Effective Date: October 6, 2026Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. At
Lumina Dentistry, we understand that information about your dental care is personal and important. We are committed to protecting the privacy of your protected health information (PHI) and using and disclosing it only as permitted by applicable law.
This Notice of Privacy Practices explains how we may use and disclose your protected health information, your rights regarding that information, and our responsibilities for protecting your privacy.
Your Health Information
Protected health information includes information about your health, dental treatment, payment for care, or other information that can identify you and is related to your dental care.
We may receive or create protected health information when you receive dental services from Lumina Dentistry, communicate with our team, schedule an appointment, complete patient forms, provide insurance information, or otherwise interact with our practice as a patient.
How We May Use and Share Your Information
We may use or disclose your protected health information without obtaining your separate written authorization when permitted by HIPAA and other applicable laws.
Treatment
We may use or disclose your health information to provide, coordinate, or manage your dental care. For example, our dental team may share relevant information with another healthcare professional involved in your treatment when necessary for your care.
Payment
We may use or disclose your health information to obtain payment for dental services. This may include providing information to your dental or health insurance plan when necessary to process a claim or determine eligibility or coverage.
Health Care Operations
We may use or disclose your health information for activities necessary to operate our dental practice. These activities may include quality assessment, staff training, administrative services, business planning, compliance activities, and other functions needed to provide and manage our services.
Appointment Reminders
We may use your health information to contact you about appointments, scheduling, treatment-related information, or other communications related to your care.
People Involved in Your Care
When permitted by law, we may disclose relevant health information to a family member, friend, or another person you identify as being involved in your dental care or payment for your care. We may also disclose information when necessary to assist with care or payment, unless you ask us not to do so and applicable law allows us to honor that request.
As Required by Law
We may use or disclose protected health information when required to do so by federal, state, or local law.
Public Health Activities
We may disclose health information for public health activities when permitted or required by law, such as activities intended to prevent or control disease, injury, or other health-related concerns.
Health Oversight
We may disclose protected health information to appropriate government agencies for activities authorized by law, including audits, investigations, inspections, licensing activities, and other oversight functions.
Legal Proceedings
We may disclose protected health information in response to a court order, administrative order, subpoena, discovery request, or other lawful process when the disclosure is permitted or required by applicable law.
Law Enforcement
We may disclose health information to law enforcement officials when permitted or required by law, including in response to certain legal requests or when necessary to comply with applicable legal requirements.
Serious Threats to Health or Safety
We may use or disclose protected health information when necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public, when permitted by applicable law.
Uses That Require Your Authorization
Uses and disclosures of protected health information that are not permitted by HIPAA or other applicable law generally require your written authorization.
For example, certain uses and disclosures for marketing purposes or disclosures involving the sale of protected health information may require your written authorization unless an exception under applicable law applies.
If you provide an authorization, you may generally revoke it in writing at any time to the extent permitted by law. Revocation will not affect actions already taken based on the authorization.
Your Privacy Rights
You have certain rights regarding your protected health information under HIPAA. These rights may include the following:
Right to Inspect and Obtain a Copy
You generally have the right to inspect and obtain a copy of your protected health information maintained by our practice, subject to applicable legal limitations.
Right to Request a Correction
You may request that we correct protected health information that you believe is inaccurate or incomplete. Your request must be made in accordance with applicable procedures and requirements.
Right to Request Confidential Communications
You may ask us to communicate with you about your health information in a specific way or at a specific location if your request meets applicable requirements.
Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your protected health information. We are not required to agree to every restriction request unless applicable law requires us to do so.
Right to Request a List of Certain Disclosures
You may have the right to request an accounting of certain disclosures of your protected health information made by our practice, subject to exceptions provided by law.
Right to Receive a Copy of This Notice
You have the right to request a paper copy of this Notice of Privacy Practices at any time. You may also request an electronic copy when available.
Right to Choose a Personal Representative
If you have a person legally authorized to act on your behalf, that person may be able to exercise certain privacy rights on your behalf. We may verify the person’s authority before acting on the request.
Our Responsibilities
Lumina Dentistry is required by law to maintain the privacy of protected health information and provide patients with this Notice of Privacy Practices explaining our legal duties and privacy practices.
We will follow the privacy practices described in the notice currently in effect. If we make a material change to our privacy practices, we will update this notice and make the revised notice available as required by law.
We are also required to notify affected individuals when a breach of unsecured protected health information occurs, when notification is required by applicable law.
Special Information About Your Rights
If you are a parent, legal guardian, or personal representative acting for another person, including a child, certain privacy rights may be exercised on that person’s behalf when permitted by law.
Some state or federal laws may provide additional protections for certain types of health information. When applicable, Lumina Dentistry will follow the more protective requirements that apply to the information and situation.
Complaints About Your Privacy
If you believe your privacy rights have been violated, you may file a complaint with Lumina Dentistry. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
You will not be retaliated against for filing a privacy complaint.
To learn more about filing a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, visit
HHS HIPAA Complaint Information.
Changes to This Notice
We may change this Notice of Privacy Practices from time to time. Any revised notice will apply to protected health information that we maintain, as permitted by law.
When changes are made, we will update the effective date at the beginning of this notice and make the updated notice available as required.
Contact Us About Your Privacy
If you have questions about this Notice of Privacy Practices, your privacy rights, or how your protected health information may be used or disclosed, please contact Lumina Dentistry.
Lumina Dentistry 6001 McCrimmon Pkwy #200D, Morrisville, NC 27560 (919) 300-8887 You may also contact us through our
Contact Us page.
For questions involving protected health information or a request to exercise a privacy right, please contact our office so that we can direct your request to the appropriate person or department.
Effective Date
October 6, 2026