This is a comprehensive draft built from standard practices used by dental and healthcare organizations, intended to minimize your attorney's review time — not a substitute for that review. Have it checked before publishing, particularly the effective date, Privacy Officer contact, and any practice-specific details noted in brackets below.
Effective date: July 18, 2026 · Last updated: August 17, 2026
Our Commitment
Norwalk Dental Group is committed to protecting the privacy and security of your personal and health information. This notice explains what information we collect through this website, how we use it, and — separately — how we handle Protected Health Information (PHI) as a HIPAA covered entity. It also explains your rights and how to reach us with questions.
Information We Collect on This Website
This website currently collects information only through our patient list signup form: your first name, phone number, and email address. We do not currently use third-party analytics, advertising trackers, or marketing cookies on this site. If that changes in the future, this policy will be updated to reflect it.
We intentionally do not ask for medical history, symptoms, or diagnoses through this website. Please do not include health details when submitting the form — this is not a secure channel for that information, and any medical details are collected directly during your visit, through secure, HIPAA-compliant systems.
How We Use Website Information
Information submitted through this website is used solely to respond to your inquiry, notify you when we open, and follow up regarding scheduling. We do not sell, rent, or share your website information with third parties for their own marketing purposes.
Protected Health Information & HIPAA
Once you become a patient, the Health Insurance Portability and Accountability Act (HIPAA) governs how we use and disclose your Protected Health Information (PHI). This section summarizes those practices; our full Notice of Privacy Practices, provided at your first visit, governs in the event of any difference.
How We May Use and Disclose Your PHI
- Treatment — to provide, coordinate, or manage your care, including sharing information with specialists we refer you to, such as an oral surgeon or orthodontist.
- Payment — to bill and collect payment from you, your insurance plan, or another responsible party.
- Healthcare Operations — for quality assessment, staff training, and the general operation of the practice.
- As required by law — including public health reporting and responses to valid legal requests.
Outside of these categories, we will not use or disclose your PHI without your written authorization, which you may revoke at any time except to the extent we have already acted on it.
Your Rights Regarding Your PHI
- Right to Inspect and Copy your dental records, submitted in writing to our Privacy Officer.
- Right to Request an Amendment if you believe your record is incorrect or incomplete.
- Right to an Accounting of Disclosures we've made of your PHI outside of treatment, payment, and operations.
- Right to Request Restrictions on certain uses or disclosures of your PHI (we are not always required to agree).
- Right to Confidential Communications — you may request we contact you in a specific way or at a specific location.
- Right to a Paper Copy of this notice at any time, even if you've agreed to receive it electronically.
- Right to Notification of a Breach involving your unsecured PHI.
- Right to File a Complaint with our Privacy Officer or with the U.S. Department of Health and Human Services Office for Civil Rights (hhs.gov/ocr/complaints) if you believe your privacy rights have been violated. Filing a complaint will not affect your care.
Cookies and Website Analytics
This website does not currently use tracking cookies, third-party analytics, or advertising pixels. If we add tools like these in the future (for example, to understand site traffic), this section will be updated to disclose exactly what's used and how to opt out.
Third-Party Service Providers
This website is hosted by Netlify, Inc. Website hosting providers do not have a Business Associate Agreement (BAA) with us and are not authorized to receive PHI — which is why we don't collect health information through this site. Any scheduling, patient communication, or payment systems used in-office are separately evaluated for HIPAA compliance and BAA coverage before adoption. [List specific in-office systems and confirm BAA status once finalized.]
Your Rights Under Connecticut Law (CTDPA)
Connecticut's Data Privacy Act gives Connecticut residents the right to confirm whether we process their personal data, access and obtain a copy of it, correct inaccuracies, request deletion, and opt out of certain processing, including targeted advertising. To exercise these rights, contact us using the information below. We will not discriminate against you for exercising these rights.
Children's Privacy
This website is not directed at children under 13, and we do not knowingly collect personal information from children through this site outside of the ordinary course of scheduling family dental care.
Changes to This Notice
We may update this notice as our practices, technology, or legal requirements change. The effective date at the top will always reflect the most recent version. Material changes to how we handle PHI will also be reflected in our in-office Notice of Privacy Practices.
Financial & Insurance Disclaimer
Any insurance coverage information on this website is general and provided for informational purposes only. Insurance benefits, coverage percentages, and eligibility vary by plan and are not guaranteed until verified directly with your insurance provider. Treatment estimates are just that — estimates — and are subject to change based on your specific diagnosis and treatment plan. You are ultimately responsible for any balance not covered by insurance.
Clinical Disclaimer
Content on this website, including service descriptions and FAQ answers, is provided for general educational purposes only and is not individualized medical or dental advice. It is not a substitute for an in-person examination, diagnosis, or treatment plan from a licensed dentist. Every patient's situation is different, and recommendations, timelines, and outcomes discussed on this site may not apply to your specific case. Please consult with our doctors directly regarding your individual dental health.
Contact Us / Privacy Officer
Questions about this policy or your privacy rights can be directed to our Privacy Officer at info@norwalkdentalgroup.com or by mail at 9A Washington St, Norwalk, CT 06854. [Confirm designated Privacy Officer name/title once assigned.]