HIPAA Notice of Privacy Practices

Effective and Publication Dates

Effective Date: 10/22/2025

Publication Date: 10/22/2025

This notice describes how medical information about you may be used and disclosed, and how you can gain access to this information. Please review it carefully.

Contact Information

MINTY FRESH MIAMI
Dr. Jenny Hernandez
340 Alhambra Circle, Coral Gables, FL 33134
Phone: (305) 442-6422
Email: hello@mintyfreshmiami.com

Your Protected Health Information (PHI)

Protected Health Information (PHI) about you is maintained as a written and/or electronic record of your visits and contacts for dental care services with our practice. PHI includes information that can identify you, such as your name, address, phone number, and details about your past, present, or future oral health conditions and the dental care you receive.

Minty Fresh Miami is required by law to maintain the privacy of your PHI, follow specific rules regarding its use, and disclose it only when permitted or required by law. This notice explains your rights concerning your PHI and how we may use or share it to provide your treatment, process payments, manage healthcare operations, or comply with legal obligations.

Your Rights Under the Privacy Rule

1. Right to Receive and Review This Notice

You have the right to receive a copy of this Notice of Privacy Practices. We are required to follow the terms of this notice and may update it at any time. A current version will always be available at our office and on our website.

2. Right to Authorize Other Use and Disclosure

You have the right to authorize the use or disclosure of your PHI for purposes not specified in this notice. For example, your written authorization is required for marketing purposes, selling PHI, or using psychotherapy notes. You may revoke your authorization at any time in writing.

3. Right to Request Alternative Communication

You may request that we contact you by alternative means (for example, email instead of phone) or send information to an alternate address. Please provide your request in writing, and we will accommodate reasonable requests.

4. Right to Inspect and Copy Your PHI

You have the right to inspect and obtain a copy of your health records, including in electronic format if available. We may charge a reasonable fee for producing copies, as permitted by law.

5. Right to Request Restrictions

You may request, in writing, that we restrict how we use or disclose your PHI for treatment, payment, or healthcare operations. While we are not required to agree to all requests, we will honor reasonable ones whenever possible.

6. Right to Amend Your PHI

You may request an amendment to your PHI if you believe it contains inaccurate or incomplete information. If we deny your request, we will provide a written explanation.

7. Right to an Accounting of Disclosures

You have the right to request a list of disclosures of your PHI that we have made to third parties, excluding disclosures for treatment, payment, or healthcare operations.

8. Right to Receive Breach Notification

You have the right to receive written notice if your unsecured PHI has been compromised through a security breach, as required by law.

How We May Use or Disclose Your PHI

Treatment

We may use or share your PHI to provide, coordinate, or manage your dental care. For example, we may share necessary information with dental specialists, laboratories, or pharmacies involved in your treatment.

Payment

We may use and disclose your PHI to obtain payment for services rendered. This may include communication with your insurance company for claims, coverage verification, or pre-authorization of treatment.

Healthcare Operations

We may use your PHI to support the day-to-day operations of our practice, such as staff training, quality improvement, accreditation, auditing, and compliance activities.

Appointment Reminders & Communication

We may use your contact information to remind you of upcoming appointments or to discuss your treatment plan. You may opt out of such communications at any time.

To Others Involved in Your Care

With your permission (or if you do not object), we may disclose limited PHI to family members, friends, or caregivers involved in your treatment or payment.

Other Permitted Uses and Disclosures

We may use or disclose your PHI without your authorization in the following circumstances:

• As required by law
• For public health and safety purposes
• For reporting abuse or neglect
• For law enforcement or judicial proceedings
• For organ donation or medical research (under specific conditions)
• To comply with FDA regulations or worker’s compensation laws
• To military or national security authorities when required

Privacy Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or directly with the U.S. Department of Health and Human Services.

You may contact our Privacy Officer at:

Minty Fresh Miami
Privacy Officer: Dr. Jenny Hernandez
340 Alhambra Circle
Coral Gables, FL 33134
Phone: (305) 442-6422
Email: hello@mintyfreshmiami.com

We will not retaliate against you for filing a complaint.