HIPAA Privacy Policy


Effective Date: October 24, 2025

At East End Tooth Ferry Pediatric Dentistry, we take your child’s privacy and health information protection seriously. This notice describes how medical and dental information about your child may be used, shared, and protected, in compliance with the Health Insurance Portability and Accountability Act (HIPAA).



Your Rights


You have the right to:

  1. Access and request copies of your child’s dental or medical records.
  2. Request corrections to your child’s health information if you believe it is incomplete or inaccurate.
  3. Receive a list of disclosures of health information we’ve made, except for those related to treatment, payment, or healthcare operations.
  4. Request limits on how your child’s health information is used or shared.
  5. Request confidential communications (for example, using an alternate address or phone number).
  6. Receive a paper copy of this notice at any time, even if you agreed to receive it electronically.


Our Responsibilities


  1. We are required by law to maintain the privacy and security of your child’s protected health information (PHI).
  2. We will promptly notify you if a breach occurs that may have compromised the privacy or security of your child’s information.
  3. We must follow the privacy practices described in this notice and provide you with a copy upon request.
  4. We will not use or share your information other than as described here unless you provide written permission.


How We Use and Share Health Information


We typically use or share your child’s health information in the following ways:

  1. Treatment: To provide and coordinate your child’s dental care with other healthcare professionals.
  2. Payment: To process insurance claims, verify benefits, and obtain payment for services rendered.
  3. Healthcare Operations: To improve quality, train staff, and manage our practice efficiently.


Other Ways We May Use or Share Information


We may also use or share information when permitted or required by law, such as:

  1. To prevent or report abuse, neglect, or domestic violence.
  2. For public health and safety reporting.
  3. For legal or regulatory compliance, such as responding to a court order or subpoena.
  4. To assist with medical research (only with proper authorization or de-identification).
  5. To comply with workers’ compensation or law enforcement requests.


When Written Permission Is Required


We will never share your child’s information for marketing or fundraising purposes, nor sell your information. Any other use or disclosure not covered by this notice will require your explicit written consent.


Our Commitment to Security


We use secure electronic systems and follow strict internal protocols to protect your child’s information from unauthorized access, alteration, or disclosure. Only authorized staff have access to patient data for treatment and administrative purposes.


Questions or Complaints


If you believe your privacy rights have been violated, you may contact our Privacy Officer using the information below. You also have the right to file a complaint with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights. We will not retaliate against you for filing a complaint.


Privacy Officer

East End Tooth Ferry Pediatric Dentistry

315 Meeting House Lane

Southampton, NY 11968

Phone: 631-204-5700

Email: eastendtoothferry@aol.com

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We are committed to protecting your privacy and ensuring that your child’s health information remains confidential, secure, and used only for the purpose of providing safe and effective dental care.

©2025 – East End Tooth Ferry Pediatric Dentistry

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