Notice of Privacy Practices

This Notice of Privacy Practices (“Notice”) describes how we may use or disclose your health information and how you can access your information. Please read it carefully.

About This Notice

This Notice of Privacy Practices describes how we, our Business Associates, and their subcontractors, may use and disclose your protected health information (PHI) to carry out treatment, payment, or health care operations (TPO), and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected Health Information” includes demographic information that may identify you and relates to your past, present, or future physical or mental health condition and related health care services including dental care.

We are required by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and other applicable laws to maintain the privacy of your health information, to provide individuals with this Notice of our legal duties and privacy practices with respect to such information, and to abide by the terms of this Notice.

This Notice takes effect 2/16/2026. We reserve the right to make updates. Updated Notices will be available in our office as well as on our website at: www.terracedentalgroup.net

Uses and Disclosures of Protected Health Information

Your protected health information may be used and disclosed by our office and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you, to pay your health care bills, to support the operation of our practice, and any other use required by law. Some information, such as HIV related information, genetic information, alcohol and/or substance use disorder treatment records and mental health records may be entitled to special confidentiality protections under applicable state or federal law.

Treatment

We will use and disclose your protected health information to provide, coordinate, or manage your care and any related services. For example, we may disclose your health information to a medical or dental specialist providing treatment to you, including referrals.

Payment

Your health information will be used, as needed, to obtain payment for your services. Payment activities include billing, collections, claims management, and determinations of eligibility and coverage to obtain payment from you, your insurance company, or another third party.

Healthcare Operations

We may use or disclose your protected health information as needed to support the business activities of our practice. These activities include quality assessment, employee review, training of interns, licensing, billing services, and other business activities.

We may also use authorized Artificial Intelligence (AI) programs to support clinical decision-making, enhance diagnostic accuracy, and improve your oral health outcomes. These tools are used in accordance with applicable privacy laws.

Persons Involved in Your Care

We may share information with family members, friends, or others involved in your care if you agree or do not object.

Uses and Disclosures That Do Not Require Your Authorization

We may use or disclose your protected health information in situations including disaster relief, as required by law, public health activities, health oversight, abuse or neglect investigations, FDA requirements, legal proceedings, law enforcement, research, national security, workers’ compensation, and inmate health records.

Uses and Disclosures That Require Your Authorization

Other permitted and required uses and disclosures will be made only with your consent, authorization, or opportunity to object, unless required by law.

We will obtain your authorization to use or disclose your PHI for marketing, fundraising, or research purposes.

Substance Use Disorder (SUD) Treatment Information

To the best of our ability, we will not redisclose information you provide related to substance use disorder treatment.

If we receive records from a program covered by 42 CFR Part 2, we will use or disclose them only as permitted by your consent or by law.

Your Rights

You have the right to inspect and copy your protected health information, subject to certain legal limitations.

You have the right to request restrictions on how your information is used or disclosed.

You have the right to request confidential communications.

You have the right to request an amendment to your protected health information.

You have the right to receive an accounting of certain disclosures.

You have the right to receive notice of a breach of unsecured protected health information.

Complaints and Questions

You may file a complaint with us or with the U.S. Department of Health and Human Services if you believe your privacy rights have been violated.

Terrace Dental Group
84 Thomas Johnson Ct Suite A
Frederick, MD 21702
(301) 662-9133
www.terracedentalgroup.net

U.S. Department of Health & Human Services
Office of Civil Rights
200 Independence Avenue, SW
Washington, DC 20201
www.hhs.gov/ocr