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HIPAA Notice of Privacy Practices

Your information. Your rights. Our responsibilities.

This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully. If you have questions, contact us using the information below.

Contact

Lux Dentistry
1155 Bluegrass Ct
Alpharetta, GA 30004
Phone: (678) 773-7354

Your Rights

  • Get an electronic or paper copy of your medical record and other health information we have about you.
  • Ask us to correct information you believe is incomplete or inaccurate.
  • Request confidential communications (for example, using a different mailing address).
  • Ask us to limit what we use or share for treatment, payment, or operations; we will honor when possible and when it will not affect your care.
  • Receive a list of certain disclosures we have made of your health information for the prior six years.
  • Get a copy of this notice at any time.
  • Choose someone to act for you if they have medical power of attorney or are your legal guardian.
  • File a complaint if you believe your privacy rights have been violated.

Your Choices

In certain situations you can tell us how to share your information. We will follow your instructions when possible and when it does not affect your care.

  • Share information with family or friends involved in your care or in a disaster relief situation.
  • Include you in reminders or basic communications related to your care.
  • Contact you for fundraising; you can ask us not to contact you again.

Our Uses and Disclosures

We typically use or share your health information in the following ways:

  • Treat you and coordinate your care with other providers.
  • Run our practice operations, improve services, and contact you when needed.
  • Bill and receive payment from you, your health plan, or other payers.
  • Help with public health and safety issues, such as reporting disease or suspected abuse when required.
  • Comply with law enforcement or government requests when legally required.
  • Respond to organ and tissue donation requests, medical examiners, or funeral directors as allowed by law.
  • Address workers’ compensation, law enforcement, and other government requests when applicable.
  • Respond to lawsuits, court orders, or subpoenas when required.

For certain situations—such as marketing, sale of information, or most sharing of psychotherapy notes—we will obtain your written permission first.

Our Responsibilities

  • Maintain the privacy and security of your protected health information.
  • Inform you promptly if a breach occurs that may have compromised your information.
  • Follow the duties and privacy practices described in this notice.
  • Use or share your information only as described here unless you authorize additional uses in writing. You may revoke that authorization in writing at any time.

We may change the terms of this notice, and the changes will apply to all information we have about you. The current notice will always be available on our website and by request in our office.

Questions or Complaints

If you have questions or want to exercise your rights, contact us at the phone number above. You may also submit a complaint to the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate for filing a complaint. For official guidance, visit hhs.gov/ocr/privacy/hipaa.