Notice of Privacy Practices (HIPAA)

Notice of Privacy Practices

Perry Family Dentistry
2017 Continental Pl #9, Mount Vernon Washington 98273
Phone: (360) 424-3133
Website: https://www.perryfamilydentistry.com
Effective Date: January 1, 2025

Our Commitment to Your Privacy

Perry Family Dentistry is committed to protecting your privacy and safeguarding your Protected Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable state laws. This Notice explains how we collect, use, and disclose your information, and describes your rights and our responsibilities.

What Information We Collect

We collect the following types of information when you use our services or interact with our website:

  • Personal Identifiers: Name, contact information (email, phone number, address), date of birth
  • Protected Health Information (PHI): Medical history, treatment records, insurance information, health status
  • Technical Information: IP address, browser type, device information, cookies, and usage data when you visit our website
  • Communication Records: Correspondence via email, SMS, phone calls, or web forms

How We Use Your Information

We use your information for the following purposes:

Treatment

To provide, coordinate, and manage your healthcare services. We may share PHI with other healthcare providers involved in your care.

Payment

To process billing, submit insurance claims, verify coverage, and collect payment for services rendered.

Healthcare Operations

To improve our services, train staff, conduct quality assessments, comply with legal and regulatory requirements, and perform administrative functions.

Appointment Reminders & Service Communications

To send appointment reminders, treatment follow-ups, and important service-related updates via phone, SMS, email, or mail.

Marketing Communications (With Your Consent)

To send promotional offers, educational content, health tips, and information about our services via email or SMS only when you have opted in.

Website Analytics

To analyze how visitors use our website to improve functionality and user experience.

SMS Marketing Opt-In Details

If you consent to receive marketing messages via SMS:

  • You will receive promotional messages, health tips, and service updates from Perry Family Dentistry
  • Message frequency varies based on campaigns and your engagement
  • Standard message and data rates may apply. Contact your carrier for pricing details
  • Carriers are not liable for delayed or undelivered messages
  • Opt-Out: Reply STOP at any time to unsubscribe from marketing messages
  • Help: Reply HELP for assistance or contact us at [email protected]
  • Supported carriers include major U.S. providers (AT&T, T-Mobile, Verizon, Sprint, and others)

Important: Service vs. Marketing Messages

Appointment reminders and service-related communications are NOT marketing messages. You will continue to receive these essential communications even if you opt out of marketing messages, unless you request to stop all communications.

Cookies & Tracking Technologies

Our website uses cookies and similar tracking technologies to enhance your browsing experience and analyze site usage. We use:

  • Essential Cookies: Required for website functionality and security
  • Analytics Cookies: To understand how visitors interact with our site (Google Analytics or similar)
  • Marketing Cookies: To deliver relevant advertisements and measure campaign effectiveness (Meta Pixel, Google Ads, etc.)

You can control cookie preferences through your browser settings. Note that disabling cookies may limit website functionality.

Third-Party Advertising Platforms: We may share limited information (name, email, phone, city/state) with advertising platforms like Meta (Facebook/Instagram) and Google Ads to deliver targeted advertisements. These platforms have their own privacy policies, which we encourage you to review.

How We Share Your Information

We share your information only as necessary and as permitted by law:

  • Healthcare Providers: With other providers involved in your care (with your consent or as permitted by HIPAA)
  • Insurance Companies: For billing, claims processing, and benefit verification
  • Service Providers: With third-party vendors who assist with business operations (email services, payment processors, marketing platforms). These vendors are contractually required to protect your information
  • Marketing Partners: Limited contact information may be shared with advertising platforms (Meta, Google) to deliver targeted ads, only as permitted by your consent and applicable law
  • Legal Obligations: When required by law, court order, subpoena, or to comply with regulatory requirements
  • Public Health & Safety: To report disease outbreaks, prevent serious threats to health or safety, or report abuse/neglect

Your Authorization Required

We will not use or disclose your PHI for purposes not described in this Notice without your written authorization. You may revoke authorization at any time in writing, except where we have already acted in reliance on it.

Data Security & Protection

We implement comprehensive security measures to protect your information from unauthorized access, use, or disclosure:

  • Technical Safeguards: Encryption for data in transit, secure servers, access controls, and authentication protocols
  • Physical Safeguards: Secure facilities with restricted access to paper and electronic records
  • Administrative Safeguards: Staff training on privacy and security, regular risk assessments, and incident response procedures
  • Breach Notification: If a breach of unsecured PHI occurs, we will notify affected individuals and authorities as required by HIPAA

Your Privacy Rights

You have the following rights regarding your information:

  • Access Your Records: Request and obtain copies of your health records
  • Request Corrections: Request amendments to incorrect or incomplete information
  • Request Restrictions: Ask us to limit certain uses or disclosures of your PHI
  • Confidential Communications: Request that we contact you via specific methods (e.g., phone, email, mail)
  • Accounting of Disclosures: Request a list of certain disclosures made outside treatment, payment, or healthcare operations
  • Opt-Out of Marketing: Unsubscribe from marketing emails or SMS messages at any time
  • Revoke Authorization: Withdraw consent for uses not required by law
  • File a Complaint: If you believe your privacy rights have been violated, file a complaint with us or the U.S. Department of Health and Human Services (HHS) without fear of retaliation

To exercise any of these rights, contact us using the information in the Contact Us section below.

Mobile Information Sharing Statement

Phone Number Sharing & Sale Policy

WE DO NOT SELL YOUR PHONE NUMBER.
We share your phone number only with authorized service providers to deliver services you have requested or consented to receive.

We take your privacy seriously and want to be transparent about how we handle your mobile information.

What We DO NOT Do:

  • We DO NOT sell your phone number to any third parties, data brokers, or marketing companies
  • We DO NOT sell your personal health information (PHI) to anyone
  • We DO NOT share your phone number with unrelated businesses for their own marketing purposes
  • We DO NOT allow third parties to use your information beyond the specific services they provide to us

What We DO Share (And Why):

We only share your mobile phone number with carefully vetted, authorized service providers who help us deliver services to you. This includes:

  • SMS/Text Messaging Platforms: To send appointment reminders, service updates, and marketing messages (if you opted in)
  • Appointment Reminder Services: To automate scheduling confirmations and reduce no-shows
  • Customer Relationship Management (CRM) Tools: To manage patient communications and service delivery
  • Advertising Platforms (Limited Data Only): We may share hashed or encrypted phone numbers with platforms like Meta (Facebook/Instagram) or Google Ads to:
    • Show you relevant ads about our services
    • Measure the effectiveness of our marketing campaigns
    • Create "lookalike audiences" to reach similar patients

How We Protect Your Information When Sharing:

All service providers and partners we work with are:

  • Contractually bound to protect your information and use it only for our specified purposes
  • Prohibited from selling or sharing your information with others
  • Required to comply with HIPAA, data protection laws, and industry security standards
  • Subject to audit to ensure they meet our privacy and security requirements

Your phone number is NEVER shared for purposes unrelated to your care, the services you requested, or communications you authorized.

Mobile App & Patient Portal Data:

If we offer a mobile application or patient portal, we collect and use information as described throughout this Notice. We may share limited non-PHI data (such as app usage analytics) with technology providers to improve functionality and user experience, but we do not sell your personal health information.

Your Control:

  • You can opt out of marketing messages at any time by replying STOP to any SMS or clicking "unsubscribe" in emails
  • You can request we stop sharing your information with specific service providers (though this may limit our ability to provide certain services)
  • You can contact us to ask questions about who we share your information with and why

Third-Party Links

Our website may contain links to third-party websites or services. We are not responsible for the privacy practices of these external sites. We encourage you to review their privacy policies. This Notice applies only to information collected by Perry Family Dentistry.

Children's Privacy

Our services are not directed to individuals under the age of 13. We do not knowingly collect personal information from children without parental consent. If we become aware that we have collected information from a child under 13 without verification of parental consent, we will delete that information.

Changes to This Notice

We reserve the right to revise this Notice at any time to reflect changes in our practices, legal requirements, or operational needs. The updated Notice will be posted on our website with the effective date above. Material changes will be communicated to you via email or prominently on our website.

How to Contact Us

If you have questions about this Notice, your privacy rights, wish to exercise your rights, or want to file a complaint, please contact us:

Return to Sport Services LLC
2017 Continental Pl #9, Mount Vernon Washington 98273
Phone: (360) 424-3133
Email: [email protected]
Website: https://www.perryfamilydentistry.com

U.S. Department of Health & Human Services — Office for Civil Rights (OCR)

Website: www.hhs.gov/ocr/privacy | Phone: 1-800-368-1019

Perry Family Dentistry will not retaliate against you for filing a complaint.

Acknowledgment: By using our website and services, you acknowledge receipt of this Notice. Your consent for uses described herein, including marketing communications and data sharing with service providers, will be obtained separately as required by applicable law.

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Notice of Privacy Practices

Return to Sport Services LLC
2017 Continental Pl #9, Mount Vernon Washington 98273
Phone: (360) 424-3133
Website: https://www.perryfamilydentistry.com
Effective Date: January 1, 2025

Our Commitment to Your Privacy

Return to Sport Services LLC is committed to protecting your privacy and safeguarding your Protected Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable state laws. This Notice explains how we collect, use, and disclose your information, and describes your rights and our responsibilities.

What Information We Collect

We collect the following types of information when you use our services or interact with our website:

  • Personal Identifiers: Name, contact information (email, phone number, address), date of birth
  • Protected Health Information (PHI): Medical history, treatment records, insurance information, health status
  • Technical Information: IP address, browser type, device information, cookies, and usage data when you visit our website
  • Communication Records: Correspondence via email, SMS, phone calls, or web forms

How We Use Your Information

We use your information for the following purposes:

Treatment

To provide, coordinate, and manage your healthcare services. We may share PHI with other healthcare providers involved in your care.

Payment

To process billing, submit insurance claims, verify coverage, and collect payment for services rendered.

Healthcare Operations

To improve our services, train staff, conduct quality assessments, comply with legal and regulatory requirements, and perform administrative functions.

Appointment Reminders & Service Communications

To send appointment reminders, treatment follow-ups, and important service-related updates via phone, SMS, email, or mail.

Marketing Communications (With Your Consent)

To send promotional offers, educational content, health tips, and information about our services via email or SMS only when you have opted in.

Website Analytics

To analyze how visitors use our website to improve functionality and user experience.

SMS Marketing Opt-In Details

If you consent to receive marketing messages via SMS:

  • You will receive promotional messages, health tips, and service updates from Return to Sport Services LLC
  • Message frequency varies based on campaigns and your engagement
  • Standard message and data rates may apply. Contact your carrier for pricing details
  • Carriers are not liable for delayed or undelivered messages
  • Opt-Out: Reply STOP at any time to unsubscribe from marketing messages
  • Help: Reply HELP for assistance or contact us at [email protected]
  • Supported carriers include major U.S. providers (AT&T, T-Mobile, Verizon, Sprint, and others)

Important: Service vs. Marketing Messages

Appointment reminders and service-related communications are NOT marketing messages. You will continue to receive these essential communications even if you opt out of marketing messages, unless you request to stop all communications.

Cookies & Tracking Technologies

Our website uses cookies and similar tracking technologies to enhance your browsing experience and analyze site usage. We use:

  • Essential Cookies: Required for website functionality and security
  • Analytics Cookies: To understand how visitors interact with our site (Google Analytics or similar)
  • Marketing Cookies: To deliver relevant advertisements and measure campaign effectiveness (Meta Pixel, Google Ads, etc.)

You can control cookie preferences through your browser settings. Note that disabling cookies may limit website functionality.

Third-Party Advertising Platforms: We may share limited information (name, email, phone, city/state) with advertising platforms like Meta (Facebook/Instagram) and Google Ads to deliver targeted advertisements. These platforms have their own privacy policies, which we encourage you to review.

How We Share Your Information

We share your information only as necessary and as permitted by law:

  • Healthcare Providers: With other providers involved in your care (with your consent or as permitted by HIPAA)
  • Insurance Companies: For billing, claims processing, and benefit verification
  • Service Providers: With third-party vendors who assist with business operations (email services, payment processors, marketing platforms). These vendors are contractually required to protect your information
  • Marketing Partners: Limited contact information may be shared with advertising platforms (Meta, Google) to deliver targeted ads, only as permitted by your consent and applicable law
  • Legal Obligations: When required by law, court order, subpoena, or to comply with regulatory requirements
  • Public Health & Safety: To report disease outbreaks, prevent serious threats to health or safety, or report abuse/neglect

Your Authorization Required

We will not use or disclose your PHI for purposes not described in this Notice without your written authorization. You may revoke authorization at any time in writing, except where we have already acted in reliance on it.

Data Security & Protection

We implement comprehensive security measures to protect your information from unauthorized access, use, or disclosure:

  • Technical Safeguards: Encryption for data in transit, secure servers, access controls, and authentication protocols
  • Physical Safeguards: Secure facilities with restricted access to paper and electronic records
  • Administrative Safeguards: Staff training on privacy and security, regular risk assessments, and incident response procedures
  • Breach Notification: If a breach of unsecured PHI occurs, we will notify affected individuals and authorities as required by HIPAA

Your Privacy Rights

You have the following rights regarding your information:

  • Access Your Records: Request and obtain copies of your health records
  • Request Corrections: Request amendments to incorrect or incomplete information
  • Request Restrictions: Ask us to limit certain uses or disclosures of your PHI
  • Confidential Communications: Request that we contact you via specific methods (e.g., phone, email, mail)
  • Accounting of Disclosures: Request a list of certain disclosures made outside treatment, payment, or healthcare operations
  • Opt-Out of Marketing: Unsubscribe from marketing emails or SMS messages at any time
  • Revoke Authorization: Withdraw consent for uses not required by law
  • File a Complaint: If you believe your privacy rights have been violated, file a complaint with us or the U.S. Department of Health and Human Services (HHS) without fear of retaliation

To exercise any of these rights, contact us using the information in the Contact Us section below.

Mobile Information Sharing Statement

Phone Number Sharing & Sale Policy

WE DO NOT SELL YOUR PHONE NUMBER.
We share your phone number only with authorized service providers to deliver services you have requested or consented to receive.

We take your privacy seriously and want to be transparent about how we handle your mobile information.

What We DO NOT Do:

  • We DO NOT sell your phone number to any third parties, data brokers, or marketing companies
  • We DO NOT sell your personal health information (PHI) to anyone
  • We DO NOT share your phone number with unrelated businesses for their own marketing purposes
  • We DO NOT allow third parties to use your information beyond the specific services they provide to us

What We DO Share (And Why):

We only share your mobile phone number with carefully vetted, authorized service providers who help us deliver services to you. This includes:

  • SMS/Text Messaging Platforms: To send appointment reminders, service updates, and marketing messages (if you opted in)
  • Appointment Reminder Services: To automate scheduling confirmations and reduce no-shows
  • Customer Relationship Management (CRM) Tools: To manage patient communications and service delivery
  • Advertising Platforms (Limited Data Only): We may share hashed or encrypted phone numbers with platforms like Meta (Facebook/Instagram) or Google Ads to:
    • Show you relevant ads about our services
    • Measure the effectiveness of our marketing campaigns
    • Create "lookalike audiences" to reach similar patients

How We Protect Your Information When Sharing:

All service providers and partners we work with are:

  • Contractually bound to protect your information and use it only for our specified purposes
  • Prohibited from selling or sharing your information with others
  • Required to comply with HIPAA, data protection laws, and industry security standards
  • Subject to audit to ensure they meet our privacy and security requirements

Your phone number is NEVER shared for purposes unrelated to your care, the services you requested, or communications you authorized.

Mobile App & Patient Portal Data:

If we offer a mobile application or patient portal, we collect and use information as described throughout this Notice. We may share limited non-PHI data (such as app usage analytics) with technology providers to improve functionality and user experience, but we do not sell your personal health information.

Your Control:

  • You can opt out of marketing messages at any time by replying STOP to any SMS or clicking "unsubscribe" in emails
  • You can request we stop sharing your information with specific service providers (though this may limit our ability to provide certain services)
  • You can contact us to ask questions about who we share your information with and why

Third-Party Links

Our website may contain links to third-party websites or services. We are not responsible for the privacy practices of these external sites. We encourage you to review their privacy policies. This Notice applies only to information collected by Return to Sport Services LLC.

Children's Privacy

Our services are not directed to individuals under the age of 13. We do not knowingly collect personal information from children without parental consent. If we become aware that we have collected information from a child under 13 without verification of parental consent, we will delete that information.

Changes to This Notice

We reserve the right to revise this Notice at any time to reflect changes in our practices, legal requirements, or operational needs. The updated Notice will be posted on our website with the effective date above. Material changes will be communicated to you via email or prominently on our website.

How to Contact Us

If you have questions about this Notice, your privacy rights, wish to exercise your rights, or want to file a complaint, please contact us:

Return to Sport Services LLC
2017 Continental Pl #9, Mount Vernon Washington 98273
Phone: (360) 424-3133
Email: [email protected]
Website: https://www.perryfamilydentistry.com

U.S. Department of Health & Human Services — Office for Civil Rights (OCR)

Website: www.hhs.gov/ocr/privacy | Phone: 1-800-368-1019

Return to Sport Services LLC will not retaliate against you for filing a complaint.

Acknowledgment: By using our website and services, you acknowledge receipt of this Notice. Your consent for uses described herein, including marketing communications and data sharing with service providers, will be obtained separately as required by applicable law.