Jivan Dental Aesthetics
Effective Date: 05/15/2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION.
Please review it carefully.
Jivan Dental Aesthetics is required by law to:
We may use and share your information to provide and coordinate your care with other healthcare providers.
We may use your information to bill and receive payment from insurance companies or other entities.
We may use your information to improve care quality, manage operations, and train staff.
We may disclose information:
We will not use or disclose your information for:
Without your written authorization.
You have the right to:
Request copies of your health records.
Ask us to correct inaccurate or incomplete information.
Ask us to limit what we share (we may not always be able to comply).
Request we contact you in a specific way (e.g., only via email or phone).
Request a list of disclosures made outside of treatment, payment, and operations.
If you believe your privacy rights have been violated, you may contact us or file a complaint with the
U.S. Department of Health and Human Services
Office for Civil Rights.
You will not be penalized for filing a complaint.
We are required to comply with Health Insurance Portability and Accountability Act and applicable state laws.
We reserve the right to update this Notice. Updated versions will be available upon request and on our website.
Jivan Dental Aesthetics
Winter Park: 407-628-0200
Mount Dora: 352-383-2959
By using this website, you acknowledge that you have read, understood, and agreed to these Terms of Service.
