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.

  • Effective Date: February 16, 2026
  • Practice Name: Canepa Dental
  • Address: 1405 SE 164th Avenue, Suite 202, Vancouver, WA 98683
  • Phone: 360-514-0707
  • Privacy Officer: Carrie Keswick, info@canepadental.com

Our Commitment to Your Privacy

This Notice describes how Canepa Dental may use and disclose your protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable Washington State law. We are required by law to:

  • Maintain the privacy of your protected health information
  • Provide you with this Notice of our legal duties and privacy practices
  • Follow the terms of the Notice currently in effect

How We May Use and Disclose Your Health Information

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

  1. Treatment We may use and disclose your health information to provide, coordinate, or manage your dental care. For example, we may share information with specialists, laboratories, pharmacies, or other health care providers involved in your treatment.
  2. Payment We may use and disclose your health information to obtain payment for services provided, including billing you, your insurance company, or a third party.
  3. Health Care Operations We may use and disclose your health information for practice operations such as quality assessment, staff training, licensing, and accreditation activities.
  4. As Required by Law We may disclose your health information when required by federal, state, or local law.
  5. Public Health and Safety We may disclose your information for public health activities, to prevent serious threats to health or safety, or to report suspected abuse or neglect, as permitted by law.

Special Protections for Substance Use Disorder Treatment Records (42 CFR Part 2)

Our dental practice is not a federally assisted Substance Use Disorder (SUD) treatment program. However, we may receive health information about you from a provider or program that is subject to a federal confidentiality law known as 42 Code of Federal Regulations (CFR) Part 2. If we receive records protected under 42 CFR Part 2: These records are subject to stricter privacy protections than other medical information protected under HIPAA. We will not use or disclose these records without your written authorization, except as permitted by federal law. Disclosures may be permitted in limited circumstances such as medical emergencies, certain public health reporting, audits, research, or court orders that meet federal requirements. Prohibition on Redisclosure Federal law prohibits the recipient of SUD treatment records from redisclosing this information unless further disclosure is expressly permitted by your written consent or otherwise allowed by 42 CFR Part 2. Any disclosure made with your written consent will include a statement notifying the recipient of this restriction.

Uses and Disclosures Requiring Your Written Authorization

We will obtain your written authorization before:

  • Disclosing psychotherapy notes (if applicable)
  • Using your information for marketing purposes (if required by law)
  • Selling your protected health information
  • Disclosing SUD treatment records protected under 42 CFR Part 2, except as otherwise permitted by law You may revoke your authorization in writing at any time, except to the extent we have already acted on it.

Your Rights Regarding Your Health Information

You have the right to:

  1. Inspect and Obtain a Copy Request access to your health records, subject to certain limitations.
  2. Request an Amendment Request correction of your health information if you believe it is inaccurate or incomplete.
  3. Request an Accounting of Disclosures Receive a list of certain disclosures we have made of your health information.
  4. Request Restrictions Request restrictions on certain uses and disclosures of your information. We are not required to agree to all requested restrictions, except where required by law.
  5. Request Confidential Communications Request that we communicate with you in a specific way (for example, at a specific phone number or address).
  6. Receive a Paper Copy of This Notice You may request a paper copy of this Notice at any time.

Breach Notification

If a breach occurs that compromises the privacy or security of your protected health information, we will notify you as required by law.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Privacy Officer:

Carrie Keswick, info@canepadental.com You may also file a complaint with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

Changes to This Notice

We reserve the right to change this Notice at any time. Any revised Notice will apply to all health information we maintain and will be available in our office and upon request.