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NOTICE OF PRIVACY PRACTICES

This Notice describes how your medical information may be used and disclosed and how you can access this information. Please review it carefully.

Your Rights

You have the following rights regarding your protected health information (PHI):

  1. Right to Inspect and Copy:
    You have the right to inspect and obtain a copy of your health information, with certain exceptions. Requests must be made in writing.
  2. Right to Amend:
    If you believe your health information is incorrect or incomplete, you may request an amendment. Your request must be in writing and include a reason for the amendment.
  3. Right to an Accounting of Disclosures:
    You have the right to request a list of disclosures we have made of your health information for purposes other than treatment, payment, or healthcare operations.
  4. Right to Request Restrictions:
    You may request restrictions on certain uses and disclosures of your PHI, although we are not required to agree to those restrictions.
  5. Right to Confidential Communications:
    You have the right to request that we communicate with you in a certain way or at a certain location. For example, you may request that we only contact you at work or by email.
  6. Right to a Paper Copy of This Notice:
    You have the right to receive a paper copy of this notice upon request, even if you agreed to receive it electronically.

How We Use and Disclose Your Information

We may use and disclose your PHI in the following ways:

  1. Treatment:
    We may use your health information to provide, coordinate, or manage your dental care.
  2. Payment:
    We may use and disclose your information to bill and collect payment for services provided.
  3. Healthcare Operations:
    We may use your health information for healthcare operations, including quality assessment, staff training, and compliance with legal requirements.
  4. As Required by Law:
    We may disclose your health information when required to do so by federal, state, or local law.
  5. Public Health Activities:
    We may disclose your health information to public health authorities for purposes related to public health and safety.
  6. Special protections for SUD records:
    Substance Use Disorder (SUD) Treatment records have enhanced protections. They cannot be used in legal proceedings without your consent or court order. If a use or disclosure of health information described above in this notice is prohibited or materially limited by other laws that apply to us, it is our intent to meet the requirements of the more stringent law.
  7. Some information:
    Such as HIV-related information, genetic information, alcohol and/or substance use disorder treatment records, and mental health records may be entitled to special confidentiality protections under applicable state or federal law. We will abide by these special protections as they pertain to state or federal law. We will abide by these special protections as they pertain to applicable cases involving these types of records..

Changes to This Notice

We reserve the right to change our privacy practices and to make the new provisions effective for all PHI we maintain. If we make a significant change to our privacy practices, we will provide you with a revised notice.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with us, contact our Privacy Officer at the number or address listed above.

Update - February 2026