Hipaa Privacy Policy

HIPAA Notice of Privacy Practices

Effective Date: 3rd January 2025

This Notice Describes How Medical Information About You May Be Used And Disclosed And How You Can Obtain Access To This Information. Please Review It Carefully.

The terms of this Notice of Privacy Practices (“Notice”) apply to the Dental Art Clinic of Dr. JOANNA TYLMAN DMD, DDS, its affiliates, and its employees. Dental Art Clinic will share patients’ protected health information as necessary to carry out treatment, payment, and healthcare operations as permitted by law.

We are required by law to maintain the privacy of our patient’s protected health information and to provide patients with notice of our legal duties and privacy practices regarding protected health information.


We are required to abide by the terms of this Notice for as long as it remains in effect. We reserve the right to change the terms of this Notice as necessary and to make a new notice of privacy practices effective for all protected health information maintained by Dental Art Clinic. We are required to notify you in the event of a breach of your unsecured protected health information. We are also required to inform you that there may be a provision of state law that relates to the privacy of your health information that may be more stringent than a standard or requirement under the Federal Health Insurance Portability and Accountability Act (“HIPAA”). A copy of any revised Notice of Privacy Practices or information about a specific State law may be obtained by mailing a request to the Privacy Officer at the address below.

Use and Disclosure of Protected Health Information

Authorization and Consent

Except as outlined below, we will not use or disclose your protected health information for any purpose other than treatment, payment, or healthcare operations unless you have signed a form authorizing such use or disclosure. You have the right to revoke such authorization in writing, with such revocation being effective once we receive the writing; however, such revocation shall not be effective to the extent that we have taken any action in reliance on the authorization, or if the authorization was obtained as a condition of obtaining insurance coverage, other law provides the insurer with the right to contest a claim under the policy or the policy itself.

Uses and Disclosures for Treatment

We will make uses and disclosures of your protected health information as necessary for your treatment. Doctors, nurses, and other professionals involved in your care will use information in your medical record and information that you provide about your symptoms and reactions to your course of treatment which may include procedures, medications, tests, medical history, etc.

Uses and Disclosures for Payment

We will make uses and disclosures of your protected health information as necessary for payment purposes. During the normal course of business operations, we may forward information regarding your medical procedures and treatment to your insurance company to arrange payment for the services provided to you. We may also use your information to prepare a bill to send to you or to the person responsible for your payment.

Uses and Disclosures for Health Care Operations

We will make use and disclose your protected health information as necessary, and as permitted by law, for our healthcare operations, which may include clinical improvement, professional peer review, business management, accreditation, licensing, etc. For instance, we may use and disclose your protected health information for purposes of improving clinical treatment and patient care.

Contact Information for Further Assistance or Complaints

If you have questions, need further assistance, or would like to submit a request under this Notice, you may contact the Dental Art Clinic Privacy Officer by phone at ((847)590-5200) or at the following address:

Dental Art Clinic
1512 North Elmhurst Road
Mount Prospect, IL 60056 USA

Your trust is important to us. At Dental Art Clinic, we are committed to safeguarding your privacy and ensuring you feel confident in your care.