Privacy Policy

Dental Eclipse Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY

At Dental Eclipse, your privacy is our priority. We are committed to protecting your personal health information and ensuring that it remains secure. This Notice explains how we may use and share your health information, your legal rights concerning that information, and our responsibilities under federal and state laws.

I. Dental Practice Covered by This Notice

This Notice describes the privacy practices of Dental Eclipse. When we use the words “we” or “our,” we are referring to the dental practice. “You” or “your” refers to you, our patient.

II. How to Contact Us or Our Privacy Official

If you have questions about this Notice or would like additional information, please contact our Privacy Officer at:
Dental Eclipse
272 S Randall Rd, Algonquin, IL 60102

III. Our Promise to You and Our Legal Obligations

The privacy of your health information is important to us. We understand that your health information is personal, and we are dedicated to safeguarding it. This Notice explains how we may use and disclose your protected health information for purposes such as treatment, payment, and healthcare operations, as well as other uses permitted or required by law. It also describes your rights to access and control this information. Protected health information includes any information that identifies you and relates to your past, present, or future physical or mental health condition and related care services.

We are legally required to maintain the privacy of your information, to provide you with this Notice of our privacy practices, and to abide by the terms of this Notice currently in effect.

IV. Last Revision Date

This Notice was last revised on August 28, 2025

V. How We May Use or Disclose Your Health Information

The following describes the ways in which we may use or share your health information. These examples are not exhaustive, but they illustrate the types of uses and disclosures that are permitted by law.

We may use or disclose your information for treatment purposes, such as providing dental services, consulting with specialists, or coordinating your care with other healthcare providers. We may also share information to obtain payment from insurance companies or other payers for services rendered. Additionally, your information may be used for healthcare operations, which include reviewing treatment quality, training staff, conducting audits, managing finances, and improving overall care within our practice.

We may contact you with appointment reminders by phone, email, mail, or text. Your information may also be used to share treatment options, services, or health-related benefits that could be of interest to you. If you are comfortable with it, we may disclose certain information to family members or friends involved in your care or payment. We also work with trusted business associates who assist with essential services like practice management software or billing support. These associates are bound by strict agreements to protect your privacy and can only use your information as directed by us.

We may also be required by law to disclose information in specific situations, such as reporting to public health authorities, responding to legal proceedings, cooperating with law enforcement, or supporting health oversight activities. In addition, we may release information for organ or tissue donation purposes, research (with proper authorization), or to prevent a serious threat to health or safety. Certain disclosures may also be made for military or government functions, and we may share information as required to comply with workers’ compensation laws.

VI. Your Written Authorization for Other Uses

Any other use or disclosure of your information not covered in this Notice will only occur with your written authorization. This includes the release of psychotherapy notes, use of your information for marketing purposes, or selling your information. You may revoke this authorization at any time in writing, except where action has already been taken in reliance on it.

VII. Your Rights Regarding Your Health Information

You have the right to request access to your health information and obtain copies in paper or electronic format. If your request is denied, you will be informed in writing and provided with information on how to appeal. You may request changes to your records if you believe they are incorrect or incomplete. If your request is denied, you may submit a written statement of disagreement, which will be included in your record.

You have the right to request that we restrict how we use or disclose your information for treatment, payment, or healthcare operations. While we are not always required to agree, we must honor a request not to submit information to your insurance provider if you have paid for a service in full. You may also request that we communicate with you by alternative means or at a different location if you feel your safety may be at risk.

You are entitled to receive a list of certain disclosures we have made of your information over the past six years, except for disclosures made for treatment, payment, and operations. The first accounting in a twelve-month period is free, but subsequent requests may incur a reasonable fee.

You may request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically. If there is ever a security breach involving your information, we will notify you promptly, no later than 60 days from the date of discovery.

VIII. Special Protections for Sensitive Health Information

Some state and federal laws provide additional protection for specific types of health information, including HIV/AIDS status, mental health treatment, substance abuse treatment, and genetic information. These protections may impose stricter requirements than those outlined in this Notice.

IX. Our Right to Change This Notice

We reserve the right to modify this Notice at any time. Any updates will apply to all health information we maintain, including records we create or receive in the future. Revised Notices will be posted in our office and on our website, and copies will be available upon request.

X. How to File a Privacy Complaint

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer at the address listed above. You may also submit a complaint to the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.

XI. Online Privacy and Remarketing Notice

Our website uses Google Ads remarketing services to advertise to visitors who have previously visited our site. For example, you may see our advertisements on Google or other websites after leaving our site. Google and other third-party vendors use cookies to display ads based on your prior visits. All collected data is used in accordance with Dental Eclipse’s Privacy Policy and Google’s Privacy Policy.