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Effective Date: February 16, 2026
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 PRIVACY OF YOUR MEDICAL INFORMATION IS IMPORTANT TO US.
We are required by law to protect the privacy of your protected health information (“medical information”). We are also required to send you this notice about our privacy practices, our legal duties, and your rights concerning your medical information.
We must follow the privacy practices described in this notice while it is in effect. This notice takes effect on the date set forth at the top of this page and will remain in effect unless we replace it.
We reserve the right at any time to change our privacy practices and the terms of this notice, provided such changes are permitted by applicable law. We also reserve the right to make any change applicable to all medical information we maintain, including information created or received before changes were made.
If we make a material change to our privacy practices, we will provide you with a revised notice. The effective date of any revised notice will be clearly noted. A current copy will be available in our facility and on our website, and you may request a copy at any time.
We collect and maintain oral, written, and electronic information to administer our business and provide services to our patients. We maintain physical, electronic, and procedural safeguards in accordance with applicable state and federal standards to protect against loss, destruction, and misuse.
We may disclose your medical information, without prior approval, to another dentist or healthcare provider involved in your treatment. For example, your health information may be shared with an oral surgeon to determine whether surgical intervention is needed.
Your medical information may be used to seek payment from your insurance plan or from you. For example, an insurance company may request information about services provided to process your claim.
We may use and disclose your medical information, without prior approval, for healthcare operations, including:
Healthcare quality assessment and improvement activities
Reviewing provider performance, training, accreditation, licensing, and credentialing
Medical reviews, audits, legal services, and fraud prevention
Business planning, administration, billing, customer service, and complaint resolution
De-identifying medical information or creating limited data sets
We may disclose information to another provider or health plan if they have had a relationship with you and the information is used for quality assessment or fraud prevention purposes.
You may give written authorization for us to use or disclose your medical information for any purpose. You may revoke authorization at any time, except where actions have already been taken based on that authorization.
We will obtain your authorization before using your information for marketing, fundraising, or commercial purposes. You may opt out of these communications at any time.
We may disclose relevant medical information to a family member, friend, or other person involved in your care or payment for care.
We may also use your name, location, and general condition to notify or assist agencies responsible for your care during emergencies or disaster relief situations. Whenever possible, you will be given the opportunity to object to these disclosures.
We may use your medical information to communicate with you about health-related products, benefits, services, or treatment alternatives.
We may use or disclose medical information to send appointment reminders via mail, email, or telephone. By providing your email address, you agree that reminders and breach notifications may be sent electronically.
It is our policy to leave voicemail messages at numbers you provide unless you request otherwise.
If your dental insurance coverage is through an employer-sponsored plan, we may share summary health information with the plan sponsor.
We may use or disclose your medical information without permission when required or authorized by law, including:
Public health reporting, disease tracking, or abuse reporting
Preventing serious threats to health or safety
Healthcare oversight and licensing activities
Research
Court orders or lawful processes
Law enforcement investigations
Coroners, medical examiners, and organ procurement organizations
Military or national security purposes
Workers’ compensation claims
Substance Use Disorder (SUD) treatment records have enhanced protections and cannot be used in legal proceedings without your consent or court order.
We may disclose information to business associates who perform services on our behalf. They are contractually required to protect your privacy.
We may use your contact information to notify you of any unauthorized acquisition or disclosure of your health information.
Certain federal and state laws may require special privacy protections for highly confidential information, including:
HIV/AIDS
Mental Health
Genetic Testing (GINA 2009)
Alcohol and Drug Abuse
Sexually Transmitted Diseases and Reproductive Health
Child or Adult Abuse or Neglect
When stricter laws apply, we follow the more protective standard.
You have the following rights regarding your medical information:
The right to see and obtain a copy of your health records
The right to request amendments to your health information
The right to receive an accounting of disclosures
The right to receive a Notice of Privacy Practices
The right to authorize or decline certain uses, including marketing
The right to request confidential communications
The right to restrict who receives your information
The right to request amendments in writing to the Privacy Officer
The right to file complaints if you believe your rights were violated
The right to opt out of fundraising activities
If you believe your privacy rights have been violated, or you disagree with a decision regarding your medical information, you may contact our Privacy Officer to submit a verbal or written complaint.
You may also submit a written complaint to:
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F
Washington, DC 20201
Hotline: 1-800-368-1019
We support your right to privacy and will not retaliate against you for filing a complaint.
