Notice of Privacy Practices
This notice explains how Plaza Dental Group may use and disclose your protected health information, and how you can access this information.
Plaza Dental Group is committed to protecting the privacy of your personal and health information. Protected health information may include information that identifies you and relates to your dental care, treatment, payment, or related healthcare services.
How We May Use Your Information
We may use or disclose your protected health information to:
Provide, coordinate, or manage your dental care and treatment
Communicate with other healthcare providers involved in your care
Process payment, insurance, and billing information
Support the operation of the practice
Contact you about appointments or information related to your care
Comply with legal requirements
Where required, we may also share information with service providers who support the operation of the practice. These providers must protect your information and only use it as permitted by law.
Your Rights
You have certain rights regarding your protected health information. These may include the right to:
Request a copy of your health records
Ask us to correct information you believe is incorrect or incomplete
Request restrictions on certain uses or disclosures
Request confidential communication by alternative means or at an alternative location
Request a list of certain disclosures of your information
Receive a copy of this notice
File a complaint if you believe your privacy rights have been violated
We will not retaliate against you for filing a complaint.
Written Authorization
Uses and disclosures of your protected health information that are not described in this notice will only be made with your written authorization, unless otherwise permitted or required by law.
If you give written authorization, you may revoke it in writing at any time, except where action has already been taken based on that authorization.
Changes to This Notice
Plaza Dental Group may update this notice from time to time. The current version will be available on our website and upon request.
Contact Information
If you have questions about this notice or your privacy rights, please contact the practice directly.
Plaza Dental Group
14111 Douglas Pkwy Suite 103
Urbandale, IA 50323
Phone: 515-224-5999
Email: appointments@dmsmiles.com
