Green Dental Care’s HIPAA Notice of Privacy Practices

Updated: 9/18/2025

Purpose

We respect your privacy. We are legally required to maintain the privacy of your protected health information (PHI) under HIPAA. This Notice describes our duties, privacy practices, permitted uses and disclosures, and your rights regarding your PHI.

PHI Defined

PHI is health information about you that identifies you and that we keep or transmit in electronic, oral, or written form. It includes your name, contact information, physical or mental conditions, payment information, and prescriptions.

Scope

We create records of your care and health services. This Notice applies to all PHI we generate. Our staff follow the privacy practices described here.

Changes to this Notice

We may change the terms of this Notice at any time. Changes apply to all PHI we maintain. Updated versions will be available on request, in our office, and on our website.

Data Breach Notification

If a data breach occurs that may compromise your PHI, we will notify you promptly within the required timeframe, generally by mail or email if you have agreed to receive notices electronically.

Your Rights

Right to Inspect and Copy

You may inspect and obtain a copy of your PHI in paper or electronic format. Reasonable fees may apply. We may deny access in limited cases, but you may request a review of the denial.

Right to Amend Your Records

You may request an amendment to PHI you believe is incorrect or incomplete. Requests must be in writing with a supporting reason. We may deny your request in certain circumstances.

Right to Request Confidential Communications

You may request that we communicate with you in specific ways or at specific locations. We will accommodate reasonable requests.

Right to Request Restrictions

You may request limits on how we use or disclose your PHI. We are not required to agree except in specific out-of-pocket payment situations.

Right to an Accounting of Disclosures

You may request a list of certain disclosures of your PHI made in the past six years. The first list in a 12-month period is free. Some disclosures are exempt from this list (e.g., treatment, payment, operations).

Right to Choose Someone to Act for You

If someone has medical power of attorney or is your legal guardian, they may exercise your rights and make decisions about your PHI.

Right to Receive a Copy of this Notice

You may request a copy of this Notice at any time, in print or electronic form.

Your Choices

You can tell us how you prefer we share your information in certain cases, such as with family members or in disaster relief situations. If you cannot communicate your preference, we may use our best judgment.

How We Collect Information

We may collect personal, health, and technology-based information through forms, patient interactions, insurance providers, and electronic communications. Mobile opt-in data is never shared with third parties.

How We May Use and Disclose Your PHI

Treatment

We may use or disclose PHI to provide, coordinate, or manage your care, and to communicate with other healthcare providers.

Payment

We may use or disclose PHI to determine benefit eligibility, process claims, coordinate coverage, or facilitate payments.

Healthcare Operations

We may use or disclose PHI for quality assessment, accreditation, employee review, appointment scheduling, and service improvement.

Electronic Communications & Recording

We may monitor or record phone calls, emails, chats, or other communications for training, compliance, and support. Where required, notice and consent will be obtained.

Business Associates

We may disclose PHI to outside vendors who perform services for us. Business Associates must protect PHI as required by law.

Legal Requirements

We may disclose PHI without authorization when required by law, including public health reporting, abuse reporting, law enforcement requests, and national security. We follow the “Minimum Necessary” rule and will not sell or share your information for marketing without your written consent.

Our Use of Artificial Intelligence (AI)

Transparency

We inform patients about AI use and related privacy practices.

Purpose of AI Use

AI may assist with documentation, summarizing encounters, diagnostics, scheduling, communication, analytics, surveys, claims, and treatment planning.

Data Used by AI

AI tools may process PHI. We apply strict privacy and security protections.

Your Rights and Patient Control

You may opt out of AI-supported care. Human professionals always retain decision-making authority.

Data Minimization and Security

We collect and use only necessary data and implement strong security controls.

Addressing Bias

We use diverse datasets and monitor AI systems for potential bias.

Human Oversight

AI supports but does not replace professional clinical judgment.

Ongoing Monitoring and Improvement

We monitor AI tools continuously to ensure accuracy, safety, and fairness.

Our Commitment to Privacy

We use secure systems, train employees, and review privacy practices regularly to prevent unauthorized access.

Cookies and Online Technology

We may use cookies to enhance website functionality. This data is never sold or shared improperly.

Questions or Concerns?

Green Dental Care (720) 845-5252 19551 Hess Road Suite 100, Parker, CO 80134 greendentalcolorado@gmail.com You may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate for filing a complaint.