Privacy Policy

NOTICE OF PRIVACY PRACTICES

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.

The Health Insurance Portability & Accountability Act of 1996 (HIPAA) requires all health care records and other individually identifiable health information (protected health information) used or disclosed to us in any form, whether electronically, on paper, or orally, be kept confidential. This federal law gives you, the patient, significant new rights to understand and control how your health information is used. HIPAA provides penalties for covered entities that misuse personal health information. As required by HIPAA, we have prepared this explanation of how we are required to maintain the privacy of your health information and how we may use and disclose your health information.

Without specific written authorization, we are permitted to use and disclose your health care records for the purposes of treatment, payment and health care operations.

  • Treatment means providing, coordinating, or managing health care and related services by one or more health care providers. Examples of treatment would include crowns, fillings, teeth cleaning services, etc.
  • Payment means such activities as obtaining reimbursement for services, confirming coverage, billing or collection activities, and utilization review. An example of this would be billing your dental plan for your dental services.
  • Health Care Operations include the business aspects of running our practice, such as conducting quality assessment and improvement activities, auditing functions, cost-management analysis, and customer service. An example would include a periodic assessment of our documentation protocols, etc.

In addition, your confidential information may be used to remind you of an appointment (by phone or mail) or provide you with information about treatment options or other health-related services including release of information to friends and family members that are directly involved in your care or who assist in taking care of you. We will use and disclose your protected when we are required to do so by federal, state or local law. We may disclose your PROTECTED HEALTH INFORMATION to public health authorities that are authorized by law to collect information, to a health oversight agency for activities authorized by law included but not limited to: response to a court or administrative order, if you are involved in a lawsuit or similar proceeding, response to a discovery request, subpoena, or other lawful process by another party involved in the dispute, but only if we have made an effort to inform you of the request or to obtain an order protecting the information the party has requested. We will release your PROTECTED HEALTH INFORMATION if requested by a law enforcement official for any circumstance required by law. We may release your PROTECTED HEALTH INFORMATION to a medical examiner or coroner to identify a deceased individual or to identify the cause of death. If necessary, we also may release information in order for funeral directors to perform their jobs. We may release PROTECTED HEALTH INFORMATION to organizations that handle organ, eye or tissue procurement or transplantation, including organ donation banks, as necessary to facilitate organ or tissue donation and transplantation if you are an organ donor. We may use and disclose your PROTECTED HEALTH INFORMATION when necessary to reduce or prevent a serious threat to your health and safety or the health and safety of another individual or the public. Under these circumstances, we will only make disclosures to a person or organization able to help prevent the threat. We may disclose your PROTECTED HEALTH INFORMATION if you are a member of U.S. or foreign military forces (including veterans) and if required by the appropriate authorities. We may disclose your PROTECTED HEALTH INFORMATION to federal officials for intelligence and national security activities authorized by law. We may disclose PROTECTED HEALTH INFORMATION to federal officials in order to protect the President, other officials or foreign heads of state, or to conduct investigations. We may disclose your PROTECTED HEALTH INFORMATION to correctional institutions or law enforcement HIPAA/@Notice of Privacy Practices.doc officials if you are an inmate or under the custody of a law enforcement official. Disclosure for these purposes would be necessary: (a) for the institution to provide health care services to you, (b) for the safety and security of the institution, and/or (c) to protect your health and safety or the health and safety of other individuals or the public. We may release your PROTECTED HEALTH INFORMATION for workers’ compensation and similar programs.

Any other uses and disclosures will be made only with your written authorization. You may revoke such authorization in writing and we are required to honor and abide by that written request, except to the extent that we have already taken actions relying on your authorization.

You have certain rights in regards to your PROTECTED HEALTH INFORMATION, which you can exercise by presenting a written request to our Privacy Officer at the practice address listed below:

  • The right to request restrictions on certain uses and disclosures of PROTECTED HEALTH INFORMATION, including those related to disclosures to family members, other relatives, close personal friends, or any other person identified by you. We are, however, not required to agree to a requested restriction. If we do agree to a restriction, we must abide by it unless you agree in writing to remove it.
  • The right to request to receive confidential communications of PROTECTED HEALTH INFORMATION from us by alternative means or at alternative locations.
  • The right to access, inspect and copy your PROTECTED HEALTH INFORMATION.
  • The right to request an amendment to your PROTECTED HEALTH INFORMATION.
  • The right to receive an accounting of disclosures of PROTECTED HEALTH INFORMATION outside of treatment, payment and health care operations.
  • The right to obtain a paper copy of this notice from us upon request.

We are required by law to maintain the privacy of your PROTECTED HEALTH INFORMATION and to provide you with notice of our legal duties and privacy practices with respect to PROTECTED HEALTH INFORMATION.

We are required to abide by the terms of the Notice of Privacy Practices currently in effect. We reserve the right to change the terms of our Notice of Privacy Practices and to make the new notice provisions effective for all PROTECTED HEALTH INFORMATION that we maintain. Revisions to our Notice of Privacy Practices will be posted on the effective date and you may request a written copy of the Revised Notice from this office.

You have the right to file a formal, written complaint with us at the address below, or with the Department of Health & Human Services, Office of Civil Rights, in the event you feel your privacy rights have been violated. We will not retaliate against you for filing a complaint.

For more information about our Privacy Practices, please contact:
Dental Care Alliance
6240 Lake Osprey Dr.
Sarasota, FL 34240
Ph #: 941-955-3150

For more information about HIPAA or to file a complaint:
The U.S. Department of Health & Human Services
Office of Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
877-696-6775 (toll-free)

Read What Our Patients Say
Patient Reviews
Lesha is always professional informative and most of all does a fantastic job!
Anonymous
My daughter had to have two teeth removed by the request of her orthodontist to correct her bite. They made her feel completely at ease and […]
Mackenzie B.
I was a bit apprehensive before the first appointment, as I had been with my previous dentist for many years prior to relocating to New York. All […]
Linda R.
All 3 of my kids go here and they love it. Dentists are very professional and informative.
Xavier M.
Everyone was very courteous and professional.
Anonymous
Highly recommend, they are great especially with children !
Katherine C.
Dr. Stein and the staff are great. I get very nervous at the dentist and they are very patient with me.
Diane T.
I am always treated very well by the staff and dentists in the Brewster office.
Sheridah C.
I love the Family Dental Group! Thank you to all of the dentists and dental assistants for all that you do! I wouldn't ever consider going to another […]
Patti B.
always a pleasure
America P.
Staff is so friendly and professional. Michelle the dental hygenist is the best I ever had. Thank you for being so kind and patient. Especially […]
Christina F.
I always have a wonderful experience at the Family Dental Group in Fishkill. I don't really like going to the dentist and experience some anxiety and […]
Juliana F.
Pleasant, professional staff. Showa patient concern.
Anonymous
Very good experience at this office. The staff was very friendly. There was a woman who may have been in charge who was very helpful too.
Jerry M.
Very efficient & comfortable.
Anonymous
Great staff - helpful and courteous
Emani W.
Dan was very friendly and a professional. He made me feel very comfortable and did a good job! Thank you!
Iris M.
Nicole is my hygienist.. Not only is she knowledgeable in her field, but she is compassionate, humorous and professional.
Barbara M.
I was treated so professionally and had no wait time!
Anonymous
I have never had any teeth pulled till yesterday. They did a great job. Pain free.
Mary B.
We have always had excellent treatment from the entire staff. Dr. Stein and Dr. Friedman have been so great.
Andrea W.
I was so nervous, but the staff and the doctors made me feel comfortable . The doctor was gentle . Thank you for making my experience a good one . I […]
Louisa S.
Great best dentist office I've ever went to. Thank you for your service.
Tami R.
Everyone from the front desk to the assistant and doctor very pleasant.
Anonymous
The staff is always very friendly, professional and prompt.
Anonymous
Dr Ayuko was very professional.
Susan C.
Always a pleasure! Great group of professionals!
Julia T.
Great staff.
Craig H.
One of the best pediatric dentistry I have experienced. My three year old was happy leaving and I would recommend to any mother that wants their […]
Mea O.
Dr Kesselman is awesome and so is Jose. I loved the office staff as well. My brother is a stoke patient and has some special needs they treated him […]
Douglas D.
Great Experience! Kids love to go to see Dr. Hinkle!
Aiden M.
Excellent!!!
Ana P.
Doctor O was very nice I was nervous at first, but he was very informative, and patient.
Jordyn H.
I have been going here about 2 years and have no complaints. The staff up front are very nice as are the dental staff. They take good care of my […]
Paul C.
Ellen is awesome
Anonymous
My four year old son experience was awesome, the Dr. was great.
Bryce J.
Did not feel much pain post surgery. Surgery was quick and painless
Danielle S.
This is a warm and friendly team of professional dental workers. I'm so glad I was encouraged to try them when I moved to NY from NJ.
Sally A.
All are committed to making the experience as painless and pleasant as possible -- from X-rays to cleaning to filling cavities.
Anonymous
Excellent service, no complaints.
Anonymous
Michelle my hygienist was wonderful. I have worked in the dental field for years and appreciated the time she took to explain things to me as wel as […]
Andrea G.
I have been going to Lasha for years now to have my teeth cleaned. Love her!!!!
Clement V.
My experience was very professional.
Tai F.
Staff were quite accommodating and friendly. Facility much larger than expected and quite spacious and clean. Dentist was experienced and […]
Margaret A.
Dr. Bryan is amazing! I love how the office has changed (for the better) and the staff is always so kind and patient!
Joseph M.
Staff is wonderful! Friendly and helpful.
Anonymous
Okay people nice
Maurice M.
great job
Rebecca A.
promised it would be easy to get denture repaired ... and they were right ... nice to have teeth stay in and easier to eat!
Margaret A.
Took me on time did a nice cleaning with no discomfort had a dentist review the ex rays and expressed his concerns and need to monitor for any […]
Nancy K.
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