Privacy Statement (HIPAA Compliance)

Your Privacy Matters to Us

At Gove Family Dentistry, we are committed to protecting your personal health information. As a dental practice, we are required by law (the Health Insurance Portability and Accountability Act, or HIPAA) to keep your health information private and secure.

Information We Collect

We may collect information such as:

• Your name, address, phone number, and email.
• Insurance details and billing information.
• Dental and medical history, treatment records, and X-rays.

How We Use Your Information

Your information may be used to:

• Provide and coordinate your dental care.
• Communicate with you about appointments, treatment, or follow-up care.
• Bill and process payments with your insurance provider.
• Conduct routine healthcare operations such as quality assessments and staff training.

Your Rights

You have the right to:

• Access and request a copy of your health records.
• Request corrections to your records if you believe they are inaccurate.
• Ask us to limit how we use or share your information.
• Receive a list of disclosures of your health information.
• Request confidential communications (for example, contact only by mail or at a specific phone number).
• File a complaint if you believe your privacy rights have been violated.

Our Responsibilities

We are legally required to:

• Maintain the privacy and security of your health information.
• Provide you with this Privacy Statement describing our practices.
• Notify you promptly if a breach occurs that may have compromised your information.
• Only share your information as allowed by HIPAA, unless you provide written permission.

Sharing Your Information

We may share your health information with:

• Other healthcare providers involved in your care.
• Insurance companies to process claims.
• Business associates who help us operate (for example, labs or IT support) under strict confidentiality agreements.
• Public health agencies when required by law.

We will never sell your information or use it for marketing without your written consent.

Questions or Concerns?

If you have questions about this notice or want to exercise your privacy rights, please contact us at:

Gove Family Dentistry – Fishers
11501 Cumberland Rd, Ste 200
Fishers, IN 46037
Phone: (317) 578-1414
Email: info@govefamilydentistry.com

Effective Date: September 12, 2025