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HIPAA Signature

HIPAA Acknowledgement of Receipt

At East Wind Dental Care, we are committed to protecting your privacy and ensuring the confidentiality of your health information. This form acknowledges that you have received a copy of our HIPAA Privacy Practices.

What is HIPAA?

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that:

  • Protects the privacy of your health information
  • Sets standards for how your information can be used and shared
  • Gives you rights over your health information
  • Requires healthcare providers to safeguard your data

Your Rights Under HIPAA

As a patient at East Wind Dental Care, you have the right to:

  • Access and receive copies of your health records
  • Request corrections to your health information
  • Know how your information has been shared
  • Request restrictions on certain uses of your information
  • File a complaint if you believe your rights have been violated
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Questions About HIPAA?

If you have questions about our privacy practices or need a copy of our full HIPAA policy, please contact our office at (503) 614-0198.

East Wind Dental Care
7546 NE Shaleen St, Hillsboro, OR 97124


Ready to Get Started?

Schedule your appointment today at East Wind Dental Care in Hillsboro, OR. Dr. Merat Ostovar and our experienced team are ready to help you achieve your best smile.

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Dr. Merat Ostovar - Aloha Modern Dentistry

Written by Dr. Merat Ostovar, DDS

Doctor of Dental Surgery | 15+ Years Experience

Aloha Modern Dentistry | Beaverton, Oregon

Last updated: January 27, 2018

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