Privacy Policy

Downloadable our policies here

NOTICE OF PRIVACY PRACTICES

Effective Date: January 1, 2026
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

OUR LEGAL DUTY

W Dental is required by federal and state law to maintain the privacy of your protected health information (“PHI”). We are required to provide you with this Notice of our legal duties and privacy practices regarding your health information. We are required to follow the terms of this Notice currently in effect. We reserve the right to change our privacy practices and the terms of this Notice at any time, as permitted by law. Any changes will apply to all health information we maintain.

We comply with all applicable federal privacy regulations, including protections related to reproductive health information and required attestations prior to certain disclosures.

USES AND DISCLOSURES OF HEALTH INFORMATION

We may use and disclose your health information for the following purposes:
Treatment
We may use or disclose your health information to provide, coordinate, or manage your dental care and related services.
Payment
We may use and disclose your health information to obtain payment for services provided to you, including billing and insurance claims processing.
Health Care Operations
We may use and disclose your health information for practice operations, including quality assessment, training, licensing, auditing, and administrative services.

OTHER PERMITTED AND REQUIRED DISCLOSURES

We may disclose your health information:
As required by law, For public health activities, For health oversight activities, In response to court orders or subpoenas, For law enforcement purposes, as permitted by law, To avert a serious threat to health or safety, or for national security or military purposes

REPRODUCTIVE HEALTHCARE PROTECTIONS

Federal law prohibits W Dental from using or disclosing protected health information for the purpose of investigating or imposing liability on any person for the mere act of seeking, obtaining, providing, or facilitating lawful reproductive health care.

We will not disclose protected health information to law enforcement, government agencies, or other entities for
such prohibited purposes.

When required by federal law to consider a request for disclosure related to reproductive health care, W Dental will require a written attestation from the requesting party confirming that the requested use or disclosure is not for a prohibited purpose.

Requests that do not meet federal requirements will be denied.

ATTESTATION REQUIREMENT

In certain circumstances, we are required to obtain a signed attestation before disclosing protected health information in response to: Subpoenas, Court orders, Law enforcement requests, Administrative investigations If a required attestation is not provided, we will not disclose the requested information.

ELECTRONIC COMMUNICATIONS

We may communicate with you regarding appointments, treatment, billing, or office matters via telephone, voicemail, text message (including through third-party communication platforms such as Weave), email, or patient portal messaging. While we implement reasonable safeguards to protect your information, electronic
communications may not be completely secure. By providing your contact information, you acknowledge and accept the potential risks associated with electronic communication. You may request alternative methods of communication at any time.

PATIENT RIGHTS

You have the following rights regarding your health information:

Right to Inspect and Obtain a Copy
You have the right to inspect and obtain a copy of your health information. You may request an electronic copy of your records and may direct us to transmit your records to a designated third party.
Requests must be made in writing. We will respond within 30 days as required by law.
Right to Request an Amendment
If you believe information in your record is incorrect or incomplete, you may request an amendment in writing.
Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your health information. While we are not required to agree to all requests, we will comply when required by law.
Right to Confidential Communications
You may request that we communicate with you by alternative means or at alternative locations.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures we have made of your health information.
Right to a Paper Copy of This Notice
You have the right to receive a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

BREACH NOTIFICATION

We will notify you if a breach occurs that may have compromised the privacy or security of your information.

QUESTIONS AND COMPLAINTS

If you have questions about this Notice or believe your privacy rights have been violated, you may contact:

Carly Klassen, DDS, PA
Address: 201 Crown Pointe Blvd #100
Willow Park, TX 76087
Phone: (817) 594-4727 Fax: (817) 770-0687

You may also file a complaint with the U.S. Department of Health and Human Services.
Filing a complaint will not result in retaliation.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice at any time. The revised Notice will be available in our office and on our website.