HIPAA Notice of Privacy Practices

Effective date: August 23, 2026

Our Commitment to Your Privacy

Oasis Dental is required by law to maintain the privacy of your protected health information ("PHI"), to provide you with this notice describing our legal duties and privacy practices, and to abide by the terms of this notice while it is in effect.

How We May Use and Disclose Your Health Information

For Treatment. We may use and disclose your PHI to provide, coordinate, or manage your dental care, including consulting with other treating providers.

For Payment. We may use and disclose your PHI to obtain payment for services, including billing your insurance carrier and verifying coverage.

For Health Care Operations. We may use and disclose your PHI to support our business operations, such as quality assessment, staff training, and practice management.

We may also use or disclose your PHI, without your written authorization, for the following purposes, where permitted by law:

Appointment reminders and information about treatment alternatives or health-related services
As required by law
Public health activities (e.g., disease reporting)
Health oversight activities
Judicial or administrative proceedings, in response to a valid order
Law enforcement purposes, as permitted or required by law
To avert a serious threat to health or safety
Workers' compensation programs
Research, subject to the protections required by law
Organ and tissue donation — we may share information with organ procurement organizations if you are an organ donor
Medical examiners and funeral directors — we may share information with a coroner, medical examiner, or funeral director when an individual dies
Military, veterans, and national security — if you are a member of the armed forces, we may share information as required by military command authorities; we may also share information for national security, intelligence, or protective service activities as authorized by law
Inmates — if you are an inmate of a correctional institution, we may share information with that institution as permitted by law

Your Choices About Your Information

For certain information, you can tell us your preference. If you have a clear preference for how we share your information, talk to us and we'll follow your instructions.

Ask us to limit what we share. You can ask us not to use or share certain health information. We are not required to agree to those requests, and may decline if it would affect your care. However, if you pay in full out of pocket for a service, you can ask us not to share information about that service with your health plan — and we will say yes unless a law requires the disclosure.

If you aren't able to tell us your preference — for example if you're unconscious — we may share your information if we believe it's in your best interest, or when needed to lessen a serious and imminent threat to health or safety.

We never share your information for marketing purposes, or sell your information, without your written permission.

Uses and Disclosures Requiring Your Written Authorization

Other than as described above, we will not use or disclose your PHI without your written authorization, including for most marketing purposes, for the sale of PHI, and for disclosure of psychotherapy notes (if applicable). You may revoke an authorization at any time, in writing, except to the extent we have already relied on it.

Your Rights Regarding Your Health Information

Right to Inspect and Copy. You may request to inspect and obtain a copy of your PHI in our records.
Right to Amend. You may request that we amend your PHI if you believe it is incorrect or incomplete.
Right to an Accounting of Disclosures. You may request a list of certain disclosures we have made of your PHI.
Ask us to limit what we use or share. You can ask us not to use or share certain health information for treatment, payment, or our operations. We aren't required to agree to your request, and may decline if it would affect your care. If you pay for a service or item out of pocket in full, you can ask us not to share that information with your health insurer. We will say yes unless a law requires us to share it.
Right to Request Confidential Communications. You may request that we communicate with you about your health matters in a particular way or at a particular location.
Right to a Paper Copy. You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
Right to be Notified of a Breach. We will notify you if there is a breach of your unsecured PHI, as required by law.
Right to Choose Someone to Act on Your Behalf. If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your PHI.

To exercise any of these rights, please submit a written request to our Privacy Officer using the contact information below. We'll respond to written requests about your records within 30 days. If we need more time we'll tell you why and when to expect a response.

Our Responsibilities

We are required by law to maintain the privacy and security of your PHI, notify you if a breach occurs that may have compromised your PHI, follow the terms of this notice, and not use or share your information other than as described here unless you tell us otherwise in writing.

Changes to This Notice

We reserve the right to change this notice and to make the revised notice effective for PHI we already have as well as any information we receive in the future. An updated notice will be available at our office and posted on this page.

Substance Use Disorder Treatment Records

Separate federal rules give extra protection to records of substance use disorder treatment. These rules — found at 42 CFR Part 2, often just called "Part 2" — apply in addition to HIPAA, and in some situations they are stricter than HIPAA. Where Part 2 is stricter, we follow Part 2.

When these rules apply to your information. Oasis Dental is not a substance use disorder treatment program, and the notes we make about your health history are covered by HIPAA rather than Part 2. But there are times when we may receive records from a program that provides substance use disorder diagnosis, treatment, or referral for treatment — for example, if we ask for your medication list or medical clearance before sedation or oral surgery, or if you ask us to coordinate your care with another provider. When we receive records like that, they carry Part 2 protection with them, and we handle them under these rules for as long as we hold them.

Your written consent. We will not use or share Part 2 records except as you have authorized in writing, or as Part 2 itself permits or requires. If you give us written consent covering treatment, payment, or our health care operations, we may then use and share those records in the ways HIPAA allows for those purposes — with the important exception described next. You can withdraw your consent in writing at any time, except where we have already acted on it.

Limits that go beyond HIPAA. Part 2 restricts some uses and disclosures that HIPAA would otherwise allow, and it requires your written consent in situations where HIPAA would not. This means there are things we can do with the rest of your dental record that we cannot do with a Part 2 record.

Use in legal proceedings. Part 2 records may not be used or disclosed in any civil, criminal, administrative, or legislative proceeding against you unless you have given specific written consent, or a court has issued an order authorizing it. A court order on its own is not enough for us to release these records — it must be accompanied by a subpoena or other legal requirement that compels disclosure. This protection applies even if you have given us consent that otherwise allows us to share the records for treatment, payment, or operations.

Redisclosure. If we share Part 2 records with someone else as permitted, that recipient is also restricted in what they may do with the information. In particular, they may not use it in a proceeding against you without your written consent or a qualifying court order.

Fundraising. We do not use substance use disorder treatment records for any fundraising purpose.

Complaints. If you believe we have not protected these records as described, you may complain to us using the contact details in this notice, or to the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be retaliated against for filing a complaint.

Araceli Macias, Privacy Officer
Oasis Dental
990 S Abilene St, Aurora, CO 80012
Text or Call (720) 680-2688
info@oasisdentalhealth.com

hhs.gov/ocr/complaints

This notice applies to all health records generated or maintained by Oasis Dental.