Effective Date: August 16, 2023

Introduction: 

This Notice of Privacy Practices outlines how your protected health information (PHI) is

used and disclosed by Carpenter Dental. We are committed to safeguarding your

privacy and ensuring the confidentiality of your health information.

Uses and Disclosures of PHI: 

We may use and disclose your PHI for treatment or payment. Additionally, we may

share PHI for public health reporting, law enforcement, and as required by law. Your

written consent will be obtained for any other uses or disclosures.

Patient Rights: 

You have the right to access, amend, and request an accounting of your PHI

disclosures. You can request restrictions on certain uses and disclosures, as well as

choose how we communicate with you regarding your health information.

Security Measures: 

We maintain administrative, technical, and physical safeguards to protect your PHI

against unauthorized access, use, or disclosure.

Breach Notification: In the event of a breach of your unsecured PHI, we will notify you

in accordance with applicable law.

Contact Information: 

If you have any questions, concerns, or wish to exercise your rights, please contact our

Office Manager at 605.342.5995 or office@carpenterdental.net

Changes to this Notice: 

We reserve the right to modify this Notice of Privacy Practices. Any changes will be

posted in our office and on our website.

This notice covers the essential aspects of the dental office’s privacy practices and

ensures that patients are informed about how their protected health information will be

handled. Remember to customize the information to fit the specifics of your dental office

and to comply with applicable laws and regulations.