Notice of Privacy Practices
Friends and Amigos Dental PLLC Notice of Privacy Practices Effective Date: 05-01-2026
This notice explains how your dental and medical information may be used or shared and your rights regarding that information. Please read carefully.
1. Our Responsibilities
We are required by law to maintain the privacy of your protected health information (PHI) and to provide this notice. We must follow the terms of this notice and notify you of changes.
2. How We May Use or Share Your PHI
Treatment: Coordinate your dental care.
Payment: Bill you or your insurance for services.
Healthcare Operations: Quality reviews, staff training, or administrative tasks.
Appointment Reminders: Calls, texts, or emails.
As Required by Law: Public health, abuse reporting, court orders, or other legal requirements.
3. Uses Requiring Your Written AuthorizationMarketing purposes or sale of PHI.
Uses not described above.
You may revoke authorization at any time in writing, which will not affect prior disclosures.
4. Your Rights
You have the right to: Inspect and copy your records. Request restrictions on use or disclosure. Receive communications by alternative methods. Request amendments to your records. Request an accounting of disclosures. Receive a paper copy of this notice at any time.
5. ComplaintsIf you believe your privacy rights have been violated, you may contact: Friends and Amigos Dental PLLC Privacy Officer- Our location’s dentist
U.S. Department of Health & Human Services, Office for Civil Rights: www.hhs.gov/ocr/privacy. No retaliation will occur for filing a complaint.