Notice of Privacy Practices

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

Our commitment to your privacy

Bellaire Dental Group is committed to protecting the privacy of your protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable Texas law.

How we may use and disclose your information

• Treatment: to provide, coordinate, and manage your dental care.
• Payment: to bill and obtain payment from you or your insurer.
• Health care operations: for quality, training, and administrative purposes that support your care.
• As required by law: when disclosure is required by federal, state, or local law.

Your rights

• To inspect and request a copy of your records
• To request corrections to your records
• To request restrictions on certain uses and disclosures
• To request confidential communications
• To receive an accounting of certain disclosures
• To receive a paper copy of this notice

Website forms

Information submitted through our website (such as an appointment request) is used only to respond to and schedule your visit. Please do not include detailed medical or sensitive information in online forms; we'll gather what we need securely at your appointment.

Questions or complaints

If you have questions about this notice or believe your privacy rights have been violated, please contact us:

Bellaire Dental Group
6699 Chimney Rock Rd., Suite 101, Houston, TX 77081-5339
(713) 668-8383