HIPAA Privacy
Policy and Procedures
Effective Date: 11-17-2020

Your Privacy Matters to Us
At Slootmaker Family Dental, we take your privacy seriously. We follow the Health Insurance Portability and Accountability Act (HIPAA) to protect your personal health information.
Your Rights
You have the right to:
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Access your dental and medical records
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Request corrections to your records
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Ask for confidential communications
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Request restrictions on how we share your information
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Receive a list of disclosures
File a complaint without fear of retaliation
Our Responsibilities
We are required to:
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Maintain the privacy and security of your health information
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Provide this notice and follow the terms it outlines
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Inform you of breaches affecting your data
How We Use & Share Information
We may use and share your information for:
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Treatment – To provide and coordinate your dental care (e.g., specialists, labs)
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Payment – For billing, insurance claims, and payment processing
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Operations – For quality improvement, staff training, and administrative functions
Other disclosures may be required or allowed by law for:
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Public health and safety
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Legal issues or law enforcement
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Workers’ compensation
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Approved research
We do not sell or use your information for marketing without your written permission.
Your Choices
You may request limits on sharing information with family, friends, or caregivers. You can also opt out of appointment reminders or request a preferred method of communication.
Questions or Complaints?
If you feel your privacy rights have been violated, please contact:
Privacy Officer
Slootmaker Family Dental
📞 Phone: 970-224-4549
📧 Email: office@slootmakerfamilydental.com
🏢 Address: 220 Remington St. Fort Collins, Co 80521
You may also file a complaint with the U.S. Department of Health & Human Services:
🌐 www.hhs.gov/ocr/privacy/hipaa/complaints
We will never retaliate against you for filing a complaint.