NOTICE OF PRIVACY PRACTICES
LIVE Dental Clinic LLC
7309 US Highway 80
Hope Hull, AL 36043
Phone: (334) 741-2414
Effective Date: August 23, 2026
Your Information. Your Rights. Our Responsibilities.
This notice describes how health information about you may be used and disclosed, how you can obtain access to this information, and your rights regarding your health information. Please review it carefully.
Your Rights
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities.
Get an Electronic or Paper Copy of Your Health Record
You may ask to see or receive an electronic or paper copy of your dental record and other health information we maintain about you.
We will provide a copy or summary of your health information as required by law. We may charge a reasonable, cost-based fee when permitted by law.
Ask Us to Correct Your Health Record
You may ask us to correct health information about you that you believe is incorrect or incomplete.
We may deny your request in certain circumstances, but if we do, we will explain the reason in writing as required by law.
Request Confidential Communications
You may ask us to contact you in a specific way, such as at a particular phone number, or to send correspondence to a different address.
We will accommodate reasonable requests.
Ask Us to Limit What We Use or Share
You may ask us not to use or disclose certain health information for treatment, payment, or healthcare operations.
We generally are not required to agree to these requests.
However, if you pay for a healthcare service or item completely out-of-pocket, you may ask us not to disclose information about that service to your health plan for payment or healthcare operations purposes. We will honor that request unless disclosure is required by law.
Get a List of Certain Disclosures
You may request an accounting of certain disclosures of your health information made during the six years before the date of your request.
The accounting will not include certain disclosures, including many disclosures made for treatment, payment, or healthcare operations.
We will provide one accounting during a 12-month period without charge. We may charge a reasonable, cost-based fee for additional requests during the same 12-month period.
Get a Copy of This Notice
You may request a paper copy of this Notice of Privacy Practices at any time, even if you previously agreed to receive it electronically.
Choose Someone to Act for You
If you have given someone medical power of attorney or another person has legal authority to act on your behalf, that person may exercise your rights and make choices about your health information.
We will verify that the person has appropriate authority before taking action.
File a Complaint if You Believe Your Rights Have Been Violated
You may file a complaint with LIVE Dental Clinic LLC if you believe your privacy rights have been violated.
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
We will not retaliate against you for filing a complaint.
Your Choices
For certain health information, you may tell us your preferences about what we share.
In certain situations, you may tell us whether we may:
- Share information with your family, close friends, or others involved in your care
- Share information in a disaster-relief situation
If you are unable to tell us your preference—for example, if you are unconscious—we may share information when we believe doing so is in your best interest and is permitted by law.
We may also share information when necessary to reduce a serious and imminent threat to health or safety.
Marketing and Sale of Information
For certain marketing activities, we will obtain your written authorization when required by law.
We will obtain your written authorization before selling your protected health information when required by law.
We do not sell patient health information.
How We Typically Use or Share Your Health Information
We typically use or disclose your health information in the following ways.
Treatment
We may use your health information and share it with other healthcare professionals involved in your treatment.
Example: We may provide relevant dental records or X-rays to a specialist to whom you have been referred for treatment.
Healthcare Operations
We may use and share your health information to operate our practice, improve the quality of your care, and manage our services.
Example: We may use health information to evaluate treatment outcomes or improve clinical operations.
Payment
We may use and share your health information to bill for services and obtain payment when applicable.
Example: At your request or as otherwise permitted by law, information may be provided in connection with payment or reimbursement for dental services.
Other Ways We May Use or Share Your Information
We may use or disclose your health information in other circumstances when permitted or required by law.
These may include:
Public Health and Safety
We may disclose health information for certain public-health and safety activities, including:
- Preventing or controlling disease
- Reporting suspected abuse or neglect when required by law
- Preventing or reducing a serious threat to someone’s health or safety
- Reporting adverse reactions or product-safety concerns when required or permitted by law
Complying With the Law
We may disclose information when federal or state law requires us to do so.
Health Oversight Activities
We may disclose information to health oversight agencies for activities authorized by law, such as audits, investigations, inspections, or licensure matters.
Workers’ Compensation
We may disclose health information as authorized by and to the extent necessary to comply with workers’ compensation laws and similar programs.
Law Enforcement and Government Requests
We may disclose health information to law-enforcement officials or government agencies when permitted or required by law.
Medical Examiners and Funeral Directors
We may disclose health information to coroners, medical examiners, or funeral directors when permitted by law.
Lawsuits and Legal Proceedings
We may disclose health information in response to a valid court or administrative order, subpoena, discovery request, or other lawful process when the applicable legal requirements have been satisfied.
Research
We may use or disclose health information for research when permitted by applicable law and when required protections are in place.
Organ and Tissue Donation
When applicable, we may disclose health information to organizations involved in organ, eye, or tissue donation and transplantation as permitted by law.
Substance Use Disorder Records
To the extent that LIVE Dental Clinic LLC receives or maintains substance use disorder patient records that are protected by 42 CFR Part 2, additional federal confidentiality protections may apply.
Such records will not be used or disclosed in civil, criminal, administrative, or legislative proceedings against a patient based on those records unless the disclosure is permitted under applicable federal law, including when appropriate patient consent or a qualifying court order and subpoena are obtained.
Our Responsibilities
We are required by law to maintain the privacy and security of your protected health information.
We will notify you as required by law if a breach occurs that may have compromised the privacy or security of your protected health information.
We must follow the duties and privacy practices described in the Notice of Privacy Practices currently in effect.
We will not use or disclose your health information other than as described in this notice unless you authorize us to do so in writing or another use or disclosure is permitted or required by law.
If you give us written authorization, you generally may revoke that authorization in writing at any time. Your revocation will not affect actions we already took in reliance on your authorization.
Electronic Communications
LIVE Dental Clinic LLC may communicate with patients electronically when appropriate and permitted by law.
Patients should understand that ordinary email, text messaging, website forms, social-media messages, and similar communication methods may have privacy and security limitations.
Please do not use ordinary electronic communications for emergencies.
Changes to This Notice
We may change the terms of this Notice of Privacy Practices.
Changes may apply to all protected health information we maintain, including information created or received before the change.
When this notice is materially revised, the current version will be available upon request, at our office, and on our website.
Questions or Complaints
For questions about this notice, to exercise your privacy rights, or to submit a privacy complaint, contact:
Privacy Officer
Shirley Daniel, DDS
LIVE Dental Clinic LLC
7309 US Highway 80
Hope Hull, AL 36043
Phone: (334) 741-2414
You may also submit a complaint to the U.S. Department of Health and Human Services Office for Civil Rights.
LIVE Dental Clinic LLC will not retaliate against you for exercising your privacy rights or filing a complaint.
Effective Date: August 23, 2026