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.

Privacy Promise

American Sleep Dentistry ("ASD") understands that your medical and health information is personal. Protecting your health information is important. We follow strict federal and state laws that require us to maintain the confidentiality of your health information.

How We Use Your Health Information

When you receive care from American Sleep Dentistry, we may use your health information for treating you, billing for services, and conducting our normal business known as healthcare operations. Examples of how we use your information include:

Other Services We Provide

We may also use your health information to:

More Information

For more information about the practices and rights described in this notice:

Sharing Your Health Information

There are limited situations when we are permitted or required to disclose health information without your signed authorization. These situations are:

All other uses and disclosures, not described in this notice, require your signed authorization. You may revoke your authorization at any time with a written statement. However, American Sleep Dentistry may not be able to reverse the use or disclosure of your health information while your authorization was in effect.

Our Privacy Responsibilities

American Sleep Dentistry is required by law to:

We reserve the right to make changes to this notice at any time and make new privacy practices effective for all information we maintain. Current notices will be posted in American Sleep Dentistry facilities and on our website, www.AmericanSleepDentistry.com. You may also request a copy of any notice from the American Sleep Dentistry Privacy Office.

Your Individual Rights

You have the right to:

Requests marked with a star (*) must be made in writing. Contact the American Sleep Dentistry Privacy Office for the appropriate form for your request.

Our Organization

This notice describes the privacy practices of American Sleep Dentistry, LLC (referred to as "American Sleep Dentistry" in this Notice) including healthcare facilities and services, as well as the American Sleep Dentistry employees and volunteers at those facilities. This notice also describes the privacy practices of affiliated providers while they are performing services in an American Sleep Dentistry facility, unless they provide you with a notice of their specific privacy practices. Affiliated providers are not employed by American Sleep Dentistry but are either authorized to provide services to patients in an American Sleep Dentistry facility or are approved participants on the panel of Select Health's providers.

Contact Us

If you would like further information about your privacy rights, are concerned that your privacy rights have been violated, or disagree with a decision that we made about access to your health information, contact:

American Sleep Dentistry
1289 S Interstate Drive,
Cedar City, Utah 84720
800.555.1518
Email: sales@AmericanSleepDentistry.com

We will investigate all complaints and will not retaliate against you for filing a complaint. You may also file a written complaint with the Office of Civil Rights of the U.S. Department of Health and Human Services.

Copyright © 2025. American Sleep Dentistry.