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.

Your Health Information Rights

You have the right to:

• Request a copy of your health records
• Request corrections to your health records
• Request confidential communications (e.g., call us at a specific number)
• Request restrictions on certain uses of your health information
• Obtain a list of disclosures we have made
• Receive a paper copy of this notice upon request

Our Responsibilities

We are required to:

• Maintain the privacy and security of your health information
• Notify you if a breach occurs that may have compromised your information
• Follow the duties and privacy practices described in this notice
• Notify you of any changes to this notice

Uses and Disclosures

We may use and disclose your health information for:

• Treatment: To provide, coordinate, or manage your dental care
• Payment: To obtain payment for services (e.g., billing your insurance)
• Healthcare Operations: To run our practice (e.g., staff training, quality improvement)
• Legal Requirements: When required by law

Contact

For questions or to file a complaint regarding our privacy practices, contact our Privacy Officer at: