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.
At Art of Sleep Dentistry, protecting your personal health information is a responsibility we take seriously. Please read this notice carefully to understand your rights and how we handle your data.
We are required by law to maintain the privacy of your protected health information, to provide you with a clear notice of our legal duties and privacy practices, and to notify you promptly following any breach of unsecured protected health information. We follow the privacy practices described in this notice for as long as it remains in effect.
This notice is effective as of the date listed above and will remain in effect until we replace it. We reserve the right to update our privacy practices and the terms of this notice at any time, as permitted by applicable law. When we make a significant change, we will revise this notice and make the updated version available at our office and on our website. Your trust matters to us, and we are committed to keeping you informed every step of the way.
Contact Our Privacy OfficerAt Art of Sleep Dentistry, we may use and disclose your health information for purposes including treatment, payment, and health care operations. For each category below, we have provided a description and an example. Certain information, such as HIV-related information, genetic information, alcohol and substance use disorder treatment records, and mental health records, may be entitled to special confidentiality protections under applicable state or federal law.
We may use and disclose your health information to provide, coordinate, or manage your care. For example, we may share relevant records with a sleep physician, a specialist, or a diagnostic laboratory involved in your treatment. We may also disclose information to other health care providers who are treating you or consulting on your case.
We may use and disclose your health information to bill for the treatment and services you receive and to collect payment from you, your insurance company, or a third-party payer. For example, we may need to provide information to your insurer to obtain pre-authorization for an oral appliance or to verify your coverage and benefits.
We may use and disclose your health information to support our health care operations, including quality assessment, staff training, licensing, and other business activities. For example, we may review your records to evaluate the performance of our clinical team and ensure the highest standard of care is consistently delivered.
We may use or disclose your health information when required to do so by federal, state, or local law. For example, we may disclose health information in response to a court order in a legal proceeding, or to report certain conditions as required by public health authorities in the state of Florida.
We may disclose your health information for public health activities, including reporting disease, injury, and vital events, as well as conducting public health surveillance and investigations. We may also disclose information to a person who may have been exposed to a communicable disease or who may be at risk of contracting or spreading a condition, when authorized by law.
As a patient of Art of Sleep Dentistry, you have certain rights under federal privacy law regarding your protected health information. Below is a summary of those rights and how you may exercise them. To make a request or learn more, please contact our office at (407) 910-1297 or visit us at 1995 Daniels Road Suite 110, Winter Garden, Florida 34787.
You have the right to inspect and obtain a copy of the protected health information we maintain about you, including dental, medical, and billing records. A reasonable fee may apply for copies. You may also request records in electronic format when the information is maintained electronically.
You have the right to request that we amend your protected health information if you believe it is incorrect or incomplete. We may deny the request in certain circumstances, but we will provide a written explanation if we do so.
You have the right to request a list of disclosures we have made of your protected health information. This accounting will not include disclosures made for treatment, payment, or health care operations, or disclosures you authorized in writing.
You have the right to request that we restrict how we use or disclose your health information for treatment, payment, or health care operations. We are not required to agree to your request, but if we do, we will abide by the agreed-upon restrictions except in emergency situations.
You have the right to request that we communicate with you about your health information in a specific way or at a specific location. For example, you may ask that we send correspondence to a particular address or contact you only by phone. We will accommodate all reasonable requests.
You have the right to obtain a paper copy of this Notice upon request, even if you have previously agreed to receive it electronically. You may request a copy at any time by contacting Art of Sleep Dentistry at (407) 910-1297 or stopping by our Winter Garden office.
If you have questions about this Notice or our privacy practices, or if you believe your privacy rights have been violated, you have the right to file a complaint with our practice or with the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights:
www.hhs.gov/ocr/privacy/hipaa/complaints
(800) 368-1019
200 Independence Avenue, S.W.
Washington, D.C. 20201
Whether you suspect sleep apnea, struggle with chronic jaw pain, or simply want answers about your sleep health, our team at Art of Sleep Dentistry is ready to help. Reach out today to schedule your consultation with Dr. Caroline Pawlak.
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