HIPAA Notice of Privacy Practices (NPP)
Effective Date: 11/19/2024
This notice describes how medical and dental information about your child may be used and disclosed, and how you can get access to this information. Please review it carefully.
Our Legal Duty
We are required by law to keep your child’s health information private and to provide you with this Notice. We must follow the privacy practices described in this Notice while it is in effect.
How We May Use and Share Health Information
We may use and disclose your child’s health information for the following purposes:
Treatment: To provide, coordinate, or manage your child’s dental care.
Payment: To bill and collect payment for services, including sharing information with your insurance company.
Healthcare Operations: For office management, quality improvement, staff training, and accreditation.
We may also share information when required by law, such as for public health activities, reporting abuse or neglect, law enforcement requests, or court orders.
Other Uses & Disclosures
We will not use or disclose your child’s information for purposes not listed above without your written authorization. You may revoke an authorization at any time in writing.
Your Rights
You have the right to:
Inspect and copy your child’s health records (with some exceptions).
Request corrections to your child’s records.
Receive an accounting of certain disclosures of your child’s health information.
Request restrictions on how we use or share information (we may not always be able to agree).
Request confidential communications (such as using a different phone number or mailing address).
Receive a paper copy of this Notice at any time.
Our Responsibilities
We are required by law to maintain the privacy and security of your child’s health information.
We will notify you promptly if a breach occurs that may have compromised your child’s information.
We will not use or share your child’s information other than as described here unless you give us written permission.
Changes to This Notice
We may change this Notice at any time. The new Notice will be posted in our office and available on our website.
Questions or Complaints
If you have questions or concerns about this Notice, or if you believe your privacy rights have been violated, you may contact us at:
Malingkas DMD PLLC, dba Kid-1 Pediatric Dentistry
907 E. Cottonwood Ln. Suite 1
Casa Grande, AZ 85122
Phone: (520) 876-5431
Email: contact@kid-1.com
You may also file a complaint with the U.S. Department of Health & Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.