Notice of Privacy Practices

Effective date: June 17, 2026

Last updated: June 17, 2026

The Burkitt Center for Comprehensive Dentistry ("we," "us," or "our") is required by law to protect the privacy of your protected health information (PHI), to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

How we may use and disclose your health information

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

Treatment

To provide, coordinate, and manage your dental care. For example, we may share information with another provider involved in your care, such as a specialist or laboratory.

Payment

To bill and obtain payment for the care you receive. For example, we may share information with your dental or medical benefit plan, or with our payment processor, to obtain payment.

Health care operations

To run the practice: for example, quality assessment, training, scheduling, and contacting you with appointment reminders or information about treatment options.

Other uses and disclosures permitted or required without authorization

We may use or disclose your PHI without your authorization when permitted or required by law, including:

• When required by federal, state, or local law.
• For public health activities, and to report abuse, neglect, or domestic violence.
• For health oversight activities authorized by law.
• In response to a court or administrative order, subpoena, or other lawful process.
• For law enforcement purposes as permitted by law.
• To coroners, medical examiners, and funeral directors as permitted by law.
• To avert a serious and imminent threat to health or safety.
• For specialized government functions, and for workers' compensation as authorized by law.
• To business associates who perform services for us, under a written agreement that requires them to safeguard your information.

Uses and disclosures that require your written authorization

Other uses and disclosures will be made only with your written authorization, including:

• Most uses and disclosures for marketing purposes.
• Any sale of your PHI.
• Uses and disclosures of psychotherapy notes, where applicable.

You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.

Your rights regarding your health information

• Access. You have the right to inspect and obtain a copy of your PHI, including an electronic copy where we maintain it electronically. We may charge a reasonable, cost-based fee.
• Amendment. You may ask us to amend PHI you believe is incorrect or incomplete. We may deny the request under certain conditions and will explain why in writing.
• Accounting of disclosures. You may request a list of certain disclosures we made of your PHI.
• Request restrictions. You may ask us to limit how we use or disclose your PHI. We are not required to agree, except that we must agree to a request not to disclose information to a health plan about a service you paid for in full out of pocket.
• Confidential communications. You may ask us to contact you a certain way or at a certain location.
• Paper copy. You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
• Breach notification. You have the right to be notified if there is a breach of your unsecured PHI.

To exercise any of these rights, contact our Privacy Officer using the information below.

Our duties

• We are required by law to maintain the privacy of your PHI and to provide you this notice of our duties and privacy practices.
• We must follow the terms of the notice currently in effect.
• We reserve the right to change this notice and to make the revised notice effective for PHI we already have as well as information we receive in the future. If we make a material change, we will post the revised notice here, in our office, and provide it upon request.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below, or with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue SW, Washington, D.C. 20201, or at hhs.gov/ocr. We will not retaliate against you for filing a complaint.

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