Effective Date: January 1st, 2026
This Notice describes how medical and dental information about you may be used and disclosed and how you can access this information.
Our Responsibilities
We are required by law to:
- maintain the privacy of your protected health information (PHI)
- provide this Notice explaining our legal duties
- follow the terms of this Notice
How We May Use and Disclose Information
We may use and disclose your health information for:
- treatment and care coordination
- payment and billing
- healthcare operations
- legal and regulatory compliance
Your Rights
You have the right to:
- access and request copies of your records
- request corrections
- request restrictions on certain uses
- receive confidential communications
- receive a copy of this Notice
Questions or Complaints
If you believe your privacy rights have been violated, you may contact our office or file a complaint with the U.S. Department of Health and Human Services.
Functional Dentistry of Asheville
Phone: (555) 333-5555