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Notice of Privacy Practices: What Does it Mean?

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Date

Patient Street Address City, State Zip

Dear Patient:

Recently at our dental practice you received and signed a Notice of Privacy Practices. This form explains our office’s privacy practices, our legal duties, and your rights regarding your protected health information (PHI). It tells you about the ways we can use your PHI, and who has the right to access it. It also tells you how you can look at or get copies of your health information.

We do our best to keep all of our patients’ protected health information safe. If you have any questions about our privacy policies, please talk to our Privacy Officer, [Privacy Officer’s name], at [office number]. Thanks again for letting us provide you with the best in dental care.

Sincerely,

Dentist

Dental Letters: Write, Blog and Email Your Way to Success with CD-ROM

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