NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

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Our Commitment to Your Privacy

South River Dental is dedicated to maintaining the privacy of your protected health information (PHI). In conducting our business, we will create records regarding you and the treatment and services we provide to you. We are required by law to maintain the confidentiality of health information that identifies you.

How We May Use and Disclose Your Health Information

We may use and disclose your PHI for the following purposes without your express written authorization:

• Treatment: We may share your information with other healthcare providers involved in your care.

• Payment: We may use and disclose your information so that the treatment and services you receive may be billed and payment may be collected from you, an insurance company, or a third party.

   

• Healthcare Operations: We may use your information to run our practice, improve your care, and contact you when necessary.

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2026 Update: Protections for Substance Use Disorder (SUD) Records

To the extent that we create, receive, or maintain patient records protected under 42 CFR Part 2 (records from federally assisted substance use disorder treatment programs), the following heightened protections apply:

• Legal Proceedings: SUD treatment records generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you without your specific written consent or a qualifying court order. A subpoena alone is not sufficient.

   

• Restrictions on Redisclosure: Information regarding SUD treatment disclosed with your consent may not be further redisclosed by the recipient unless permitted by law.

   

Your Rights Regarding Your Health Information

• Access: You have the right to inspect and obtain a copy of your paper or electronic medical record.

   

• Amendments: You may ask us to correct health information that you think is incorrect or incomplete.

   

• Confidential Communications: You can ask us to contact you in a specific way (e.g., home vs. office phone).

   

• Accounting of Disclosures: You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why.

   

• Right to a Copy: You can ask for a paper copy of this notice at any time, even if you have agreed to receive it electronically.

   

Our Responsibilities

• We are required by law to maintain the privacy and security of your PHI.

   

• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

   

• We must follow the duties and privacy practices described in this notice and give you a copy of it.

   

• We will not use or share your information other than as described here unless you tell us we can in writing.

Virginia Resident Rights: In addition to your HIPAA rights, Virginia residents may have additional protections under the Virginia Health Records Privacy Act (HRPA). We do not sell your personal data or use it for non-healthcare targeted advertising. If you wish to exercise your rights to access or delete non-medical personal data held by this practice, please contact our Privacy Officer.

Complaints

If you feel your 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. We will not retaliate against you for filing a complaint.