Effective Date: October 13, 2025

This Notice describes how your medical information may be used and disclosed, and how you can access this information. Please review it carefully.

If you have any questions about this Notice or your privacy rights, please contact our Privacy Officer using the information below.

Privacy Officer
Park Cities Periodontics and Implant Dentistry
Preston Commons, East Tower
8115 Preston Road, Suite 655
Dallas, Texas 75225
Phone: (214) 522-9700
For email inquiries, please visit the Contact page on our website.

A. Purpose and Our Responsibilities

We are committed to protecting the privacy of your health information and complying with all applicable federal and state privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA). This Notice explains how we may use and disclose your Protected Health Information (PHI), and outlines your rights regarding that information.

We may update this Notice periodically. Any revisions will apply to all health information we maintain, and the most current version will always be available in our office and on our website.

B. How We May Use and Disclose Health Information

We may use or share your health information for the following purposes, consistent with HIPAA regulations:

Treatment

To provide, coordinate, or manage your dental and periodontal care and related services. This may include sharing information with other healthcare providers, such as your referring dentist, dental laboratories, or specialists involved in your care.

Payment

To bill and collect payment for services you receive, including communication with your insurance plan for coverage verification, authorization, or billing purposes.

Healthcare Operations

To support practice management activities, quality improvement, staff education, and compliance. For example, we may use your information to assess treatment outcomes or to train team members under supervision.

Appointment Reminders and Communications

We may contact you by phone, text, email, or mail to remind you of appointments, provide treatment instructions, or share relevant care information. You may opt out of non-essential communications at any time.

Educational and Informational Communications

With your consent, we may send you information about our services, educational resources, or updates related to oral health and implant dentistry. You may unsubscribe or withdraw consent at any time by following opt-out instructions in messages or by contacting our office.
We will never sell or share your personal information with third parties for marketing purposes without your written authorization.

Business Associates

We may share your information with trusted vendors or service providers (for example, billing services, IT support, or marketing platforms) who assist in our operations. These partners are bound by strict confidentiality and security requirements under HIPAA.

C. Other Uses and Disclosures Permitted by Law

We may disclose information without your authorization in certain circumstances, including:

  • Public health reporting (e.g., communicable disease prevention or dental device safety)
  • Compliance with legal or regulatory requirements
  • Reporting suspected abuse, neglect, or domestic violence
  • Responding to court orders, subpoenas, or law enforcement requests
  • Workers’ compensation or similar programs
  • When required by the U.S. Department of Health and Human Services to ensure HIPAA compliance

D. Your Rights Regarding Health Information

You have the right to:

  • Access and Copies: Request to review or receive a copy of your medical and billing records.
  • Request Restrictions: Ask us to limit certain uses or disclosures of your information (though we may not always be able to agree).
  • Confidential Communications: Request that we contact you through specific methods or at alternative locations.
  • Amendments: Request corrections or additions to your record if you believe it is incomplete or inaccurate.
  • Accounting of Disclosures: Request a list of certain disclosures made for purposes other than treatment, payment, or healthcare operations.
  • Paper Copy: Request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

All requests must be submitted in writing to our Privacy Officer at the address above.

E. Electronic and Digital Communications

By providing your contact information, you may consent to receive messages through email, text, or other electronic means. While we take precautions to protect your information, please note that unencrypted communications may pose a limited risk of unauthorized access. You may opt out of electronic communications at any time.

F. Complaints

If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

To file a complaint with our office:
Privacy Officer
Park Cities Periodontics and Implant Dentistry
8115 Preston Road, Suite 655
Dallas, TX 75225
Phone: (214) 522-9700

To file a complaint with the U.S. Department of Health and Human Services:
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/

G. Effective Date

This Notice is effective as of October 13, 2025 and replaces all prior versions.