HIPAA Privacy Notice

Effective Date: 2024

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.

Uses and Disclosures of Health Information

We use and disclose health information about you for treatment, payment, and healthcare operations. For example:

• Treatment: We may use or disclose your health information to a physician or other healthcare provider providing treatment to you.
• Payment: We may use and disclose your health information to obtain payment for services we provide to you.
• Healthcare Operations: We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities.

Your Health Information Rights

You have certain rights with respect to your health information. These include:

• The right to request restrictions on certain uses and disclosures of your health information.
• The right to receive confidential communications of your health information.
• The right to inspect and copy your health information.
• The right to request an amendment to your health information.
• The right to receive an accounting of disclosures of your health information.
• The right to obtain a paper copy of this notice upon request.

Complaints

If you are concerned that we have violated your privacy rights, or you disagree with a decision we made about access to your health information, you may complain to us using the contact information listed at the end of this notice. You also may submit a written complaint to the U.S. Department of Health and Human Services. We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services.

Contact Information

If you have any questions about this notice, please contact us at:

Palana Dental Care
Dr. Carla Rodríguez DDS
1881 N University Dr. Suite 207
Coral Springs, FL 33071
Tel: (954) 736-5001
Fax: (954) 736-5003
Email: info@palanadentalcare.com