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HIPAA NOTICE OF PRIVACY PRACTICES

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

This Notice describes the privacy practices of Dental Oasis of Clayton (“we,” “us,” or “our”). It applies to the health information we create or receive about you that identifies you. We are required by law to maintain the privacy of your protected health information, provide this Notice of our legal duties and privacy practices, and follow the terms of this Notice currently in effect.

Effective Date: February 16, 2026

HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION

Treatment. We may use and disclose your health information to provide dental care, treatment, and services to you and to coordinate your care with other health care providers.

Payment. We may use and disclose your health information to obtain payment for services provided to you, including disclosures to insurance companies or other payers.

Health Care Operations. We may use and disclose your health information for activities necessary to operate our practice, such as quality assessment, staff training, licensing, audits, legal services, and business planning.

Appointment Reminders and Communications. We may contact you to remind you of appointments or provide information related to your care. We primarily communicate by text message and may also use email. Patients may confirm appointments by replying YES to a text message and may opt out of text messaging at any time by replying STOP. Forms may be sent through a secure link for completion.

Individuals Involved in Your Care. We may disclose your health information to a family member, friend, or other individual involved in your care or payment for your care unless you object.

Disclosures Required by Law and for Public Purposes. We may disclose your health information when required by law, for public health activities, health oversight activities, law enforcement purposes, judicial proceedings, or to prevent a serious threat to health or safety, as permitted by law.

SPECIAL CONFIDENTIALITY PROTECTIONS

Some information is subject to special confidentiality protections under applicable state or federal law. This includes HIV related information, genetic information, mental health records, and alcohol and or substance use disorder treatment records. We will comply with all applicable legal requirements regarding these records.

SUBSTANCE USE DISORDER TREATMENT INFORMATION (42 CFR PART 2)

Federal law provides heightened confidentiality protections for records related to the diagnosis, treatment, or referral for treatment of substance use disorders from federally assisted programs, known as Part 2 Programs.

We most commonly receive this information through health history information you provide to us, and occasionally through coordination of care. Records received pursuant to a general written consent may be used and disclosed for treatment, payment, and health care operations as permitted by law. Records received pursuant to a specific written consent will be used and disclosed only in accordance with the terms of that consent.

In no event will we use or disclose your Part 2 Program record, or testimony describing information contained in such record, in any civil, criminal, administrative, or legislative proceeding against you by any federal, state, or local authority, unless authorized by your written consent or by a court order after you have been provided notice, as required by law.

YOUR RIGHTS

You have the right to inspect and obtain a copy of your health information, request amendments, request restrictions, request confidential communications, receive an accounting of certain disclosures, and obtain a paper copy of this Notice.

QUESTIONS AND COMPLAINTS

If you have questions about this Notice or believe your privacy rights have been violated, you may contact our Privacy Official or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

PRIVACY OFFICIAL AND CONTACT INFORMATION

Privacy Official: Jennifer Figueroa

Dental Oasis of Clayton

45 Shotwell Rd.

Clayton, NC 27520

Phone: 919-550-5200

Email: schedulingteam@dentaloasisclayton.com

Changes to This Notice. We reserve the right to change this Notice at any time. Any changes will apply to all health information we maintain. Updated Notices will be posted in our office and provided upon request.