Effective Date: February 3, 2026

This notice describes how medical and dental information about you may be used and disclosed, and how you can access this information. Please review it carefully.

Protected Health Information (PHI)

At Complete Dental Health, we maintain protected health information (PHI) about you as part of your dental records. PHI includes any information that identifies you and relates to your past, present, or future physical or mental health condition, treatment, or payment for healthcare services.

Our practice is required by law to maintain the confidentiality of your PHI and follow specific rules regarding its use. This Notice explains your rights and our obligations.

Your Rights Under HIPAA

  • Right to Receive This Notice:
    You have the right to a copy of this Notice. Updated versions will always be available upon request, in our office, and on our website.
  • Right to Authorize Uses and Disclosures:
    Any use or disclosure of your PHI not covered in this Notice requires your written authorization, which you may revoke at any time.
  • Right to Confidential Communication:
    You may request that we contact you via alternative methods (e.g., a specific email or phone number). We will accommodate all reasonable written requests.
  • Right to Inspect and Copy Your PHI:
    You may request to inspect or receive a copy of your health records. We may charge a reasonable, law-permitted fee for copies.
  • Right to Request Restrictions:
    You may request limits on how we use or disclose your PHI. While we aren’t required to agree to all requests, we must honor a request to restrict disclosure to your health plan if you pay for a service out-of-pocket in full.
  • Right to Request Amendments:
    If you believe your PHI is incorrect, you may request a correction.
  • Right to an Accounting of Disclosures:
    You may request a list of certain disclosures we’ve made of your PHI, excluding those for treatment, payment, healthcare operations, or those you authorized.
  • Right to Notification of a Breach:
    You have the right to be notified in writing if a breach of your unsecured PHI occurs.

How We May Use or Disclose Your PHI

  1. Treatment:
    We use and disclose your PHI to coordinate your dental care. This includes sharing information with specialists, dental labs, pharmacies, or other healthcare providers involved in your treatment.
  2. Payment:
    We use your PHI to obtain payment for services, including filing insurance claims and verifying eligibility.
  3. Healthcare Operations:
    We use your PHI for business activities such as quality assessment, staff training, and compliance auditing to ensure we deliver the high-quality care we promise.
  4. Special Notices:
    We may contact you regarding appointment reminders, treatment options, or health-related services. You may opt out of these communications.
  5. Family and Others:
    Unless you object, we may share relevant PHI with family members or friends involved in your care.
  6. Legal and Public Requirements:
    We may disclose PHI without authorization for public health safety, abuse reporting, legal proceedings, law enforcement, or workers’ compensation.

Privacy Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. Complete Dental Health will not retaliate against you for filing a complaint.

  • Privacy Officer, Complete Dental Health 4651 N. State Road 7. Suite #4,
  • Coral Springs, FL 33067
  • Phone: (954) 510-4300