HIPAA Privacy Policy & Notice of Privacy Practices

Effective Date: January 31, 2026

Our Commitment to Your Privacy

Borden Family Dentistry is committed to protecting the privacy of your dental and health information. This notice explains how your dental information may be used and disclosed, and how you can access it. Please review it carefully.

This notice applies to all records of your dental care maintained by our office.

HIPAA and Protected Health Information (PHI)

Under HIPAA (Health Insurance Portability and Accountability Act), we are required to:

  • Maintain the privacy of your Protected Health Information (PHI)
  • Provide you with notice of our privacy practices
  • Follow the terms of this notice currently in effect

PHI includes information that identifies you and relates to your past, present, or future dental or medical condition, treatment, or payment for care.

Website Use and Online Forms

This website is for informational purposes only.

  • Our website does not collect or transmit Protected Health Information (PHI)
  • Online forms are intended for general contact and appointment requests only
  • Please do not submit dental, medical, insurance, or other confidential health information through this website

For questions or information about your dental care, please contact our office directly by phone or in person.

How We May Use and Disclose Your Dental Information

We may use or disclose your dental information without your written authorization for the following purposes:

  • Treatment: To provide, coordinate, or manage your dental care
  • Payment: To bill and collect payment from insurance companies or other entities
  • Healthcare Operations: For quality assessment, staff training, and office operations

Other uses and disclosures not listed here will be made only with your written authorization, unless permitted or required by law.

Your Rights Regarding Your Dental Information

You have the right to:

  • Request access to your dental records
  • Request corrections to your records
  • Request restrictions on certain uses or disclosures
  • Receive a paper copy of this notice
  • Request confidential communications
  • File a complaint if you believe your privacy rights have been violated

To exercise these rights, please contact our office using the information below.

Our Responsibilities

We are required by law to maintain the privacy of your PHI, notify you of any breaches, and comply with the terms of this notice.

We may change this notice and make the revised notice effective for all dental records we maintain. Updated notices will be available in our office and on our website.

Cookies and Website Analytics

This website may use cookies or analytics tools to improve user experience. These tools do not collect PHI and are not used to identify patients.

Questions or Complaints

If you have questions about this Privacy Policy or believe your privacy rights have been violated, please contact us:

Our Contact Information:

Borden Family Dentistry
315 E Jefferson St.
Plymouth, IN 46563
574-936-8588

You may also file a complaint with the U.S. Department of Health and Human Services. Filing a complaint will not affect your dental care.

By using this website, you acknowledge that you have read and understand this HIPAA Privacy Policy and Notice of Privacy Practices.