(Effective Date: 09-18-2025)

Introduction

This Notice of Privacy Practices (“Notice”) describes how the dental offices associated with Lumio Dental (collectively, “our offices,” “we,” or “us”) may use and share your health information, and how you can access this information. We are required by law to protect the privacy of your health information and to provide you with this Notice.

Your health information includes any information about your past, present, or future physical or dental health and related services.

How We May Use and Share Your Health Information

We may use and share your health information without your authorization for the following purposes:

  • Treatment
     We may share your information with dentists, dental hygienists, specialists, and other healthcare providers involved in your care to provide treatment and coordinate services. 
  • Payment
     We may use and share your information with insurance companies, dental plans, or other third parties to receive payment for services provided to you. 
  • Healthcare Operations
     We may use your information to improve our services, conduct quality assessments, train staff, and manage our offices’ business operations. 
  • Required by Law
     We will share information when required by federal, state, or local law. 
  • Public Health and Safety
     We may disclose information to prevent or control disease, report abuse or neglect, or reduce serious threats to health and safety. 
  • Law Enforcement and Legal Matters
     We may share information with law enforcement officials, courts, or other parties when required for legal proceedings. 
  • Specialized Government Functions
     We may disclose health information for military or national security purposes as required by law. 
  • Business Associates
     We may share information with third-party vendors (called “business associates”) who help us operate our practices, provided they agree to safeguard your information.

Other Uses and Disclosures Requiring Authorization

In all other situations, we will ask for your written authorization before using or sharing your information. This includes most uses of psychotherapy notes, marketing, and the sale of health information.
 You may revoke your authorization at any time in writing.

Your Rights Regarding Your Health Information

You have the following rights with respect to your dental and health records:

  • Right to Inspect and Copy – You may review or request a copy of your records. Fees may apply. 
  • Right to Request Amendments – You may request changes to your records if you believe they are incorrect or incomplete. 
  • Right to an Accounting of Disclosures – You may request a list of certain disclosures made of your information. 
  • Right to Request Restrictions – You may ask us to limit how we use or share your information. While we are not always required to agree, we will comply with certain required restrictions (for example, if you pay out of pocket in full and request we not share with your insurer). 
  • Right to Confidential Communications – You may request we contact you at an alternative address or phone number. 
  • Right to a Paper Copy – You are entitled to a paper copy of this Notice, even if you receive it electronically. 
  • Right to Be Notified of a Breach – You will be notified if there is a breach of your unsecured health information.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your health information. 
  • We will notify you promptly if a breach occurs. 
  • We will not use or share your information except as described here, unless you give written permission. 
  • We may change this Notice and, if so, the new Notice will apply to all the information we maintain. A copy of the current Notice will be posted in our offices and available upon request.

Contact Information

If you have questions about this Notice or wish to exercise your rights, please contact:

Dr. Colby Broadbent
 Lumio Dental
 400 Riverwalk Terrace, Suite 250, Jenks, OK  74037
 800.614.0263
 privacyofficer@lumiodental.com 

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information above, or with the U.S. Department of Health and Human Services, Office for Civil Rights.
 We will not retaliate against you for filing a complaint.

Acknowledgment of Receipt

You may be asked to sign an acknowledgment that you received this Notice. Your treatment is not conditioned on signing the acknowledgment.