Notice of Privacy Practices
We look forward to serving you in our dental office. For our patients, this notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Our Commitment to Your Privacy
This Notice of Privacy Practices describes how EDKIN Dental (The Ivory Dental) may use and disclose your protected health information (“PHI”) and your rights regarding that information. We are required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and applicable federal and state laws to maintain the privacy and security of your protected health information and to provide you with this notice of our legal duties and privacy practices.
Protected health information includes individually identifiable health information that we create, receive, maintain, or transmit in any form, including electronic, paper, and oral formats. This includes, but is not limited to, electronic health records, digital imaging, practice management software, appointment communications, billing records, and clinical documentation used in the operation of our dental practice.
We are required by law to notify you following a breach of unsecured protected health information that may compromise the privacy or security of your information.
How We May Use and Disclose Your Health Information
Without your specific written authorization, we are permitted to use and disclose your protected health information for the purposes of treatment, payment, and health care operations.
Treatment
Means providing, coordinating, or managing your dental care and related services. Examples include examinations, cleanings, fillings, crowns, consultations with specialists, and coordination of care with other health care professionals.
Payment
Includes activities necessary to obtain reimbursement for services provided to you, such as billing your insurance plan, verifying eligibility, and claims processing.
Health Care Operations
Includes the business aspects of running our practice, such as quality assessment, staff training, licensing, and administrative operations.
Appointment Reminders and Communications
We may use and disclose your PHI to contact you for appointment reminders, treatment follow-ups, or billing notifications. These communications may occur via phone calls, voicemail, text message, email, or mail.
Individuals Involved in Your Care
We may disclose your PHI to a family member, relative, or close personal friend who is involved in your care or payment for your care, unless you object.
Uses and Disclosures Required or Permitted by Law
We may use or disclose your PHI when required to do so by federal, state, or local law, including:
- Health oversight activities and audits.
- Judicial and administrative proceedings, including court orders and subpoenas.
- Law enforcement purposes as required by law.
- To prevent or lessen a serious threat to health or safety.
- Workers’ compensation programs.
Special Protections for Certain Records
Records related to substance use disorder treatment under 42 CFR Part 2 will be handled with additional federal confidentiality protections and will not be disclosed without specific written consent or a court order.
Your Rights Regarding Your Health Information
You have the following rights regarding your PHI:
Request Restrictions
You may request restrictions on certain uses and disclosures, though we are not always required to agree.
Confidential Communications
You may request that we communicate with you by alternative means or locations.
Access and Copy
You have the right to inspect and obtain a copy of your health records.
Request Amendment
You may request an amendment if you believe the information is incorrect or incomplete.
Accounting of Disclosures
You may request a list of certain disclosures made outside of treatment, payment, and operations.
Paper Copy of This Notice
You may obtain a paper copy of this Notice at any time.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health & Human Services. You will not be retaliated against for filing a complaint.
Contact Information
Our Privacy Officer is:
Ion Rotaru
EDKIN Dental
Phone: 813-229-7427
Email: info@edkindental.com
Effective Date: May 27, 2026
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