Family Dental Group
4021 Miller Road, Flint, MI 48507

Privacy Policy

NOTICE 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.

The Health Insurance Portability & Accountability Act of 1996 (HIPAA) requires all health care records and other individually identifiable health information (protected health information) used or disclosed to us in any form, whether electronically, on paper, or orally, be kept confidential. This federal law gives you, the patient, significant new rights to understand and control how your health information is used. HIPAA provides penalties for covered entities that misuse personal health information. As required by HIPAA, we have prepared this explanation of how we are required to maintain the privacy of your health information and how we may use and disclose your health information.

Without specific written authorization, we are permitted to use and disclose your health care records for the purposes of treatment, payment and health care operations.

  • Treatment means providing, coordinating, or managing health care and related services by one or more health care providers. Examples of treatment would include crowns, fillings, teeth cleaning services, etc.
  • Payment means such activities as obtaining reimbursement for services, confirming coverage, billing or collection activities, and utilization review. An example of this would be billing your dental plan for your dental services.
  • Health Care Operations include the business aspects of running our practice, such as conducting quality assessment and improvement activities, auditing functions, cost-management analysis, and customer service. An example would include a periodic assessment of our documentation protocols, etc.

In addition, your confidential information may be used to remind you of an appointment (by phone or mail) or provide you with information about treatment options or other health-related services including release of information to friends and family members that are directly involved in your care or who assist in taking care of you. We will use and disclose your protected when we are required to do so by federal, state or local law. We may disclose your PROTECTED HEALTH INFORMATION to public health authorities that are authorized by law to collect information, to a health oversight agency for activities authorized by law included but not limited to: response to a court or administrative order, if you are involved in a lawsuit or similar proceeding, response to a discovery request, subpoena, or other lawful process by another party involved in the dispute, but only if we have made an effort to inform you of the request or to obtain an order protecting the information the party has requested. We will release your PROTECTED HEALTH INFORMATION if requested by a law enforcement official for any circumstance required by law. We may release your PROTECTED HEALTH INFORMATION to a medical examiner or coroner to identify a deceased individual or to identify the cause of death. If necessary, we also may release information in order for funeral directors to perform their jobs. We may release PROTECTED HEALTH INFORMATION to organizations that handle organ, eye or tissue procurement or transplantation, including organ donation banks, as necessary to facilitate organ or tissue donation and transplantation if you are an organ donor. We may use and disclose your PROTECTED HEALTH INFORMATION when necessary to reduce or prevent a serious threat to your health and safety or the health and safety of another individual or the public. Under these circumstances, we will only make disclosures to a person or organization able to help prevent the threat. We may disclose your PROTECTED HEALTH INFORMATION if you are a member of U.S. or foreign military forces (including veterans) and if required by the appropriate authorities. We may disclose your PROTECTED HEALTH INFORMATION to federal officials for intelligence and national security activities authorized by law. We may disclose PROTECTED HEALTH INFORMATION to federal officials in order to protect the President, other officials or foreign heads of state, or to conduct investigations. We may disclose your PROTECTED HEALTH INFORMATION to correctional institutions or law enforcement HIPAA/@Notice of Privacy Practices.doc officials if you are an inmate or under the custody of a law enforcement official. Disclosure for these purposes would be necessary: (a) for the institution to provide health care services to you, (b) for the safety and security of the institution, and/or (c) to protect your health and safety or the health and safety of other individuals or the public. We may release your PROTECTED HEALTH INFORMATION for workers’ compensation and similar programs.

Any other uses and disclosures will be made only with your written authorization. You may revoke such authorization in writing and we are required to honor and abide by that written request, except to the extent that we have already taken actions relying on your authorization.

You have certain rights in regards to your PROTECTED HEALTH INFORMATION, which you can exercise by presenting a written request to our Privacy Officer at the practice address listed below:

  • The right to request restrictions on certain uses and disclosures of PROTECTED HEALTH INFORMATION, including those related to disclosures to family members, other relatives, close personal friends, or any other person identified by you. We are, however, not required to agree to a requested restriction. If we do agree to a restriction, we must abide by it unless you agree in writing to remove it.
  • The right to request to receive confidential communications of PROTECTED HEALTH INFORMATION from us by alternative means or at alternative locations.
  • The right to access, inspect and copy your PROTECTED HEALTH INFORMATION.
  • The right to request an amendment to your PROTECTED HEALTH INFORMATION.
  • The right to receive an accounting of disclosures of PROTECTED HEALTH INFORMATION outside of treatment, payment and health care operations.
  • The right to obtain a paper copy of this notice from us upon request.

We are required by law to maintain the privacy of your PROTECTED HEALTH INFORMATION and to provide you with notice of our legal duties and privacy practices with respect to PROTECTED HEALTH INFORMATION.

We are required to abide by the terms of the Notice of Privacy Practices currently in effect. We reserve the right to change the terms of our Notice of Privacy Practices and to make the new notice provisions effective for all PROTECTED HEALTH INFORMATION that we maintain. Revisions to our Notice of Privacy Practices will be posted on the effective date and you may request a written copy of the Revised Notice from this office.

You have the right to file a formal, written complaint with us at the address below, or with the Department of Health & Human Services, Office of Civil Rights, in the event you feel your privacy rights have been violated. We will not retaliate against you for filing a complaint.

For more information about our Privacy Practices, please contact:
Dental Care Alliance
6240 Lake Osprey Dr.
Sarasota, FL 34240
Ph #: 941-955-3150

For more information about HIPAA or to file a complaint:
The U.S. Department of Health & Human Services
Office of Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
877-696-6775 (toll-free)

Read What Our Patients Say
Patient Reviews
I like the staff members that I have met, and the fact that services are commenced at the apointed time.
Thomas H.
Dental hygienist Angie did an awesome job on my teeth! Very thorough! The best cleaning I’ve had at this location.
Sharon K.
Decided to change dentist for my 15yr old son and super pleased i did over all seems like the best decision i made got an appointment right away fixed the problem he had been having in half hr that […]
Elizabeth W.
The service and care that everyone there showed me really was amazing. Dr.White was great and helpful. Very understanding careful. Crystal was incredibly important to my visit. Her upbeat attitude […]
Andrico M.
Everyone is helpful and friendly but mostly because I don’t wait long
Susan B.
I feel like the office staff is kind and professional and the dentists make me feel at ease and take the time to make sure all my questions have been answered.
Shawn S.
Everyone was very friendly and welcoming!
Ronda M.
Your staff is very polite.
Allan L.
I was an emergency walk-in and it was a short wait. Also the dentist discussed different options with me and did what he thought was best.
Dennis H.
I was in and out even before my scheduled appointment time!
Michael C.
The staff was very friendly and helpful. And the dentist did an excellent job with the procedure and was very helpful. Overall I was pleasantly surprised at the ease of the procedure and how well it […]
Oliver K.
My first impression of this office was wonderful. The whole practice was clean and the entire staff is exceptional. The patient flow from starts to finish was easy, comfortable, and wait time did not […]
Cayla H.
Friendly, knowledgeable staff that care to do things right and make sure the patient is comfortable throughout the procedure.
Sabrina J.
I was nervous of coming in. Everyone was nice and I am glad I came in.
Heather W.
The dentist and staff are friendly and experienced.
Janine M.
You are friendly, courteous and help relieve anxiety just by your kindness. My procedures have been painless and performed with obvious skill and professionalism. I have not been to a dentist in 20 […]
Janice G.
Everybody’s cool there. Doctor Madany gets the job done and answers all questions. He Did an awesome job on my crown. The ladies are all very good at their respective jobs!
Calvin S.
The people at family dental group always show me that they care and are professional in the dental service they provide for me.
Dexter G.
Best dental experience ever
Tammie N.
I had been looking for a new dentist and one of my co- workers recommend Family Dental Group. She described her experience with them, so I had to go. When first walking into the office it felt warm […]
ArLene C.
Office Hours
Mon. – 8:00 AM - 7:00 PM
Tue. – 8:00 AM - 8:00 PM
Wed. – 10:00 AM - 8:00 PM
Thu. – 8:00 AM - 8:00 PM
Fri. – 8:00 AM - 5:00 PM
Sat. – 8:00 AM - 2:00 PM
Sun. – Closed

1st & 3rd Saturday Only

Phone: (810) 515-8952
Fax: (810) 732-4704
Healthcare Financing with
CareCredit
We Accept Most Insurance Plans!
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We accept most insurance plans and will be happy to help you understand the coverage that you have. We will do our best to see that you receive your maximum insurance benefits for all covered services.

No Insurance? No Worries! See our discounts and offers here

For appointments, call us at: (810) 515-8952 or
Request an Appointment
For appointments, call: (810) 515-8952
Office Hours
  • Monday 8:00 AM - 7:00 PM
  • Tuesday 8:00 AM - 8:00 PM
  • Wednesday 10:00 AM - 8:00 PM
  • Thursday 8:00 AM - 8:00 PM
  • Friday 8:00 AM - 5:00 PM
  • Saturday 8:00 AM - 2:00 PM
  • Sunday Closed
Get in touch:
  • Phone: (810) 515-8952
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