HIPAA Notice of Privacy Practices – English

At GDENT Studio, we value your trust and are committed to protecting the privacy and security of your health information. We understand that your personal health information is private, and we are dedicated to maintaining its confidentiality in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other applicable federal and state laws.

Protected Health Information (“PHI”) includes information that identifies you and relates to your past, present, or future physical or mental health condition, the healthcare services you receive, or payment for those services. This information may exist in paper, electronic, photographic, or other formats.

This Notice explains how we may use and disclose your Protected Health Information, your rights regarding your information, and our legal responsibilities for safeguarding your privacy.

As our patient, you have important rights regarding your Protected Health Information.

You have the right to receive a copy of this Notice of Privacy Practices at any time. We are required by law to follow the terms of this Notice while it is in effect.

We reserve the right to revise this Notice as permitted by law. Any revised version will apply to all Protected Health Information maintained by our practice and will be available in our office and on our website.

Certain uses and disclosures of your Protected Health Information require your written authorization.

For example, we will obtain your written authorization before:

• Using your information for most marketing purposes.
• Selling your Protected Health Information.
• Making disclosures not otherwise permitted by law.

You may revoke your authorization at any time in writing, except where we have already relied on your authorization.

You have the right to request that we communicate with you using alternative methods or at alternative locations.

For example, you may request that we:

• Contact you only on your mobile phone.
• Send correspondence to a different mailing address.
• Communicate through another reasonable method.

We will accommodate reasonable requests whenever possible.

You have the right to inspect and obtain copies of your health records maintained by our practice.

If your records are maintained electronically, you may request an electronic copy when available.

Reasonable fees permitted by applicable law may apply for copying or preparing records.

If you believe information contained in your health record is inaccurate or incomplete, you may request that we amend your records.

We may deny certain requests if permitted by law, but we will provide an explanation if your request cannot be approved.

You may request restrictions on how we use or disclose your Protected Health Information for treatment, payment, or healthcare operations.

While we are not required to agree to every requested restriction, we will comply whenever required by law.

If you pay for a service in full out-of-pocket, you may request that we not disclose information regarding that service to your health insurance provider, and we will honor that request unless disclosure is otherwise required by law.

You have the right to request a record of certain disclosures we have made of your Protected Health Information outside of treatment, payment, and healthcare operations.

If we determine that your unsecured Protected Health Information has been compromised in a manner requiring notification under applicable law, you will be notified without unreasonable delay.

Federal privacy laws allow us to use and disclose your Protected Health Information for several important purposes.

We may use and disclose your Protected Health Information to provide, coordinate, and manage your dental care.

Examples include:

• Referring you to specialists.
• Consulting with other healthcare providers.
• Sharing information with dental laboratories.
• Sending prescriptions to pharmacies.
• Coordinating your treatment with other healthcare professionals.

We may use or disclose your information to obtain payment for the services we provide.

This may include:

• Submitting insurance claims.
• Verifying insurance eligibility.
• Requesting prior authorizations.
• Collecting payment for services rendered.

We may use your information to support the daily operation and management of our practice.

Examples include:

• Quality improvement activities.
• Staff training.
• Clinical reviews.
• Risk management.
• Business planning.
• Licensing and accreditation.
• Audits and compliance activities.

We may contact you regarding:

• Appointment confirmations
• Appointment reminders
• Treatment follow-up
• Preventive care reminders
• Recall appointments
• Test or laboratory results
• Office announcements
• Information regarding services that may benefit your oral health

These communications may be provided by:

• Telephone
• Voicemail
• Text message (SMS)
• Email
• Postal mail

You may request alternative communication methods or opt out of certain communications when permitted by law.

Unless you object, we may disclose relevant information to family members, caregivers, guardians, or other individuals involved in your care or payment for your care.

If you are unable to communicate your preferences due to an emergency or other circumstance, we may use our professional judgment to determine whether such disclosure is in your best interest.

Our practice may participate in electronic Health Information Exchanges (HIEs) or similar organizations that facilitate the secure exchange of health information among authorized healthcare providers for treatment, payment, and healthcare operations.

Federal and state law may require or permit us to disclose Protected Health Information without your written authorization under certain circumstances, including:

• Public health reporting
• Communicable disease reporting
• Abuse or neglect investigations
• Health oversight activities
• Law enforcement requests
• Judicial and administrative proceedings
• Coroners and medical examiners
• Organ and tissue donation
• Workers’ compensation claims
• National security activities
• Military authorities
• Research activities, when legally permitted
• Compliance with Department of Health and Human Services
• investigations
• Other circumstances authorized or required by law

We are required by law to:

• Maintain the privacy of your Protected Health Information.
• Provide you with this Notice of Privacy Practices.
• Follow the terms of the current Notice.
• Notify you if a breach of unsecured Protected Health Information occurs when required by law.
• Comply with applicable federal and state privacy regulations.

If you believe your privacy rights have been violated, you have the right to file a complaint with our practice or directly with the U.S. Department of Health and Human Services.

We will never retaliate against you for filing a complaint.

If you wish to submit a privacy concern or complaint, please contact us using the information below.

If you have questions regarding this Notice of Privacy Practices or your privacy rights, please contact us.

GDENT Studio

• Address: 2929 N University Dr Ste 102, Coral Springs, FL 33065
• Phone: (954) 780-8770
• Email: info@gdentstudio.com
• Website: https://gdentstudio.com/