Dental Professionals on Whitesburg
Effective Date: February 4, 2026

Our Commitment to Your Privacy

Dental Professionals on Whitesburg is committed to protecting the privacy of your protected health information (“PHI”). We are required by law to maintain the privacy of your PHI, provide you with this Notice of Privacy Practices, and follow the terms of this Notice currently in effect.

How We May Use and Disclose Your Health Information

We may use and disclose your protected health information for the following purposes without your authorization:

Treatment

We may use and disclose your health information to provide, coordinate, or manage your dental care. This includes sharing information with dentists, hygienists, specialists, laboratories, and other healthcare providers involved in your care.
Payment

We may use and disclose your health information to bill and collect payment for services provided. This may include disclosures to insurance companies, billing services, or other third parties responsible for payment.

Healthcare Operations
We may use and disclose your health information for business operations such as quality assessment, staff training, licensing, accreditation, audits, and administrative purposes necessary to run our practice.

Other Uses and Disclosures Permitted or Required by Law

We may also use or disclose your health information in the following situations, as permitted or required by law:

• Public health activities
• Health oversight activities
• Law enforcement purposes
• Legal proceedings and judicial actions
• To prevent or reduce a serious threat to health or safety
• Workers’ compensation and similar programs
• As required by federal, state, or local law

We comply with all applicable federal and Alabama laws regarding the privacy and security of health information.

Uses and Disclosures Requiring Your Authorization

Any uses or disclosures of your health information not described in this Notice will be made only with your written authorization. You may revoke your authorization at any time in writing, except to the extent that we have already relied on it.

Your Rights Regarding Your Health Information

You have the right to:

• Access and obtain a copy of your health records
• Request corrections or amendments to your health information
• Request restrictions on certain uses or disclosures
• Request confidential communications, such as being contacted at a different address or phone number
• Receive an accounting of disclosures of your health information
• Receive a paper copy of this Notice upon request, even if you have agreed to receive it electronically
• File a complaint if you believe your privacy rights have been violated

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Dental Professionals on Whitesburg or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

Changes to This Notice

We reserve the right to change the terms of this Notice at any time. Any changes will apply to all protected health information we maintain. The revised Notice will be available upon request and posted on our website.

Contact Information

If you have questions about this Notice or would like to exercise your rights, please contact:

Privacy Officer

Dental Professionals on Whitesburg
(256) 883-6770

Acknowledgment of Receipt

You may be asked to sign an acknowledgment confirming that you received this Notice of Privacy Practices.