HIPPA Privacy Notice

Contact Points

Website Name: Buen Pastor Dental
Website URL: https://buenpastordental.com
Customer Service Email: hello@buenpastordental.com
Customer Service Phone: +1 (954) 882-0191
Clinic Address: 4440 Sheridan St, Suite C, Hollywood, FL, 33021, United States

HIPAA Notice of Privacy Practices

Last updated: May 10th, 2025

This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Buen Pastor Dental is committed to maintaining the privacy and security of your protected health information (PHI) as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

1. Your Rights

You have the right to:

Get a copy of your dental record
Correct your dental record
Request confidential communications
Ask us to limit what we use or share
Get a list of those with whom we’ve shared your information
Get a copy of this privacy notice
Choose someone to act for you
File a complaint if you believe your privacy rights have been violated

2. Our Uses and Disclosures

We may use and share your information as we:

Treat you and coordinate your care
Run our organization and improve services
Bill and collect payment from health plans or other entities
Help with public health and safety issues (e.g., disease prevention, product recalls)
Comply with law enforcement and legal obligations
Respond to organ and tissue donation requests
Work with medical examiners or funeral directors
Address workers’ compensation, law enforcement, and other government requests
Respond to lawsuits and legal actions

3. Our Responsibilities

We are required by law to maintain the privacy and security of your PHI.
We will let you know promptly if a breach occurs that may have compromised your information.
We must follow the duties and privacy practices described in this notice.
We will not use or share your information other than as described here unless you tell us we can in writing.

4. Your Choices

You can tell us your preferences about:

Sharing information with family, friends, or others involved in your care
Sharing information in disaster relief situations
Including your information in a patient directory
Contacting you for fundraising efforts

If you are not able to tell us your preferences (e.g., if you are unconscious), we may share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

5. Changes to the Terms of This Notice

We may change the terms of this notice at any time. The new notice will be effective for all PHI we maintain. We will post a copy of the current notice in our office and on our website. You may request a copy at any time.

6. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized for filing a complaint.

To file a complaint with us, contact:
Privacy Officer
Buen Pastor Dental
4440 Sheridan St, Suite C, Hollywood, FL, 33021, United States
Phone: +1 (954) 882-0191
Email: hello@buenpastordental.com

To file a complaint with the U.S. Department of Health and Human Services, visit www.hhs.gov/ocr/privacy/hipaa/complaints/.