Family Dental Group of Fishkill
738 Route 9, Suite 22, Fishkill, NY 12524

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
Great quality in dental care, kind and informative staff and clean office. As someone who has been receiving dental care for 10+ years here, I highly recommend this office!
Noelle T.
Fast and everyone was kind. Was my first cleaning with the practice and my best one ever. The care when taking X-rays was also appreciated. Switching my entire family.
Kathleen M.
Luckily for my teeth, I have been going to Family Dental Group for 30 plus years. Dr. Michael Gelbart has been an excellent dentist for both my husband and I. My husband had an implant and was good […]
Elisa S.
I was scheduled for an 11:15 appointment for a cleaning with Ellen. There was no wait time at all. She answered any questions I had and did an excellent job. She has a great personalty and really […]
Karen I.
The staff was excellent especially Rosie, Margaret(a sweetheart), and Dr OH!! I was impressed and pleased. I would recommend this office to all who needs dental care. It was an absolute pleasure!!
Julene S.
Perfectionist
Deborah H.
The care I received at Family Dental Group in Fishkill exceeded my expectations. I went in to have all my wisdom teeth removed and from the moment I stepped in for the initial consult, the […]
Jenny C.
Dr Hinkle sees all three of my daughters and he is amazing! He is so good with them and does a great job! Would recommend him to anyone! My 6 year old had a lot of work done by someone else and was […]
Holly A.
Excellent
Melinda P.
This was my first visit to Family Dental. I was greeted nicely as soon as I walked in. Filled out the new client paperwork, and was taken back to see the dentist all within 10 minutes. Dentist, […]
Anthony C.
In an expression of utmost gratitude I would like to thank Dr. Gelbart & his amazing staff for their contribution to the recovery efforts in Puerto Rico. A donation of nearly 1000 toothbrushes […]
Vivo L.
I broke my front tooth and I went to my regular dentist and he said I’m not working on that. I went a week without my front tooth and I work in costumer service field so imagine that. I decided to […]
Jolanda L.
The BEST quality of care!!! The staff is amazing, the doctors are very caring and gentle!!! I would never trust any other dentist office with my children as well as myself!!!
Linda S.
I have been to this dental office for about 15 years. I may be a dentist’s best case scenario because of my relatively excellent oral/dental health (or was that a dentist’s worst case scenario […]
Harrison L.
Dr BRYAN is great with my girls. Speaks nicely and treats them woth respect. Thanks!
Ann D.
Amazing staff ,Very friendly ,very clean my kids love the visit every time .
Gabriella V.
Family Dental Group has provided outstanding care to our children!
Aiden M.
Excellent
Denise B.
I have been a patient of Family Dental Group Fishkill for about 7 years. I have had dental problems my entire life and have been worked on by numerous dentists. I have never had a better dentist work […]
Joseph R.
I have been using Family Dental Group for 17 yrs. I needed a good gums dentist. Ihave always been pleased with any work I had done.
Joan G.
Office Hours
Mon. – 9:00 AM - 7:00 PM
Tue. – 9:00 AM - 7:00 PM
Wed. – 9:00 AM - 7:00 PM
Thu. – 9:00 AM - 7:00 PM
Fri. – 8:00 AM - 4:00 PM
Sat. – 8:00 AM - 4:00 PM
Sun. – Closed
Phone: (845) 764-9315
Fax: (845) 440-7609
Healthcare Financing with
CareCredit
We Accept Most Insurance Plans!
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We accept most insurance plans and will be happy to help you understand the coverage that you have. We will do our best to see that you receive your maximum insurance benefits for all covered services.

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For appointments, call us at: (845) 764-9315 or
Request an Appointment
For appointments, call: (845) 764-9315
Office Hours
  • Monday 9:00 AM - 7:00 PM
  • Tuesday 9:00 AM - 7:00 PM
  • Wednesday 9:00 AM - 7:00 PM
  • Thursday 9:00 AM - 7:00 PM
  • Friday 8:00 AM - 4:00 PM
  • Saturday 8:00 AM - 4:00 PM
  • Sunday Closed
Get in touch:
  • Phone: (845) 764-9315
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