Notice of Privacy Practices

Edkin Dental is required by law to protect the privacy of your health information, to give you this notice describing our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

We are also required to notify you if a breach occurs that may have compromised the privacy or security of your information.

Most of the time we use your information for three ordinary purposes, and we do not need to ask your permission first:

• Treatment. To examine, diagnose and treat you, and to coordinate care with other people involved in it — a specialist we refer you to, a dental laboratory making your crown or denture, or your physician when a medical condition affects your dental care.
• Payment. To bill you or your insurance plan, confirm coverage before treatment, obtain prior authorization, and collect what is owed.
• Health care operations. To run the practice — quality review, training, scheduling, appointment reminders, licensing, audits, and business management.

We may use or share your information without your authorization in a limited set of circumstances defined by law, including:

• When required by federal, state or local law.
• For public health activities, such as reporting communicable disease or adverse reactions to medications.
• To report suspected abuse, neglect or domestic violence to the authority permitted to receive it.
• For health oversight — audits, investigations, inspections and licensure activity by agencies authorized to conduct them.
• In response to a court or administrative order, subpoena, warrant or other lawful process.
• For law enforcement purposes, to coroners and medical examiners, and for organ and tissue donation.
• To avert a serious and imminent threat to the health or safety of you or someone else.
• For workers' compensation claims, and for specialized government functions such as military and veteran activities.

We will ask for your written authorization before we use or share your information for marketing purposes, before we sell your information, and before we release psychotherapy notes if any exist. Any other use not described in this notice will also be made only with your written authorization.

You may revoke an authorization in writing at any time. Revoking it stops any future use, but it cannot undo a disclosure we already made while it was in effect.

• Get a copy. You can inspect and request a copy of your dental records. We will provide it within the timeframe the law allows, and we may charge a reasonable, cost-based fee.
• Ask us to correct them. If you believe something in your record is wrong or incomplete, you can ask in writing for an amendment. If we decline, we will tell you why in writing and you may submit a statement of disagreement.
• Get a list of disclosures. You can request an accounting of certain disclosures we have made in the six years before your request.
• Ask us to limit what we share. You can request a restriction on how we use or share your information. We are not required to agree, except in one case: if you pay for a service in full out of pocket, you can require us not to share that information with your health plan.
• Choose how we contact you. You can ask us to reach you at a particular phone number or address, and we will accommodate reasonable requests.
• Get a paper copy of this notice. On request, at any time, even if you agreed to receive it electronically.
• Choose someone to act for you. A person with medical power of attorney or a legal guardian can exercise these rights on your behalf once we verify their authority.

To exercise any of these, contact us using the details in section 07 below.

Tell us first — call the office and ask to speak to the privacy contact, or write to us at the address below. We will look into it.

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at hhs.gov/hipaa/filing-a-complaint.

We will not retaliate against you for filing a complaint.

Edkin Dental
Suites A, B & C, 3131 North Boulevard, Tampa, FL 33603
Phone: (813) 229-7427
Email: info@edkindental.com

We may change this notice, and any change applies to information we already hold as well as information we receive afterwards. The current version is always posted on this page with its effective date, and a copy is available at the front desk.

This notice is effective as of August 28, 2026.