Effective Date: January 29, 2026

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.

OUR COMMITMENT TO YOUR PRIVACY

Dimension Dental is committed to protecting the privacy of your protected health information (“PHI”). PHI includes information about your health, dental condition, treatment, and payment that can identify you.

We are required by law to:

  • Maintain the privacy and security of your PHI
  • Provide you with this Notice of our legal duties and privacy practices
  • Follow the terms of this Notice
  • Notify you if a breach occurs that may have compromised the privacy or security of your information

This Notice applies to all PHI created or received by Dimension Dental in the course of treatment, payment, and healthcare operations.

CONTACT INFORMATION

If you have questions about this Notice, your rights, or our privacy practices, please contact:

Privacy Officer
 Dimension Dental
101 Crawfords Corner Rd,
Holmdel, NJ 07733
Phone: (732) 444 - 8822

HOW WE MAY USE AND DISCLOSE YOUR PHI (WITHOUT YOUR AUTHORIZATION)
  1. Treatment

    We may use and disclose your PHI to provide, coordinate, or manage your dental care.
    Examples:

    • Sharing information with specialists, laboratories, or other healthcare providers involved in your care
    • Consulting with other providers regarding your diagnosis or treatment plan
  2. Payment

    We may use and disclose your PHI to obtain payment for services provided to you.
    Examples:

    • Submitting claims to dental insurance plans
    • Verifying coverage and benefits
    • Billing and collections activities
  3. Healthcare Operations

    We may use and disclose your PHI for practice operations, including:

    • Quality assessment and improvement activities
    • Training and credentialing of staff
    • Audits, compliance reviews, and legal services
    • Business planning and administrative activities
  4. Appointment Reminders & Health-Related Communications

    We may contact you by phone, voicemail, email, or SMS to:

    • Remind you of appointments
    • Provide information about treatment alternatives or health-related services

    If you prefer specific communication methods or restrictions, please notify us.

  5. Individuals Involved in Your Care or Payment

    Unless you object, we may disclose relevant PHI to family members, friends, or others you identify as being involved in your care or payment.

    In emergency situations or when you are incapacitated, we may use professional judgment to determine whether disclosure is in your best interest.

  6. Public Health, Safety, and Legal Requirements

    We may disclose PHI as required or permitted by law, including for:

    • Public health reporting
    • Abuse, neglect, or domestic violence reporting
    • Health oversight activities
    • Judicial or administrative proceedings
    • Law enforcement purposes
    • National security and military activities
    • Workers’ compensation claims
  7. Business Associates

    We may disclose PHI to third parties (“Business Associates”) that perform services on our behalf, such as billing, IT support, or record storage.
    All Business Associates are required by law and contract to protect your PHI.

  8. Breach Notification

    We may use your contact information to notify you if a breach of unsecured PHI occurs, as required by law.

USES AND DISCLOSURES REQUIRING YOUR WRITTEN AUTHORIZATION

We will obtain your written authorization before using or disclosing your PHI for:

  • Marketing purposes
  • Sale of PHI
  • Any use not described in this Notice

You may revoke your authorization in writing at any time, except where we have already relied on it.

SPECIAL PROTECTIONS FOR CERTAIN INFORMATION

Certain categories of information may be subject to additional protections under federal or state law, including:

  • Mental health information
  • Substance use disorder treatment records
  • Genetic information
  • HIV/AIDS-related information
  • Reproductive health information

When applicable, we will comply with the most protective law.

YOUR RIGHTS REGARDING YOUR PHI

You have the right to:

  • Access and Obtain Copies

    • Request to inspect or receive copies of your PHI, subject to limited exceptions.

  • Request Amendments

    • Ask us to correct or amend your PHI if you believe it is incorrect or incomplete.

  • Request an Accounting of Disclosures

    • Receive a list of certain disclosures of your PHI.

  • Request Restrictions

    • Ask us to limit how we use or disclose your PHI (we are not required to agree in all cases).

  • Request Confidential Communications

    • Ask us to contact you in a specific way or at a specific location.

  • Receive a Copy of This Notice

    • You may request a paper or electronic copy at any time.

COMPLAINTS

If you believe your privacy rights have been violated, you may:

  • File a complaint with Dimension Dental (contact our Privacy Officer), or
  • File a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights

We will not retaliate against you for filing a complaint.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice and our privacy practices at any time, as permitted by law. Any revised Notice will apply to all PHI we maintain and will be made available in our office and on our website. The effective date will be updated accordingly.

WEBSITE AND DIGITAL USE DISCLAIMER

This Notice applies to PHI created or received in the course of treatment, payment, or healthcare operations. General website use, online forms, and digital interactions are governed separately by our Website Privacy Policy.