Effective Date: April 2026
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.
How We May Use and Disclose Your Health Information
We may use and disclose your protected health information (PHI) for:
Treatment
To provide, coordinate, or manage your dental care.
Payment
To obtain payment for services, including insurance billing.
Healthcare Operations
For practice operations such as quality assessment, staff training, and administrative activities.
Other Uses and Disclosures
We may also disclose your information:
- As required by law
- For public health activities
- For health oversight activities
- For law enforcement purposes
- To prevent serious threats to health or safety
Your Rights
You have the right to:
- Access and obtain a copy of your records
- Request corrections to your records
- Request restrictions on certain uses/disclosures
- Request confidential communications
- Receive an accounting of disclosures
- File a complaint without retaliation
Our Responsibilities
We are required to:
- Maintain the privacy of your PHI
- Provide you with this notice
- Follow the terms of this notice
Complaints
If you believe your privacy rights have been violated, you may contact:
new32 Cosmetic and Family Dentistry
206.381.0732
Or file a complaint with the U.S. Department of Health & Human Services.
We will not retaliate against you for filing a complaint.
Changes to This Notice
We reserve the right to change this notice and make the new notice effective for all PHI we maintain.