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)

Turn up your satisfaction.
Patient Reviews
Always the ladies are great and know whatyhet they are doing
Denise C.
Staff is friendly, dental work was well done.
Ryan A.
It was a very nice and professional experience.
Thomas E.
I went to get my 3 month periodontal cleaning and I was very pleased. I started going to Columbia office about 6 months ago after going to the Cross […]
Gayle W.
Was more then impressed. Loved the laid back atmosphere. They did great work and as much as I hate going to the dentist, I won't mind coming back. I […]
Tracey I.
I have been a patient with Dental One Associates for 14 years, during this time the staff has provided excellent care. I would reccommend this […]
Gale S.
My experience was excellent. The staff were very professional. The oral surgeon was the best. I will be making this my dental home!
Courtney N.
Dr Willis is top notch - one of the very best. She is a good clinician + a master of dental artistry.
Gary L.
Dr. Willis always provides excellent professional care.
Ann S.
I found Harford-Dental One Associates to be very professional and eager to help. The staff listened to and addressed a concern that I had and it was […]
Catherine T.
Fast appointment scheduling and good location
Michael S.
It was a wonderful experience. Loved my hygienist who was very personable, professional, and informative with tips and advice for keeping my teeth in […]
Elizabeth F.
This was my first time visiting this office, and I was referred by my step-daughter's mother. Despite a fairly short wait, I had a very good […]
Corice S.
Very good and friendly environment. Knowledgeable staff and doctors.
Armound M.
Excellent care. Excellent customer interactions.
Janis J.
Due to an unusual circumstance, I was under a very tight time constraint. Muray, Latitia, and the other office staff understood my situation and […]
Theresa C.
I highly recommend Dental One Associates. The staff is professional and laid back. They make you feel very comfortable and not awkward or nervous in […]
James R.
I really like how I was able to schedule an appointment so quickly after another patient cancelled! It was good that I was able to schedule a […]
Susan B.
All staff was very kind and professional.
Paul M.
I was a first time patient. I was taken back on time, and the staff we're polite and professional. I had no pain during the procedure and it was as […]
Jeff W.
The staff was courteous and professional. I enjoyed my visit and I would recommend this establishment to anyone who is looking for a good dentist.
Cynthia B.
Friendly practice, easy to get an appointment, loads of dentists, very efficient. One drawback is TV's, they are everywhere & always on. The poor […]
Sarah B.
Donna is the best! She is very personable and makes your visit enjoyable!
Rebecca W.
Best dental experience ever! Professional and courteous --office staff & doctors.
Dionitra H.
I have a fear of the dentist and everyone there made it tolerable.
Meagan F.
I saw both a dentist and a periodontist this week and both experiences were very good. Both doctors answered all of my questions and explained in […]
Stephani L.
Everybody at the office was nice.
Andrew R.
Dr. Bae and his assistant were great. My daughter had some excess gum tissue removed. Sadly I can't remember his assist's name; however, my daughter […]
Hannah N.
The staff are professional, helpful and kind.
Mary C.
Our family loves Dental One. Our last dentist was not up to date with technology. I love that ortho, peds, and General dentistry is all under one […]
Riley P.
Dr bae and Christie was excellent they explained everything to me the entire time.
Kiwana H.
I didn't have to wait at all. I was taken right away. I had 2 fillings done. My fillings feel a little sharp and they have been irratating my tongue. […]
James H.
Dr. Oleg Klubis and his staff were fantastic, they were very concern about my well being, asking constantly how I was feeling, and if everything was […]
Gerardo P.
The tooth extraction went very well and did not cause any undue pain. I'm doing very well now and waiting for the stiches to be removed.
George G.
I have always found the staff to be professional and very friendly. A treatment plan was given to me on my first visit which was very helpful. The […]
Michele H.
Came in for cleaning and appointment was on time
Mary M.
These guys are the best!!! I would highly recommend them. Very nice, made me feel comfortable even though the reason I was there was because I hadn't […]
Karen K.
Very professional staff. Thanks for getting me such a fast appt.to have my tooth extracted.
William T.
My scheduled appointment was on time and I was very pleased with the personal service that I received. it was very easy to make a future appointment.
Bernard H.
Dr Chhatwal is THE BEST!
Lauren B.
The team was very professional
Kenny H.
Hate going to the Dentist. LOVE DR. PAHK!!
Kathy L.
The best filling. Dentist and assistant had great bedside manner and I loved they used a newer technology on the procedure. Even the front desk staff […]
Laura C.
Everyone was very friendly and professional!!
Courtney N.
Dr. Fooksman and all the assistants, techs, receptionists, and hygienists, are great.
William O.
Thanks for taking me with one days notice. Very pleasant dental staff. My crown was put back on and is working wonderfully. I will definitely be back.
Cora T.
I am very happy with the service provided so far. And I believe it will continue the same way
Carl R.
Dr. Phillips and Barbara have been terrific,
Jacob M.
Dr Chehab and DeAnn are the best
James P.
I had three teeth extracted last week and my appointment went smoothly. I arrived early as suggested by Sherry (she's a gem) to take care of the […]
Belema A.
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