HIPAA Patient Privacy Notice

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

The Health Information Portability and Accountability Act of 1996 (HIPAA) is a federal program that requires that all medical records and other individually identifiable health information used or disclosed by us in any form, whether electronically, on paper, or orally, are kept properly confidential. This Act gives you, the patient, significant new rights to understand and control how your health information is used. HIPAA provides penalties for covered entities that misuse personal health information. As required by HIPAA, we have prepared this explanation of how we are required to maintain the privacy of your health information and how we may use and disclose your health information.

We may use and disclose your medical records only for each of the following purposes: treatment, payment and health care operations.

  • Treatment means providing, coordinating, or managing health care and related services by one or more health care providers. An example of this would include tooth cleaning services. Another would be contacting your physician or pharmacist about your care.
  • Payment means such activities as obtaining reimbursement for services, confirming coverage, billing or collection activities, and utilization review. An example would be sending a bill to your insurance company for payment for your treatment.
  • Health care operations include the business aspects of running our practice, such as conducting quality assessment and improvement activities, auditing functions, cost-management analysis, and customer service. An example would be an internal quality assessment review.

We may also create and distribute de-identified health information by removing references to individually identifiable information. We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you. Any other uses and disclosures will be made only with your written authorization. You may revoke such authorization in writing and we are required to honor and abide by that written request, except to the extent that we have already taken actions relying on your authorization.

You have the following rights with respect to your protected health information, which you can exercise by presenting a written request to our Privacy Officer:

  • The right to request restrictions on certain uses and disclosures of protected health information, including those related to disclosures to family members, other relatives, close personal friends, or any other person identified by you. We are, however, not required to agree to a requested restriction. If we do agree to a restriction, we must abide by it unless you agree in writing to remove it.
  • The right to reasonable requests to receive confidential communications of protected health information from us by alternative means or at alternative locations.
  • The right to inspect and copy your protected health information. Your medical records remain our property. We may charge a reasonable fee for copying your records for you.
  • The right to amend your protected health information.
  • The right to receive an accounting of disclosures of protected health information.
  • The right to obtain a paper copy of this notice from us upon request.

We are required by law to maintain the privacy of your protected health information and to provide you with notice of our legal duties and privacy practices with respect to your protected health information. This notice is effective as of April 14, 2003 and we are required to abide by the terms of The Notice of Privacy Practices currently in effect. We have the right to change the terms of our Notice of Privacy Practices and to make the new provisions effective for all protected health information that we maintain. We will post and you may request a written copy of a revised Notice of Privacy Practices from this office. You have recourse if you feel that your privacy protections have been violated. You have the right to file written complaints with our office, or with the Department of Health & Human Services, Office of Civil Rights, about violations of the provisions of this notice or the policies and procedures of our office. We will not retaliate against you for filing a complaint.

Destination Dentistry
141 N 5th St
Custer, SD 57730
Phone: 605-593-9821
Fax: 605-673-4529

You may contact the government about HIPAA at

U.S. Dept. Of Health & Human Services
Office of Civil Rights
200 Independence Av., S.W. Washington, DC 20201
877-696-6775

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Destination Dentistry
Dr. Rebecca Kretschmar
At Destination Dentistry, we offer a wide variety of dental services, including cosmetic and family dentistry, as well as sedation dentistry and TMJ treatment. Call us today to schedule an appointment if you are in Custer or Black Hills area.
141 N 5th St
Custer, SD 57730
Call: 605-673-2011605-593-9821
info@destinationdentistry.net
Testimonials
  • …I had no discomfort (with the laser). Yes, an awareness of ’something done’, but no pain what so ever! You did a good job Doc. If anyone wants to ask me, I’ll tell them. It’s time for the old Bard Parker blade to be relegated to the history file. Thank you for your skills.
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  • Congratulations on your beautiful Hi-tech office-and on your thirty years of working together! Also you need to know I appreciate the picture you sent me of my teeth. They are absolutely the best pictures I have ever taken. Thank you for the good service you provide.
    —Arlene B.
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  • While vacationing in Custer, SD I cracked a tooth. Dr. Custis repaired it and did excellent work. Wish I could use him as my regular dentist.
    —Jim C.

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