Effective Date: november 18, 2025
This Notice describes how medical and dental information about you may be used and disclosed and how you can access this information. Please review it carefully.
Our Legal Duty
Sunbrite Dental (“we,” “our,” or “us”) is required by law to maintain the privacy of your protected health information (“PHI”), provide you with this Notice explaining our legal duties and privacy practices, and notify you if a breach of unsecured PHI occurs. We must follow the terms of this Notice currently in effect.
How We May Use and Disclose Health Information
We may use and disclose your PHI for the following purposes without your written authorization:
1. Treatment
We may use and share your information to provide, coordinate, or manage your dental care, including with specialists, laboratories, pharmacies, or other providers involved in your treatment.
2. Payment
We may use and share PHI to obtain payment for services, such as submitting insurance claims, verifying coverage, or billing.
3. Health Care Operations
We may use and share PHI for administrative, quality improvement, staff training, accreditation, or auditing purposes.
4. Appointment Reminders and Communications
We may contact you by phone, voicemail, text message, mail, or email about appointments, billing, or follow-up care.
5. Individuals Involved in Your Care
We may share PHI with family members or others involved in your care unless you ask us not to.
6. Public Health and Safety
We may disclose PHI to public health authorities, the FDA, or other agencies for reporting illness, injury, or adverse events.
7. Health Oversight Activities
Government agencies may receive PHI for audits, inspections, and investigations as required by law.
8. Law Enforcement and Legal Requirements
We may disclose PHI when required by law, court order, subpoena, or for identifying or locating a suspect or missing person.
9. Coroners, Medical Examiners, and Funeral Directors
PHI may be disclosed to assist these professionals in carrying out their duties.
10. Research
Limited PHI may be used or disclosed for approved research projects under strict privacy safeguards.
11. Workers’ Compensation
PHI may be shared to comply with workers’ compensation laws or similar programs.
12. Required by Law
We will disclose PHI when required by federal, state, or local law.
13. Other Uses and Disclosures with Your Authorization
Any other use or disclosure of your PHI will require your written authorization, which you may revoke at any time in writing.
Your Rights Regarding Your Health Information
1. Right to Access
You may request to inspect or obtain a copy of your health and billing records. We may charge a reasonable fee for copying or mailing.
2. Right to Request Amendment
You may request corrections to your PHI if you believe it is inaccurate or incomplete. We may deny requests under certain conditions.
3. Right to an Accounting of Disclosures
You may request a list of PHI disclosures made in the past six years, excluding those for treatment, payment, or operations.
4. Right to Request Restrictions
You may request limits on how we use or disclose your PHI. While we are not required to agree, we will comply with approved restrictions.
5. Right to Request Confidential Communications
You may request communication through a specific method or at a specific location. We will accommodate reasonable requests.
6. Right to a Paper Copy of This Notice
You may request a paper copy of this Notice at any time.
7. Right to Notification of a Breach
You will be notified if your unsecured PHI is compromised in a manner not permitted by law.
Our Responsibilities
- We are required by law to maintain the privacy and security of your PHI.
- We will notify you promptly if a breach occurs that may compromise your information.
- We will use and disclose your PHI only as described in this Notice unless you authorize otherwise.
- We will never sell your information or use it for marketing without your written consent.
Changes to This Notice
We may update this Notice at any time. The updated Notice will apply to all PHI we maintain and will be available in our office and on our website.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Sunbrite Dental – Privacy Officer
560 N Nellis Blvd Ste E8
Las Vegas, NV 89110
Phone: (725) 425-1230
Email: [email protected]
U.S. Department of Health and Human Services
Office for Civil Rights (OCR)
200 Independence Avenue SW
Washington, DC 20201
Phone: 1-877-696-6775
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/
Acknowledgment of Receipt
You may be asked to sign a separate form acknowledging that you received this Notice. Your signature does not indicate agreement with its terms—only that you received it.
