Mālama Dental
NOTICE OF PRIVACY PRACTICES
Last modified: June 15, 2025
THIS NOTICE DESCRIBES HOW HEALTH AND MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. THE PRIVACY OF YOUR HEALTH AND MEDICAL INFORMATION IS IMPORTANT TO US.
OUR RESPONSIBILITIES
At Mālama Dental, we understand that health information about you is personal. We are committed to protecting your privacy and are required by federal and state laws to maintain the confidentiality of your protected health information (PHI).
This Notice explains our legal duties and privacy practices and your rights regarding your health information. This Notice is effective as of June 15, 2025, and remains in effect until amended or replaced. We may update this Notice at any time and will make the revised version available upon request.
We are required to notify you promptly if a breach occurs that may compromise the privacy or security of your information.
USES AND DISCLOSURES OF HEALTH INFORMATION
We may use and disclose your health information for the following purposes without written authorization:
- Treatment : To provide you with dental care services.
- Payment: To obtain reimbursement from insurers for services provided.
- Healthcare Operations: To assess quality, evaluate provider performance, and conduct business operations.
Other examples include:
- To family members or others involved in your care (if you agree or in emergencies)
- To notify someone about your location or general condition
- To comply with federal or state laws
- To avert a serious threat to health or safetyTo respond to legal actions, law enforcement, or public health authorities
- To organ procurement organizations or coroners
- To workers’ compensation programs
We do not use your health information for marketing purposes without your written consent.
PATIENT RIGHTS
You have the right to:
- Access your records: Request copies or summaries of your dental records.
- Request restrictions: Ask us to limit how we use or share your information.
- Request confidential communication: Ask us to contact you at a specific location or method.
- Receive a disclosure accounting: Get a list of when we’ve shared your information.
- Get a paper copy of this Notice: Even if you have received it electronically.
- File a complaint: If you believe your privacy rights have been violated.
We will not retaliate against you for filing a complaint.
QUESTIONS & COMPLAINTS
If you have questions, need more information, or want to file a complaint about our privacy practices, please contact:
Phone: 1-877-696-6775
Email: care@malama.dental
Mailing Address: Mālama Dental 2 Mountain View Ave, Long Valley, NJ 07853
You may also file a complaint with the U.S. Department of Health and Human Services at:
200 Independence Avenue, S.W.
Washington, D.C. 20201