HIPAA Notice of Privacy Practices
A plain-language summary of how we protect your health information and the rights you have.
Last updated: July 2026
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. We provide it in keeping with the federal Health Insurance Portability and Accountability Act (HIPAA).
Our Commitment to Your Privacy
Siouxland Orthodontics is committed to protecting the privacy of your health information. We are required by law to keep this information private, to give you this notice of our duties and privacy practices, and to follow the terms of the notice currently in effect.
How We May Use and Disclose Your Health Information
We use and share your health information in a few common ways as part of caring for you:
Treatment
We use your information to provide and coordinate your orthodontic care. For example, our doctors and team may review your records, X-rays, and treatment plan, and we may share information with your dentist or another provider involved in your care.
Payment
We use your information to bill and receive payment for treatment. For example, we may share details with your insurance company to confirm coverage or to process a claim for your braces or aligners.
Health Care Operations
We use your information to run our practice well. For example, we may use it to schedule visits, train our team, review the quality of care, and manage day-to-day office activities.
Appointment Reminders
We may contact you to remind you of an upcoming appointment or to follow up about your treatment.
As Required by Law
We may use or disclose your information when federal, state, or local law requires it.
Your Rights
You have the right to:
- Inspect and copy your health records
- Request an amendment to your records if you believe something is incorrect or incomplete
- Request restrictions on how we use or share your information
- Request that we communicate with you in a certain way or at a certain place
- Request an accounting of certain disclosures we have made
- Request a paper copy of this notice
Our Responsibilities
We are required to keep your protected health information private, to follow the terms of this notice, and to notify you if a breach affects the privacy of your information.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you in any way for filing a complaint.
Contact
To exercise your rights, ask questions, or file a complaint, please contact our Privacy Officer:
- Siouxland Orthodontics, Privacy Officer, 4224 Sergeant Rd, Sioux City, IA 51106
- Phone: (712) 276-2766
- Email: info@siouxlandorthodontics.com
This is a summary. The complete Notice of Privacy Practices is available at any of our offices upon request.