Effective Date: February 16, 2026
This notice of privacy practices ("Notice") describes how dental record information about you may be used and disclosed and how you can get access to this information. Please review it carefully. If you have any questions about this notice, please contact the HIPAA Privacy Officer identified below.
The information contained in your dental record is personal. We are committed to protecting it. We need this record to provide you with quality care and to comply with certain legal requirements. This Notice applies to all the records of your care generated by this office whether made by your personal dentist or one of the office’s employees.
This Notice will tell you about the ways in which we may use and disclose your dental record information. This Notice will also describe your rights and certain obligations we have regarding the use and disclosure of your dental record information.
We will use dental record information about you to provide you with treatment and services. We may disclose dental record information to dentists, hygienists, assistants, and staff involved in your care.
We may use and disclose your dental record information so that treatment and services may be billed and collected from you, your insurance, or a third party.
We may use and disclose your information for office operations to ensure quality care, evaluate staff performance, and improve services.
We may contact you as a reminder for upcoming appointments.
We may inform you about treatment options or services that may be of interest to you.
In certain cases, we may use and disclose information for research purposes.
We will disclose your information when required by federal, state, or local law.
We may disclose information to prevent serious threats to health or safety.
We may disclose information for audits, inspections, or licensing.
We may disclose information in response to legal proceedings or law enforcement requests.
Other uses and disclosures not covered by this Notice require your written authorization. You may revoke authorization at any time in writing.
We require written authorization for marketing communications involving your information.
We will never sell your dental record information without your written authorization.
These records are protected under federal law and require consent or court order for disclosure.
You may request access to your records in writing. Fees may apply.
You may request corrections to your records if information is inaccurate or incomplete.
You may request a list of disclosures made over a specified period.
You may request limitations on how your information is used or disclosed.
You may request communication in a specific way, such as by mail or at work.
You may request a paper copy of this Notice at any time.
We will notify you if a breach of your unsecured information occurs as required by law.
We reserve the right to revise this Notice and will post updates in our office.
If you believe your privacy rights have been violated, you may file a complaint with this office or with the Department of Health and Human Services.
Contact our HIPAA Privacy Officer:
Carol Wiggle
Phone: (248) 363-7121
Email: Carol@ddsemails.com
This office will not penalize you for filing a complaint.
