Notice of Privacy Practices (HIPAA)

At Midtown Dental Studio, we are committed to protecting your privacy and safeguarding your personal health information. This Notice of Privacy Practices describes how your medical and dental information may be used, disclosed, and protected in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

Please review this notice carefully. It explains your rights regarding your health information and how we may use or share it to provide treatment, obtain payment, and support healthcare operations.

Our Commitment to Your Privacy

Your trust matters to us. We understand that your health information is personal, and we are legally required to:

Maintain the privacy and security of your protected health information (PHI)

Provide you with this notice explaining our legal duties and privacy practices

Follow the terms currently in effect

Notify you promptly if a breach occurs that may compromise your information

How We May Use and Disclose Your Health Information

We may use and share your information to provide, coordinate, or manage your dental care.

Examples include:

Discussing treatment plans with specialists or labs

Reviewing X-rays and dental records

Coordinating prescriptions or follow-up care

We may use your information to bill and collect payment for services provided.

Examples include:

Sending claims to your dental insurance provider

Verifying insurance coverage

Processing payment or explaining benefits

We may use your information to improve office operations and maintain quality care.

Examples include:

Staff training and education

Quality assessments

Appointment reminders

Internal audits and compliance reviews

We may disclose your health information when permitted or required by law, including:

Public health reporting

Health oversight activities

Law enforcement requests

Court orders or legal proceedings

Workers’ compensation claims

Emergency situations involving health or safety

We may also share limited information with family members or caregivers involved in your care unless you object.

Certain uses and disclosures require your written permission, including:

Marketing communications unrelated to treatment

Sharing psychotherapy notes (if applicable)

Any use not otherwise described in this notice

You may revoke your authorization at any time in writing.

You have the right to:

Our office uses physical, administrative, and technical safeguards designed to protect your personal information from unauthorized access, use, or disclosure.

This includes:

Secure digital records

Password-protected systems

Limited staff access

HIPAA-compliant procedures and training

Changes to This Notice

We reserve the right to update this Notice of Privacy Practices at any time. Updated versions will be posted in our office and on our website with a revised effective date.

Questions or Complaints

If you have questions about this notice or believe your privacy rights have been violated, please contact our office directly.

Contact Information - Midtown Dental Studio

You may also file a complaint with the U.S. Department of Health and Human Services without fear of retaliation.

Acknowledgment

By receiving treatment at Midtown Dental Studio, you acknowledge that you have had the opportunity to review this Notice of Privacy Practices.