and who need the amendment. 919-537-3588. Si usted comete un crimen o amenaza con cometer un crimen en las instalaciones de nuestro programa o contra el personal de nuestro programa, podremos reportar la informacin sobre el crimen o la amenaza a los oficiales de las fuerzas del orden. Paper copies cannot be accepted as the quality often makes them non-diagnostic. UNMC College of Dentistry. Tambin podra ser necesario que compartiramos partes de su informacin mdica con las siguientes entidades: EJEMPLO: vamos a decir que a usted se le extrajo un diente y que se le reemplaz. These purposes are described below. We may also need to send the same information to a School department that reviews your care. No products in the cart. EXAMPLE: A dentist, dental hygienist or student treating you may need to know if you have diabetes because diabetes may slow the healing process. Servicios apropiados: Carolina Dentistry proporcionar servicios consistentes con las necesidades del paciente. Even if you object, we may still share the PHI about you, if necessary for the emergency circumstances. There will be opportunities to document any virtual shadowing experiences on the 2022-2023 ADEA AADSAS application. How long should I expect to be at SHAC for my appointment? El tratamiento de la persona: Carolina Dentistry reconoce y respeta la dignidad de cada paciente. Be mindful that it may take 4-6 weeks for AADSAS to process your transcripts after your application has been submitted. Failure to meet any of the responsibilities above may lead to dismissal from Carolina Dentistry. Complete Contact Information. "Cost Barriers to Dental Care in the U.S.," Accessed Oct. 10, 2019. UNC-CH HIPAA Privacy Officer Sin embargo, algunas leyes en Carolina del Norte relacionadas con tipos de tratamientos especficos pueden brindarle a usted algo ms de proteccin, y estas protecciones especiales se tratan en la sub seccin B.4 que se presenta a continuacin. A screening registration fee will be charged if you are accepted into the program and still wish to become a patient. These highly trained clinicians take care of. Cuando la divulgacin es para procedimientos judiciales y administrativos. For billing and collection of payment for your treatment, Made to or requested by you, or that you authorized, Occurring as a byproduct of permitted uses and disclosures, Made to individuals involved in your care, for directory or notification purposes, or for other purposes described in subsection B.3 above, Allowed by law when the use and/or disclosure relates to certain specialized government functions or relates to correctional institutions and in other law enforcement custodial situations (please see subsection B.2 above) and, As part of a limited set of information which does not contain certain information which would identify you. Please call (919) 537-3737. Podremos compartir con un familiar, pariente, amigo u otra persona que usted identifique, la PHI relacionada directamente con la participacin de esa persona en su atencin o pago de su atencin. ESTE AVISO DESCRIBE CMO PUEDE USARSE Y DIVULGARSE LA INFORMACIN MDICA SOBRE USTED Y CMO PUEDE OBTENER ACCESO A ESTA INFORMACIN. Member Benefits. We may also use and/or disclose PHI to give you gifts of a small value. The contact form is the best method for reaching us. Appelez le 919-537-3588. Students preparing for the study of dentistry are encouraged to complete a regular four-year curriculum leading to the Bachelor of Artsor Bachelor of Science degree. Carrboro Community Health Center No discount for UNC Charity Care patients. Puede obtener los formularios de reclamacin en el sitio web www.hhs.gov/ocr/filing-with-ocr/index.html. Estas personas o compaas, llamados asociados del negocio estn obligados por la ley a brindar las protecciones y procedimientos para la privacidad y seguridad de la PHI que se les ha confiado bajo el contrato. In our graduate specialty clinics, licensed dentists who are students in our advanced degree programs provide oral health care to patients. and wear loose-fitting clothing and shoes that you can move or exercise in. How to Become a Patient Click here to learn more about being a patient of Carolina Dentistry. We may contact you to provide appointment reminders. 4000 East Campus Loop South. North Carolina law generally requires that we obtain your written consent before we may disclose health information related to your mental health, developmental disabilities, or substance abuse services. Podremos compartir con una agencia pblica o privada (por ejemplo, la Cruz Roja) su PHI para fines de socorro en un desastre. Click below to call our urgent care team. You have the right to request that we restrict the use and disclosure of PHI about you. Entendiendo el plan de cuidado y salud oral: Los pacientes de Carolina Dentistry tienen derecho a una explicacin clara de sus problemas dentales, los tratamientos recomendados, los resultados anticipados del tratamiento, los riesgos involucrados y cualquier opcin de tratamiento alternativa. 2. 919-537-3588. For more information on what Carolina Dentistry is doing to keep you safe, click here. (919) 962-6332 Bajo estas circunstancias, le responderemos por escrito, declarando el por qu no podemos aceptar su solicitud y describiendo algunos de los derechos que usted pudiese tener para solicitar una revisin sobre nuestra negacin. Prerequisite courses taken in a semester not affected by the COVID-19 pandemic will require a letter grade. The screener will begin the initial information gathering to determine your oral health needs and suitability as a patient for the UBC educational programs. The UNC-CH Adams School of Dentistry is transforming dentistry for better health. Si usted registra una queja, no tomaremos ninguna accin en su contra, ni cambiaremos de ninguna manera su tratamiento. "Dental Benefits Coverage in the U.S.," Accessed Oct. 10, 2019. Revisar y mejorar la calidad, eficiencia y costos de la atencin que le brindamos a usted y a nuestros otros pacientes. UNC Adams School of Dentistry Campus Box #7450 Chapel Hill, N.C. 27599-7450 Phone Number General questions? Mejorar la atencin en salud y disminuir costos para grupos de personas que tengan problemas mdicos u odontolgicos similares y para ayudar a gestionar y coordinar la atencin para estos grupos de personas. Bring whatever equipment you have been using (walker, cane, brace, etc.) For example, in certain circumstances, we may disclose PHI about you to your employer and your employers workers compensation carrier regarding a work-related injury or illness. Orthodontic treatment is available with UNC Adams School of Dentistry Orthodontics faculty and residents. Tambin podremos divulgar informacin a las siguientes personas: (i) un proveedor de atencin en salud que le est brindando a Usted servicios mdicos de emergencia y (ii) a otras instalaciones o profesionales en salud mental, discapacidades del desarrollo o abuso de sustancias cuando sea necesario coordinar su atencin o tratamiento. We may use and disclose PHI under other circumstances without your authorization or providing you with an opportunity to agree or object. Since there are more patients than we have time to treat, we can only provide one treatment per patient at each clinic night. The UNC Adams School of Dentistry complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Letter grades help to demonstrate a students academic achievement. For any other use and/or disclosure of PHI about you not otherwise described in this Notice of Privacy Practices, we will seek your authorization. Dirigir la gestin del negocio y las actividades generales administrativas relacionadas con nuestra organizacin y los servicios que ofrece como las actividades realizadas para la gestin de riesgos y propsitos legales. Valid TOEFL Score. Podremos ajustarnos a solicitudes razonables, pero, cuando sea apropiado, podramos condicionar que se nos brinde informacin relacionada sobre cmo se manejar la forma de pago, si la hay, y su especificacin sobre una direccin alternativa u otro mtodo de contacto. Call the phone number listed on the website for new patients, or visit the receptionist within the clinic itself. Cuando el uso y / o la divulgacin es para actividades de supervisin de la salud. Slo podemos usar y/o divulgar la PHI como lo describimos en este aviso. This service should include X-rays, professional cleanings, and even dental sealants. For example, we may disclose PHI about you to a coroner or medical examiner for the purposes of identifying you should you die. Residents provide specialized care such as braces, dentures, implants, pediatrics, and more. The Dental Site (www.dentalsite.com/dentists/densch.html) breaks down dental schools in each state. If so, the dentist or dental student may contact your physician or other healthcare providers for information regarding your health. You have the right to a copy of this Notice. You have the right to request different ways to communicate with you. la informacin no fue creada por nosotros (a menos que Usted pruebe que el creador de la informacin no se encuentra disponible para modificar el registro). When the use and/or disclosure is required under North Carolinas laws regarding workers compensation. However, students who have 64 hours of credit from a community college or an online college or university must complete any additional course work at a four-year institution. 919-537-3588 . concerning PHI: This Notice describes the types of uses and disclosures that we may make and gives you some examples. 919-537-3588, 919-537-3588. Adems, podemos hacer otros usos y divulgaciones que se derivan de los usos y divulgaciones permitidas descritas en este aviso. Acceptance to UBCs dental programs is based on our ability to meet your needs and our students educational requirements. At the USC Dental Faculty Practice, you will receive state-of-the-art treatment from among the finest dentists, specialists and dental hygienists in their fields. UNC School of Dentistry Tarrson Hall For example, we may need to use PHI about you to develop ways to assist our health care providers and staff in deciding what dental treatment should be provided to others. A mask will be provided for you. Improving health care and lowering costs for groups of people who have similar medical or dental problems and to help manage and coordinate the care for these groups of people. More details about our interview process will be included in our interview invitations. We may use and/or disclose PHI to manage or coordinate your healthcare. 1) the information was not created by us (unless you prove the creator of the information is no longer available to amend the record); Cuando el uso y / o la divulgacin se relacionan con difuntos. For example, when a disclosure is required by federal, state or local law or other judicial or administrative proceeding. Submit the below directly to ADEA/AADSAS: Submit the following directly to the UNC Adams School of Dentistry: All application materials must be received by the application deadline. Two lecture courses with a minimum of four semester hours each. Receive an evaluation by a dental student being supervised by a licensed dentist. We will help patients in the process of getting IUDs free-of-cost, oral contraceptives, or menopause treatment. The Adams School of Dentistry is unable to offer sliding scale care or no-cost dental care in our clinics, however, please find the list of organizations below where our students and faculty provide free or reduced cost dental care. Posting the revised notice on our website, www.dentistry.unc.edu. We need to use and disclose PHI about you to provide, coordinate or manage your health care and related services. Call us at 919-904-4302 and leave your name, date of birth, and reason for calling. When the disclosure relates to victims of abuse, neglect or domestic violence. object, include: 4. Cuando la divulgacin es para propsitos de la aplicacin de la ley. Le solicitaremos que firme un formato de consentimiento general para tratamiento el cual pide su permiso para proporcionarle tratamiento y ofrece otra informacin y consentimientos. Our team is made up of faculty members from the Herman Ostrow School of Dentistry of USC, one of the nation's top dental schools. However, please find the list of organizations below where our students and faculty provide free or reduced cost dental care. We must protect PHI that we have created or received about: your past, present, or future health condition; health care we provide to you; or payment for your health care. However, we do not offer free contraception at the clinic. Debemos proteger la PHI que hemos creado o recibido sobre: su condicin de salud pasada, presente y futura, la atencin en salud que le brindamos o el pago por su atencin en salud. Si es necesario por circunstancias de emergencia, aunque usted lo objete, compartiremos su PHI. We are required by law to protect the privacy of health information about you and that can be identified with you, which we call protected health information, or PHI for short. Your request must be in writing and must explain your reason(s) for the amendment. For urine tests, we will guide you on how to self-collect the specimen, which you will do privately in a restroom and leave the sample in a designated spot. Dial 702-774-2400 to schedule a screening appointment. UNLV School of Dental Medicine does not discriminate on the basis of race, gender, gender identity, color, religion, national origin, age, disability, or veteran status, for any service it may or can provide. You have the right to request restrictions on uses and disclosures of PHI about you. 7. Browse through the dental school's website of your choice for information on becoming a dental patient. What problems should I go to Physical Therapy for? We may share with a family member, relative, friend or other person identified by you, PHI directly related to that persons involvement in your care or payment for your care. You have the right to a breach notification. After they determine a diagnosis, they will create your treatment plan, including a home exercise and stretching plan, and conduct any necessary treatment in the clinic with whatever time is left. Three (3) letters of recommendation. If you sign a written authorization allowing us to disclose PHI about you in a specific situation, you can later cancel your authorization in writing by contacting our HIPAA Privacy Liaison. : , . When you come in, you will likely be given some paperwork to complete while you wait for your provider please make sure your contact information is accurate in case we need to get in touch after your visit. Revisar actividades y usar o divulgar la PHI en el caso de que vendamos nuestro negocio, propiedad o demos control de nuestro negocio o propiedad a alguien ms. One letter should be from a science professor, one from a professor within the applicants major and one from a dental practitioner. sod-privacy@unc.edu.