Notice of Privacy Practices (HIPAA)

Effective Date: 9/1/2025

This Notice of Privacy Practices describes how PuraVida Orthodontics (“we,” “our,” “us”) may use and disclose your health information, and your rights regarding that information. We are committed to protecting the privacy of your health information as required by law.

How We May Use and Disclose Health Information

We may use and share your health information for the following purposes:

  • Treatment: To provide, coordinate, or manage your orthodontic care and related services.
  • Payment: To bill and collect payment from you, your insurance company, or other third-party payers.
  • Healthcare Operations: For activities necessary to operate our practice, improve services, and ensure quality care.
  • Required by Law: We may disclose information when required to do so by federal, state, or local law.

Other Permitted Uses and Disclosures

We may also share information in other limited circumstances, including:

  • To public health authorities for preventing or controlling disease.
  • To comply with legal proceedings or law enforcement requests.
  • To coroners, medical examiners, or funeral directors, if necessary.
  • For workers’ compensation or other legally required programs.

Your Rights

You have the following rights regarding your health information:

  • Right to Access: You may request a copy of your health records.
  • Right to Amend: You may request corrections to your health records if you believe they are inaccurate or incomplete.
  • Right to Restrict: You may request limitations on how your information is used or shared. We will consider your request, but we are not required to agree to it.
  • Right to Confidential Communications: You may request that we communicate with you in a specific way (for example, at a different mailing address).
  • Right to a Paper Copy: You may request a paper copy of this notice at any time.

Changes to This Notice

We reserve the right to change this Notice of Privacy Practices. Any changes will apply to all health information we maintain. The updated notice will be posted on our website and available at our office.

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. You will not be penalized for filing a complaint.

Contact Us

If you have any questions about this Notice of Privacy Practices, please contact us at:

PuraVida Orthodontics
1130 County Hwy. 10
Spring Lake Park, MN 55432
jenny@puravidaortho.com
(763) 786-9050