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Privacy Practices

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Notice of Privacy Practices

Your Information. Your Rights. Our Responsibilities.

This notice explains how your medical information may be used and disclosed, how you can access that information, and your rights regarding your protected health information (PHI). Please review it carefully.

View the Full Notice of Privacy Practices (PDF)


Your Rights

You have the right to:

  • Get an electronic or paper copy of your medical record.
  • Request corrections to your dental record.
  • Request confidential communications.
  • Ask us to limit how we use or share your information.
  • Choose someone to act on your behalf.
  • Receive a copy of this privacy notice.
  • Request a list of certain disclosures of your information.
  • File a complaint if you believe your privacy rights have been violated.

Your Choices

For certain health information, you can tell us your preferences about how we share your information.

This includes:

  • Sharing information with family members, friends, or others involved in your care.
  • Sharing information in disaster relief situations.
  • Fundraising communications, where you may request not to be contacted.

If you are unable to communicate your preferences, we may share information if it is in your best interest or when necessary to prevent a serious threat to health or safety.


Our Uses and Disclosures

We may use and share your health information to:

  • Treat you.
  • Operate our dental practice.
  • Bill and receive payment for services.
  • Comply with legal requirements.
  • Help with public health and safety activities.
  • Conduct research when permitted by law.
  • Respond to workers' compensation, law enforcement, and other government requests.
  • Respond to lawsuits and legal actions when required.

Additional Uses and Disclosures

Students

We may share your protected health information with students participating in educational programs within our practice.

If you prefer that a student not observe or participate in your care, please notify your provider.

Artificial Intelligence (AI)

Our practice uses artificial intelligence to help improve accuracy, efficiency, and patient care.

Unless you choose to opt out, AI tools may be used as part of your dental services in accordance with applicable privacy requirements.


Our Responsibilities

We are required by law to:

  • Protect the privacy and security of your health information.
  • Notify you promptly if a breach compromises your information.
  • Follow the privacy practices described in this notice.
  • Provide you with a copy of this notice upon request.

We will not use or share your information in ways not described here unless you provide written authorization. You may revoke that authorization at any time in writing.


Questions or Complaints

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

You may also file a complaint with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.

Let's Talk

We’re here to help with all your dental needs. Whether you have a question, need to schedule a visit, or want to learn more about our services, simply fill out the form below. A member of our team will get back to you as soon as possible.
Call 615-453-8900
110 Winwood Dr, Lebanon, TN 37087, US
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