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)

Read What Our Patients Say
Patient Reviews
Excellent experience from start to finish
Staci D.
Front and back office staff very friendly and professional. . I had a very good tech. Not my usual person but she was so good I asked if I could […]
Diana H.
Staff is pleasant, appointments are typically convenient to my work schedule, and dental plans are created specific to your personal dental needs […]
Teresa B.
We recently changed dentist offices and we really like this one. Everyone is very friendly. They first show you the plan for that visit and you sign. […]
Rudy B.
I felt really nervous going in but the assistant was very nice. The x-rays were painless except for a few but she added a piece of gauze which […]
Crystalin T.
Very nice! I thought my appointment was 30 later than it really was and they were so nice about it when I showed up they got me right in! Lady at […]
Amanda P.
The staff and services were great.
Sabrina W.
My dental hygienist was very quick, efficient and pleasant and she didn't have an assistant.
Pam R.
Great Dentist, Dr Johnson and staff.
Michael C.
Very professional and on schedule!
Debra P.
Always a pleasure, staff is patient, knowledgeable and very courteous!
Tiffany H.
I am not a fan of going to the dentist. At all! But, I felt incredibly comfortable at Grant & Conger DDS. Everyone was so nice and helpful!
Jill C.
Excellent staff!
Howard C.
Jozett is marvelous!
Carla B.
I receive good care as well as customer service.
Pat C.
The staff/assistants are Wonderful. Dr. Perez is Awesome. Thank you for being so thoughtful and warm to your clients,.
Angelia W.
Professional staffing. Convenient location. Short waiting time.
Jeffrey W.
The front office staff is very warm and welcoming. The dentist did an excellent job. I was not in any pain and felt very comfortable.
Kimberly B.
My Hygienist, Donna, was professional, thorough and accommodating.
Shaune H.
The BEST dentist office in Dalton!!!!!!
Tommy K.
At first I was a little nervous because my insurance wasn't verified. I reschedule my last appointment because of the same thing and was told when I […]
Akeeya S.
Becky is an outstanding hygienist!
David W.
You guys were awesome.
Shayvon J.
Love the staff here! Keep doing a great job!
Victoria C.
Everything, I was a big chicken now Dr. Perez is so gentle I fall asleep in his chair and Dennis is a sweet doll baby. I'm never leaving. Lol
Tracey L.
Dr. Washington, as well as his assistant were great. I had a previous experience with another dentist who did not only start extracting before I was […]
Chantell S.
Fantastic.
Nathan P.
Best Dentist group I've ever been to. I truly enjoy my visits. Wouldn't think of using anyone else for my dental work.
Stacy L.
I have been going here for years, and Dr. Grant and his entire staff go out of their way to make your experience a great one. I wouldn't choose […]
Will P.
Great staff and service. I couldn't be more pleased.
Allan P.
Great staff and customer service
Jessica O.
Good experience. Great customer service.
Vicki B.
great service and great people!!!!!
Corie B.
I was feeling terrified to have the procedure done, that I put it off for so long. After pushing myself to get it done, I was pleasantly surprised at […]
Kimberly L.
Michele was very good and personable.
Cheryl W.
The dental hygienist was very good and thorough to look at everything. She did not hurt my gums. I really liked Sarah cleaning my teeth.
Sheila Y.
Never have to wait long and very friendly staff.
Pamela H.
Three words of Dr. Johansen (THE BEST EVER!)
Mary S.
Great staff and love their work
Kiara W.
Very helpful and trustworthy. The Doctor seems to really care about his patients.
Mitchell W.
The staff at Dental One located in College Park, GA are always friendly and professional.
Pamela G.
Make me feel comfortable and not scared.
Faye S.
I had not bee to the dentist in years and was a little scepticle about a Dental chain, thinking they may try to sell me on doing major work. I was […]
Richard Z.
Great dentist
Aracely M.
The app went well did not wait long
Guy H.
I had Dr. Nguyen as my dentist and he is fantastic! His workers were also so sweet! The prices are reasonable and the atmosphere is great! I am going […]
Amira M.
I saw Dr. Sammy Carden and his assistant, Jennifer, for a crown prep. All went very well.
David W.
On my first visit with them, they were friendly and quick.
Stephen E.
I continue to be impressed with the professional and personal attention that I receive from Dental One
Tommy B.
Dentist was phenominally friendly and my filling was absolutely painless. All employees were genuine and professional and answered all of my […]
Tresia B.
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