Privacy Policy
This privacy notice discloses the privacy practices for this website. This privacy notice applies solely to information collected by this web site. It will notify you of the following:
- What personally identifiable information is collected from you through the web site, how it is used and with whom it may be shared.
- What choices are available to you regarding the use of your data.
- The security procedures in place to protect the misuse of your information.
- How you can correct any inaccuracies in the information.
Information Collection, Use, and Sharing
We are the sole owners of the information collected on this site. We only have access to/collect information that you voluntarily give us via email or other direct contact from you. We will not sell or rent this information to anyone.
We will use your information to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request, e.g. to ship an order.
Unless you ask us not to, we may contact you via email in the future to tell you about specials, new products or services, or changes to this privacy policy.
Your Access to and Control Over Information
You may opt out of any future contacts from us at any time. You can do the following at any time by contacting us via the contact form on our website:
- See what data we have about you, if any.
- Change/correct any data we have about you.
- Have us delete any data we have about you.
- Express any concern you have about our use of your data.
Security
Please do not use our contact form to email us confidential information. While we will not disclose this information to anyone, it could possibly be intercepted by unauthorized entities.
Cookies
We use "cookies" on this site. A cookie is a piece of data stored on a site visitor's hard drive to help us improve your access to our site and identify repeat visitors to our site. For instance, when we use a cookie to identify you, you would not have to log in a password more than once, thereby saving time while on our site. Cookies can also enable us to track and target the interests of our users to enhance the experience on our site. Usage of a cookie is in no way linked to any personally identifiable information on our site.
Links
This web site contains links to other sites. Please be aware that we are not responsible for the content or privacy practices of such other sites. We encourage our users to be aware when they leave our site and to read the privacy statements of any other site that collects personally identifiable information.
If you feel that we are not abiding by this privacy policy, you should contact us immediately.
NOTICE OF PRIVACY PRACTICES
Dental Solutions, LLC
Effective Date: February 1, 2026
CONTACT INFORMATION
For more information about our privacy practices, to discuss questions or concerns, or to get additional copies
of this notice, please contact our Privacy Officer.
Telephone: 870-932-3151
2819 Longview Dr, Jonesboro, AR 72401
OUR LEGAL DUTY
We are required by law to protect the privacy of your protected health information (“medical information”). We are also required to
send you this notice about our privacy practices, our legal duties and your rights concerning your medical information.
We must follow the privacy practices that are described in this notice while it is in effect. This notice takes effect on the date set
forth at the top of this page and will remain in effect unless we replace it. We reserve the right at any time to change our privacy
practices and the terms of this notice at any time, provided such changes are permitted by applicable law. We reserve the right to
make any change in our privacy practices and the new terms of our notice applicable to all medical information we maintain,
including medical information we created or received before we made the change in practices.
We may amend the terms of this notice at any time. If we make a material change to our policy practices, we will provide to you, the
revised notice. Any revised notice will be effective for all health information we maintain. The effective date of a revised notice will
be noted. A copy of the current notice in effect will be available in our facility and on our website. You may request a copy of the
current notice at any time. We collect and maintain oral, written and electronic information to administer our business and to
provide products, services and information of importance to our patients. We maintain physical, electronic and procedural
safeguards in the handling and maintenance of our patients’ medical information, in accordance with applicable state and federal
standards, to protect against risks such as loss, destruction and misuse.
USES AND DISCLOSURES OF YOUR MEDICAL INFORMATION
Treatment: We may disclose your medical information, without your prior approval, to another dentist or healthcare provider
working in our facility or otherwise providing you treatment for the purpose of evaluating your health, diagnosing medical
conditions and providing treatment. For example, your health information may be disclosed to an oral surgeon to determine
whether surgical intervention is needed
Payment: We provide dental services. Your medical information may be used to seek payment from your insurance plan or from
you. For example, your insurance plan may request and receive information on dates that you received services at our facility in
order to allow your employer to verify and process your insurance claim.
Health Care Operations: We may use and disclose your medical information, without your prior approval, for healthcare
operations. Healthcare operations include:
• healthcare quality assessment and improvement activities;
• reviewing and evaluating dental care provider performance, qualifications and competence, healthcare training programs,
provider accreditation, certification, licensing and credentialing activities;
• conducting or arranging for medical reviews, audits and legal services, including fraud and abuse detection and prevention;
and
• business planning, development, management and general administration including customer service, complaint
resolutions and billing, de-identifying medical information, and creating limited data sets for health care operations, public
health activities and research.
We may disclose your medical information to another dental or medical provider or to your health plan subject to federal privacy
protection laws, as long as the provider or plan has had a relationship with you and the medical information is for that provider/
health plan’s care quality assessment and improvement activities, competence and qualification evaluation and review activities, or
fraud and abuse detection/prevention.
Your Authorization:
You (or your legal personal representative) may give us written authorization to use your medical information
or to disclose it to anyone for any purpose. Once you give us authorization to release your medical information, we cannot
guarantee that the person to whom the information is provided will not disclose that information. You may take back or “revoke”
your written authorization at any time, except if we have already acted based on your authorization. Your revocation will not affect
any use or disclosure permitted by your authorization while it was in effect. Unless you give us written authorization, we will not use
or disclose your medical information for any purpose other than those described in this notice. We will obtain your authorization
prior to using your medical information for marketing, fundraising purposes or for commercial use. Once authorized, you may opt
out of these communications at any time.
Family, Friends and Others involved in your care or payment for care: We may disclose your medical information to a family
member, friend or any other person you involve in your care or payment for your health care. We will disclose only the medical
information that is relevant to the person’s involvement
We may use or disclose your name, location and general condition to notify, or to assist an appropriate public or private agency to
locate and notify, a person responsible for your care in appropriate situations, such as a medical emergency or during disaster relief
efforts. We will provide you with an opportunity to object to these disclosures, unless you are not present, are incapacitated or it is
an emergency or disaster relief situation. In those situations, we will use our professional judgment to determine whether disclosing
your medical information is in your best interest under the circumstances
Health-Related Products and Services: We may use your medical information to communicate with you about health-related
products, benefits, services, payment for those products, services and treatment alternatives.
Reminders: We may use or disclose medical information to send you reminders about your dental care, such as appointment
reminders via US Mail, email and telephone. By providing your email address to us, you agree that you may receive reminders and
breach notifications via email as a possible alternative to US Mail. It is the policy of our office to leave a message on any voicemail or
answering machine that may be attached to a number that you provide (home, cell or work). If you prefer that we NOT leave a
message to confirm treatment or your appointments, please check here ___
Plan Sponsors: If your dental insurance coverage is through an employer’s sponsored group dental plan, we may share summary
health information with the plan sponsor.
Public Health and Benefit Activities: We may use and disclose your medical information, without your permission, when required
by law and when authorized by law for the following kinds of public health and public benefit activities;
• for public health, including to report disease and vital statistics, child abuse, adult abuse, neglect or domestic violence;
• to avert a serious and imminent threat to health or safety;
• for healthcare oversight, such as activities of state insurance commissioners, licensing and peer review authorities and
fraud prevention agencies;
• for research;
• in response to court and administrative orders and other lawful process;
• to law enforcement officials with regard to crime victims and criminal activities;
• to coroners, medical examiners, funeral directors and organ procurement organizations;
• to the military, to federal officials for lawful intelligence, counterintelligence, and national security activities, and to
correctional institutions and law enforcement regarding persons in lawful custody; and
• as authorized by state worker’s compensation laws.
Special protections for SUD records: Substance Use Disorder (SUD) Treatment records have enhanced protections. They cannot be
used in legal proceedings without your consent or court order. If a use or disclosure of health information described above in this
notice is prohibited or materially limited by other laws that apply to us, it is our intent to meet the requirements of the more
stringent law.
Business Associates: We may disclose your medical information to our business associates that perform functions on our behalf or
provide us with services if the information is necessary for such functions or services. Our business associates are required, under
contract with us, to protect the privacy of your information and are not allowed to use or disclose any information other than as
specified in our contract.
Data Breach Notification Purposes: We may use your contact information to provide legally required notices of unauthorized
acquisition, access or disclosure of your health information.
1) HIV/AIDS;
2) Mental Health;
3) Genetic Tests (in accordance with GINA 2009);
4) Alcohol and drug abuse;
5) Sexually transmitted diseases and reproductive health information
6) Child or adult abuse or neglect, including sexual assault.
YOUR RIGHTS
1) You have a right to see and get a copy of your health records.
2) You have a right to amend your health information.
3) You have a right to ask for an Accounting of Disclosures of when and why your health information was shared for certain
purposes.
4) You are entitled to receive a Notice of Privacy Practices that tells you how your health information may be used and shared.
5) You may decide if you want to give your Authorization before your health information may be used or shared for certain
purposes, such as marketing. It is the policy of our office NOT to sell or disclose your information to any outside firms or
business partners. Your information may be used, only within our office, for the purposes of presenting to you certain
products or services which our dentist(s) or staff feel may present a benefit for you, your oral health or happiness with your
smile. If you would like to opt out of this level of service, you may do so by checking here ____.
6) You have the right to receive your information in a confidential manner and restrict certain communication methods.
7) You have a right to restrict who receives your information.
8) You have a right to request an amendment be made to your health records by submitting the request in writing to our privacy
officer. Your request does not guarantee the amendment, but does guarantee that it will be reviewed and considered.
9) If you believe your rights are being denied or your health information is not being protected, you can:
a. File a complaint with your provider or health insurer
b. File a complaint with the U.S. Government
10) Right to opt out of fundraising activities. If you would like to opt out of any fundraising programs that our office may
participate in, such as cancer walks, or other fundraising programs you may do so by checking here ____.
COMPLAINTS
If you are concerned that we may have violated your privacy rights, or you disagree with a decision we made about access to your
medical information, about amending your medical information, about restricting our use or disclosure of your medical information,
or about how we communicate with you about your medical information (including a breach notice communication), you may
contact our Privacy Officer to register either a verbal or written complaint. You may also submit a written complaint to the Office for
Civil Rights of the United States Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F,
Washington, DC, 20201. You may contact the Office for Civil Rights’ hotline at 1-800-368-1019. We support your right to privacy of
your medical information. We will not retaliate in any way if you choose to file a complaint with us or with the US Department of
Health and Human Services.