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HIPAA

Notice of Privacy Practices

Effective Date: November 3, 2026

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

This Notice of Privacy Practices (“Notice”) describes how Benson Dental Care (“we,” “us,” “our,” or “the Practice”) may use and disclose your Protected Health Information (“PHI”) to provide treatment, obtain payment, conduct health care operations, and carry out other activities permitted or required by law.

This Notice also explains your rights regarding your health information and our responsibilities under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and other applicable privacy laws.

1. Our Commitment to Your Privacy

At Benson Dental Care, protecting the privacy and confidentiality of our patients’ health information is an important part of providing quality dental care.

We are required by law to maintain the privacy and security of your PHI, provide you with this Notice of our legal duties and privacy practices, and follow the terms of the Notice currently in effect.

Protected Health Information includes information that identifies you and relates to your past, present, or future physical or oral health, the dental services you receive, or payment for those services.

2. How We May Use and Disclose Your Protected Health Information

A. For Treatment

We may use and disclose your PHI to provide, coordinate, or manage your dental care and related services.

For example, we may share relevant information with dental specialists, dental laboratories, oral surgeons, or other healthcare providers involved in your treatment.

This allows our team to coordinate care and make informed decisions regarding your oral health.

B. For Payment

We may use and disclose your PHI to obtain payment for dental services provided to you.

This may include:

  • Submitting claims to dental insurance providers.

  • Verifying insurance eligibility and coverage.

  • Processing payments and billing statements.

  • Coordinating with billing services and payment processors.

  • Obtaining necessary payment authorizations.

C. For Health Care Operations

We may use and disclose your PHI for activities necessary to operate and manage Benson Dental Care.

These activities may include:

  • Quality assessment and improvement.

  • Staff training and professional development.

  • Licensing, accreditation, and compliance activities.

  • Business administration and practice management.

  • Reviewing and evaluating the quality of dental services.

  • Conducting audits and other operational activities.

D. Appointment Reminders and Treatment Alternatives

We may contact you by telephone, text message, email, or mail to remind you of scheduled appointments, follow up regarding treatment, or provide information about treatment alternatives and other health-related services.

You may request that we communicate with you through alternative methods or at a different location to protect your privacy.

E. Uses and Disclosures Required or Permitted by Law

We may use or disclose your PHI without your written authorization in certain circumstances permitted or required by law, including:

  • Public health activities: Reporting information to public health authorities when required or authorized by law.

  • Abuse or neglect: Reporting suspected abuse, neglect, or domestic violence when legally required or permitted.

  • Health oversight activities: Providing information to authorized agencies for audits, investigations, inspections, or licensing activities.

  • Judicial and administrative proceedings: Responding to lawful court orders, subpoenas, or other legal processes.

  • Law enforcement: Disclosing information to law enforcement officials under circumstances permitted by law.

  • Serious threats to health or safety: Disclosing information when necessary and legally permitted to prevent or reduce a serious threat.

  • Workers’ compensation: Providing information as authorized by applicable workers’ compensation laws.

  • Other legally permitted purposes: Making disclosures for specialized government functions, certain research activities, or other purposes authorized by applicable law.

F. Other Uses and Disclosures Requiring Authorization

Uses and disclosures of PHI not otherwise permitted or required by law generally require your written authorization.

This includes certain marketing activities, the sale of PHI, and most uses or disclosures of psychotherapy notes, if applicable.

You may revoke your written authorization at any time by submitting a written request, except to the extent that we have already acted in reliance on your authorization.

We will not use or disclose PHI for purposes prohibited by applicable law.

3. Your Rights Regarding Your Protected Health Information

Under HIPAA, you have important rights regarding your health information.

A. Right to Access Your Health Information

You have the right to inspect and obtain a copy of your dental and medical records maintained by Benson Dental Care, subject to certain legal exceptions.

You may request records in electronic or paper form, where applicable.

We may charge a reasonable, cost-based fee as permitted by law.

B. Right to Request an Amendment

If you believe that information in your dental record is inaccurate or incomplete, you may request that we amend it.

We may deny your request under certain circumstances, but we will provide a written explanation of the denial and your available rights.

C. Right to an Accounting of Disclosures

You have the right to request an accounting of certain disclosures of your PHI made during the six years preceding your request, subject to applicable exceptions.

D. Right to Request Restrictions

You may request restrictions on how we use or disclose your PHI for treatment, payment, or health care operations.

Although we are generally not required to agree to requested restrictions, we must honor certain requests to restrict disclosures to a health plan when you have paid out of pocket in full for the relevant healthcare item or service, unless disclosure is required by law.

E. Right to Request Confidential Communications

You have the right to request that we communicate with you about your health information through alternative means or at alternative locations.

For example, you may ask us to contact you only at a particular telephone number or mailing address.

We will accommodate reasonable requests.

F. Right to Receive a Paper Copy

You have the right to obtain a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

G. Right to Be Notified of a Breach

You have the right to receive notification if a breach of your unsecured PHI occurs and notification is required under applicable law.

H. Right to File a Complaint

If you believe your privacy rights have been violated, you have the right to file a complaint with Benson Dental Care or the U.S. Department of Health and Human Services.

You will not be retaliated against or penalized for filing a complaint.

To exercise any of these rights, please contact our office using the information provided in Section 6.

4. Our Responsibilities

Benson Dental Care is committed to maintaining the privacy and security of your health information.

Under applicable law, we are required to:

  • Maintain the privacy and security of your Protected Health Information.

  • Provide you with this Notice explaining our legal duties and privacy practices.

  • Follow the terms of the Notice currently in effect.

  • Notify affected individuals when a breach of unsecured PHI requires notification.

  • Comply with applicable restrictions on the use and disclosure of PHI.

  • Obtain your written authorization when required by law.

  • Provide access to your health information and respond to privacy-related requests in accordance with applicable regulations.

We will not use or disclose your PHI in ways that are inconsistent with this Notice unless permitted or required by law or authorized by you in writing.

5. Changes to This Notice

Benson Dental Care reserves the right to revise this Notice of Privacy Practices and make the revised provisions effective for all PHI we maintain, including information collected before the revision.

When material changes are made, the updated Notice will be made available through our office and website.

You may request a current copy of this Notice at any time.

We encourage patients to review this Notice periodically to remain informed about their privacy rights and our responsibilities.

6. Complaints and Contact Information

If you have questions about this Notice, wish to exercise your privacy rights, or believe your health information has been used or disclosed improperly, please contact our office.

Benson Dental Care

1005 17th St
Vero Beach, FL 32960

Phone: (772) 778-1446

Website: https://www.bensondental.com/

Privacy Contact: Please contact our office and ask to speak with the person responsible for patient privacy matters.

You may also submit a complaint directly to the U.S. Department of Health and Human Services, Office for Civil Rights.

U.S. Department of Health and Human Services — Office for Civil Rights

Website: https://www.hhs.gov/hipaa/filing-a-complaint/

Benson Dental Care will not retaliate against you for filing a privacy complaint or exercising your rights under HIPAA.

7. Acknowledgment of Receipt

Patients may be asked to sign a separate Acknowledgment of Receipt confirming that they have received or been offered this Notice of Privacy Practices.

This acknowledgment may be maintained as part of the patient’s dental record.

If a patient chooses not to sign the acknowledgment, Benson Dental Care will document its good-faith effort to obtain acknowledgment as required by applicable HIPAA regulations.

Refusal to sign the acknowledgment does not prevent a patient from receiving dental treatment.