HIPAA Notice of Privacy Practices

Updated July 11, 2026

This notice describes how medical/dental information about you may be used and disclosed and how you can get access to this information. Please review it carefully. A signed acknowledgment may be requested at your visit.

Our responsibilities

  • Maintain the privacy of protected health information (PHI)
  • Provide this notice of our legal duties
  • Follow the terms of the notice currently in effect

Uses and disclosures

We may use and disclose PHI for treatment, payment, and healthcare operations as permitted by law. Other uses generally require your authorization.

Your rights

  • Request restrictions and confidential communications
  • Inspect and copy certain records
  • Request amendments
  • Receive an accounting of certain disclosures
  • File a complaint without retaliation

Website forms

Website appointment forms are for scheduling coordination. Avoid submitting sensitive diagnoses or full medical histories online.

Contact

Privacy questions: call (734) 589-1589 or speak with our team in office.

Dental Emergency? Call Now: (734) 589-1589
Call (734) 589-1589