[et_pb_section fb_built=”1″ admin_label=”HIPAA Notice of Privacy Practices” module_class=”band-light” _builder_version=”4.24.0″ _module_preset=”default” collapsed=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.17.6″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.17.6″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n
Effective Date: February 16, 2026<\/strong><\/p>\n THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.<\/em><\/p>\n We are required by law to maintain the privacy of your protected health information (PHI), to provide you with this notice of our legal duties and privacy practices, and to notify you following a breach of unsecured PHI. We must follow the privacy practices described in this Notice while it is in effect.<\/p>\n We may use and disclose your health information for treatment, payment, and health care operations (TPO).<\/p>\n Some health information, specifically alcohol and\/or substance use disorder treatment records governed by 42 CFR Part 2<\/strong>, is entitled to heightened confidentiality protections.<\/p>\n We may disclose your PHI without your written authorization in the following cases:<\/p>\n Your written authorization is required for the disclosure of psychotherapy notes, marketing activities not otherwise permitted by law, and the sale of PHI. You may revoke an authorization in writing at any time.<\/p>\n If you believe your privacy rights have been violated, you may file a complaint with our Privacy Official or the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.<\/p>\n Contact Info:<\/strong> 770-821-6220<\/a> |\u00a0info@dentistrynorcross.com<\/a><\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”HIPAA Notice of Privacy Practices” module_class=”band-light” _builder_version=”4.27.4″ _module_preset=”default” hover_enabled=”0″ collapsed=”off” global_colors_info=”{}” disabled_on=”on|on|on” disabled=”on” sticky_enabled=”0″][et_pb_row _builder_version=”4.17.6″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.17.6″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n Your Information. Your Rights. Our Responsibilities<\/strong><\/p>\n 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.<\/strong><\/p>\n \u201cProtected health information\u201c (PHI) is information about you, including demographic information, that may identify you or be used to identify you, and that relates to your past, present, or future physical or mental health or condition, the provision of health care services, or the past, present or future payment for the provision of health care.<\/p>\n Your Rights Regarding Your PHI<\/strong><\/p>\n You have the right to:<\/p>\n Our Uses and Disclosures<\/strong><\/p>\n We may use and share your information as we:<\/p>\n When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.<\/p>\n Get an Electronic or Paper Copy of Your Medical Record<\/strong><\/p>\n Ask Us to Correct Your Medical Record<\/strong><\/p>\n Request Confidential Communications<\/strong><\/p>\n Ask Us to Limit What We Use or Share<\/strong><\/p>\n Get a List of Those with Whom We\u2019ve Shared Information<\/strong><\/p>\n Get a Copy of This Privacy Notice<\/strong><\/p>\n You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.<\/p>\n Choose Someone to Act for You<\/strong><\/p>\n File a Complaint If You Feel Your Rights Are Violated<\/strong><\/p>\n For Certain Health Information, You Can Tell Us Your Choices about What We Share.<\/strong> If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions. In these cases, you have both the right and choice to tell us to:<\/p>\n If You Give Us Permission, How Would We Typically Use or Share Your Health Information?<\/strong><\/p>\n We typically use or share your health information in the following ways.<\/p>\n Treat You<\/strong><\/p>\n Example: Your physician and I may need to coordinate your care.<\/i><\/p>\n Run Our Organization<\/strong><\/p>\n Example: We use health information about you to manage your treatment and services.<\/i><\/p>\n Bill for Your Services<\/strong><\/p>\n We give information about you to your health insurance plan so it will pay for your services.<\/i><\/p>\n We are allowed or required to share your information in other ways \u2013 usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: https:\/\/www.hhs.gov\/hipaa\/for-individuals\/index.htmlOpens the website in the new window<\/span><\/a>.<\/p>\n Help with Public Health and Safety Issues<\/strong><\/p>\n We can share health information about you for certain situations such as:<\/p>\n Do Research<\/strong><\/p>\n Comply with the Law<\/strong><\/p>\n We Can Use or Share Health Information about You:<\/strong><\/p>\n Respond to Lawsuits and Legal Actions<\/strong><\/p>\n Our Responsibilities<\/strong><\/p>\n
\nOur Commitment to Your Privacy<\/h2>\n
How We May Use and Disclose Your Health Information<\/h2>\n
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Stricter Protections for Substance Use Disorder (SUD) Records<\/h2>\n
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Other Permitted Uses and Disclosures Without Authorization<\/h2>\n
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Disclosures Requiring Your Written Authorization<\/h2>\n
Your Health Information Rights<\/h2>\n
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Questions and Complaints<\/h2>\n
HIPAA Notice of Privacy Practices<\/h1>\n
Dentistry of Norcross.<\/h2>\n
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Your Rights<\/strong><\/h3>\n
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Your Choices<\/strong><\/h3>\n
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Our Uses and Disclosures<\/strong><\/h3>\n
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How else can we use or share your health information?<\/h3>\n
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