For treatment purposes-your child’s information will be shared with people who are directly involved in their treatment, like their hygienist, school-nurse, health assistant, dentist, orthodontist, surgical physicians/assistants or primary care physician.
For payment purposes-Information about your child’s procedure may be shared with your insurance company. Insurance companies need information about what treatment was given so that they can provide payment for the procedure.
For healthcare operations-your information may be shared so that we can undergo quality assessment, outcome evaluation, create training programs, and develop better systems for patient care at our practice. We may share with other businesses to obtain these quality assessment services. Your child’s personal information will never be shared for marketing purposes. Communicate within our program and with our contractors, Report crimes (and threats of crimes) on our premises and suspected child abuse and neglect, Help with medical emergencies
You have the right to limit these uses of your information, and you can request these limitations to Participa!, Inc. Dental Services in writing. Please contact us with your written request to: dentalchicks@participadentalservices.com
For written request to limit access and/or make a complaint of violation of rights, please include Child’s Name, Date of Birth, School Name, who is making the request, your relationship to the child, your contact information and specify limitations or reason(s) you feel your rights have been violated.
You can ask us not to use or share certain health information for treatment, payment, or our health care operations after you have provided consent for all those purposes.
We are not required to agree to your request, and we may say “no” if, for example, it could affect your care. If we agree to your request, we may still share this information in the event that you need emergency treatment.
If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our health care operations with your health insurer. We will say “yes” unless a law requires us to share that information.

