Privacy Policy
How we handle your health information.
Effective Date: January 1, 2026
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.
Aurelian Dental is required by law to maintain the privacy of your protected health information ("PHI"), to provide you with this Notice of our legal duties and privacy practices, and to notify you following a breach of unsecured PHI. We are required to abide by the terms of this Notice while it is in effect.
1. HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
Treatment: We may use and disclose your health information to provide, coordinate, or manage your dental care. For example, our dentists and hygienists may share information with each other or with a specialist we refer you to.
Payment: We may use and disclose your health information to obtain payment for services, including billing your insurance carrier, verifying coverage, and processing claims.
Healthcare Operations: We may use your health information for internal purposes such as quality assessment, staff training, and practice management.
Appointment Reminders and Care Information: We may contact you by phone, text, mail, or email to remind you of appointments or to provide information about post-visit care.
2. USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION
Other than as described above, we will not use or disclose your health information without your written authorization. You may revoke an authorization at any time in writing, except to the extent we have already acted on it.
3. USES AND DISCLOSURES WE MAY MAKE WITHOUT AUTHORIZATION
In limited circumstances, the law allows or requires us to share your information without your authorization, including: as required by law; for public health activities (such as reporting communicable diseases); to report suspected abuse, neglect, or domestic violence; for health oversight activities; in response to a court or administrative order, subpoena, or other lawful process; to law enforcement in limited circumstances; and to avert a serious threat to health or safety.
4. YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have the right to request a copy of your dental records, request that we amend your records if you believe information is incorrect or incomplete, request a list of certain disclosures we have made of your health information, request restrictions on certain uses or disclosures of your information, request confidential communications by an alternative means or at an alternative location, and receive a paper copy of this Notice at any time, even if you agreed to receive it electronically.
To exercise any of these rights, please contact our Practice Manager, Amber Ruiz, at (503) 583-4536 or aurelianweb.us@gmail.com.
5. CHANGES TO THIS NOTICE
We reserve the right to change this Notice and to make the revised Notice effective for health information we already have as well as any information we receive in the future. A copy of our current Notice will always be available at our office and on our website.
6. COMPLAINTS
If you believe your privacy rights have been violated, you may file a complaint with our Practice Manager or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.
7. CONTACT INFORMATION
Aurelian Dental, 123 Main St, Salem, OR 97301, (503) 583-4536, aurelianweb.us@gmail.com, Attn: Amber Ruiz, Practice Manager save