1500 Waukegan Road, Suite 280 | Glenview, IL 60025-2165 (847) 724-2444




Health Insurance Portability and Accountability Act statement of Dr. Micael Y. Harada, DMD, LTD.

The U.S.Department of Health and Human Services requires the office to advise you of your rights and privacy as a patient. The law that requires me to do so is called the Health Insurance Portability and Accountability Act (HIPAA). Your rights pertain to how we can use and disclose your health information.

In our office, the possibility of disclosure can occur in one of these situations:

  1. Insurance transactions
  2. Sharing information with other doctors
  3. The transfer of records to another office

Insurance disclosure occurs when information about your treatment is given exclusively to your insurance company. This is done so your insurance company knows what treatment was completed and can reimburse you accordingly. This disclosure is a standard business practice of an insurance transaction. If you do not have insurance, this does not pertain to you.

When I refer patients to other offices, I must share your information so you will be treated appropriately. Again, this transfer of information is not given beyond our offices.

If you elect to go to another office and wish for me to transfer your records, the matter is at your request. I will honor your choice to send your information outside our office.

Your records are never given to solicitors. They are maintained in a locked file cabinet. The dental information that is entered into our computers is maintained and kept confidential.

I am providing you the “Notice of Privacy Practices” developed by the American Dental Association. The “Notice of Privacy Practices” describes your privacy information rights. Please review this document. Additional government information may be found at http://www.hhs.gov/ocr/hipaa regarding this privacy act. Thank you for your cooperation.

Michael Harada, DMD