🦷 Dentilife – Notice of Privacy Practices

NOTICE OF PRIVACY PRACTICES

Effective Date: February 16, 2026

Publication 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.

DENTILIFE DENTAL GROUP

At Dentilife Dental Group, we are committed to protecting the privacy and security of your Protected Health Information (PHI).

PHI includes any information about your health status, treatment, payment, or personal details such as your name, address, phone number, and other identifiers that may be linked to your health records.

We maintain this information in both electronic and written formats and use it strictly in accordance with applicable laws, including HIPAA.

HOW WE USE AND DISCLOSE YOUR INFORMATION

We may use and disclose your PHI for the following purposes:

Treatment
To provide, coordinate, and manage your dental care and related services.
Payment
To bill and collect payment from you, insurance companies, or third parties.
Healthcare Operations
To operate and improve our practice, including:
- Quality assessment
- Staff training
- Compliance and auditing
- Business management
As Required by Law
We may disclose your PHI when required by federal, state, or local laws.

YOUR RIGHTS UNDER HIPAA

You have the following rights regarding your PHI:

✔ Right to Receive This Notice

You are entitled to a copy of this Notice at any time.

✔ Right to Authorize Other Uses

We will obtain your written authorization for:

Marketing communications
Sale of PHI
Use of psychotherapy notes

You may revoke authorization at any time in writing.

✔ Right to Confidential Communications

You may request we contact you in a specific way (e.g., phone, email, alternative address).

✔ Right to Access and Copy Your Records

You may inspect or request copies of your health records (electronic or paper).

✔ Right to Request Restrictions

You may request limitations on how your PHI is used or disclosed.

We are not required to agree unless:

You paid in full out-of-pocket, and
You request restriction to insurance disclosure

✔ Right to Request Amendments

You may request corrections to your health information.

✔ Right to Disclosure Accounting

You may request a list of disclosures of your PHI made outside our organization.

✔ Right to Breach Notification

You will be notified if your unsecured PHI is compromised.

OUR RESPONSIBILITIES

Dentilife Dental Group is required to:

Maintain the privacy of your PHI
Provide you with this notice
Follow the terms currently in effect
Notify you of any breaches
Update this notice as needed

We reserve the right to change this Notice at any time. Updates will be posted on our website and available in our offices.