HIPAA Notice Of Privacy Practices

Effective Date: July 11, 2025

This notice explains how your medical information may be used and shared, and how you can access this information. Please review it carefully.

Who This Notice Applies To

This notice applies to all health information handled by LifeSmile Dental Group (“we,” “our,” or “us”). This includes any information that identifies you and relates to your dental care, health history, or payment for care.

Our Responsibilities

We are required by law to:

  • Keep your health information private and secure.

  • Give you this notice explaining our privacy practices.

  • Let you know if your information is involved in a data breach.

We are committed to protecting your privacy and will follow the practices outlined in this notice.

How We Use and Share Your Information

We may use or share your health information without your written permission in the following ways:

1. Treatment

We may share your information with other healthcare providers involved in your care, such as dental specialists, labs, or pharmacies.

2. Payment

We may use your information to bill your insurance, process payments, or get approval for treatment.

3. Healthcare Operations

We may use your information to run our dental office, improve care, train staff, or ensure quality and safety. For example, we might call your name in the waiting room or use a sign-in sheet.

4. Business Associates

We may share information with service providers (like billing or IT support) who help us operate. These partners are required by law to protect your information.

5. Health Information Exchanges (HIEs)

We may take part in electronic networks that share health information with other healthcare providers to coordinate your care.

6. People Involved in Your Care

If you give us permission, we may talk to a friend or family member about your care or payment.

7. Required by Law

We may share your information if required by federal or Oregon law, including public health reporting, government audits, or legal proceedings.

8. Public Health and Safety

We may report information to help prevent disease, track recalls, or respond to emergencies.

9. Law Enforcement and Legal Requests

We may share information in response to a court order, subpoena, or law enforcement request, as allowed by law.

10. Coroners, Funeral Directors, Organ Donation

We may release necessary information to help with identification, cause of death, or arranging donations.

11. Research

We may use your health information for research if approved by a privacy board or with your written permission when required.

12. Serious Threats

If necessary, we may use or share information to help prevent a serious threat to your health and safety or the health and safety of others.

Your Rights

You have the right to:

  • Get a copy of your records: You can ask to see or get a copy of your dental records.

  • Request corrections: If you think something is wrong or missing, you can ask us to fix it.

  • Ask for confidential communication: You can request we contact you in a specific way (e.g., home or work phone).

  • Ask for restrictions: You can ask us not to share certain information. We may not always be able to agree.

  • Get a list of disclosures: You can ask for a record of who we've shared your information with (excluding certain routine uses).

  • Get a paper copy of this notice: You can request a printed copy of this notice at any time.

Changes to This Notice

We may update this notice at any time. Changes will apply to all information we have about you. We will post the updated notice on our website and offer you a copy upon request.

Questions or Complaints?

If you believe your privacy rights have been violated, you may contact us or file a complaint with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Contact:
LifeSmile Dental Group
(503) 644-5433
13305 NW Cornell Road #A
Portland, OR 97229
admin@lifesmiledentalgroup.com