1. About This Notice

Agrim Dental Home is committed to maintaining the privacy of your dental and health information. This Notice of Privacy Practices describes how we may use and disclose your Protected Health Information (PHI) to carry out treatment, payment, and healthcare operations, and for other purposes permitted or required by applicable law.

This notice applies to all records of your care at our clinic, including information generated at our Ghattekulo and Thamel locations.

2. How We May Use and Disclose Your Health Information

A. For Treatment

We may use your dental and health information to provide, coordinate, and manage your dental care. For example, we may share your dental records with a specialist, such as an oral surgeon or orthodontist, who is involved in your care, or share information with your referring dentist or physician.

B. For Payment

We may use and disclose your health information to obtain payment for treatment and services. For example, we may submit claims to your insurance provider or share billing information as necessary.

C. For Healthcare Operations

We may use and disclose your health information to support our clinic’s operations. This includes:

• Quality assessment and improvement activities
• Training and supervision of dental staff and students
• Business planning and management activities
• Legal and compliance activities

D. As Required by Law

We will disclose your health information when required to do so by applicable Nepali law or regulatory authorities, including the Nepal Medical Council and Nepal Dental Association.

E. For Public Health Activities

We may disclose your health information to public health authorities for activities such as disease prevention, reporting communicable diseases, or reporting dental injuries, as required by law.

F. For Research

We may use or disclose your health information for approved dental research purposes, provided appropriate safeguards are in place to protect your privacy. Where possible, we will use de-identified information.

3. Your Rights Regarding Your Health Information

A. Right to Access Your Records

You have the right to inspect and obtain a copy of your dental records and health information. Requests should be made in writing to our clinic. We will respond within a reasonable time.

B. Right to Request Amendments

If you believe that information in your record is incorrect or incomplete, you have the right to request an amendment. We will review your request and respond accordingly.

C. Right to an Accounting of Disclosures

You have the right to request an accounting of disclosures of your health information made by our clinic, except for disclosures made for treatment, payment, and healthcare operations.

D. Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your health information for treatment, payment, or healthcare operations. We will consider your request, though we are not always required to agree to it.

E. Right to Confidential Communications

You may request that we communicate with you in a specific way or at a specific location. For example, you may ask us to contact you only by email or at a specific address.

F. Right to a Paper Copy of This Notice

You have the right to request a paper copy of this Notice at any time, even if you have agreed to receive it electronically. Please contact our front desk or email us to request a copy.

4. Our Duties

Agrim Dental Home is required by applicable law to:

• Maintain the privacy and security of your health information
• Provide you with this Notice of Privacy Practices
• Follow the terms of the current Notice

We reserve the right to change our privacy practices and the terms of this Notice. Changes will apply to all health information we maintain. Updated notices will be available at our clinic and on our website.

5. Uses and Disclosures Requiring Your Authorization

For uses and disclosures not described in this Notice, we will obtain your written authorization before using or disclosing your health information. You have the right to revoke an authorization at any time, in writing. Revocation will not apply to actions already taken based on your authorization.

Specific situations requiring your authorization include:

• Marketing communications using your health information
• Sale of your health information
• Most uses and disclosures of psychotherapy notes, if applicable
• Sharing before-and-after dental photos for promotional purposes

6. Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

• Agrim Dental Home directly — contact us at agrimdentalhome0220@gmail.com or +977 9843142767
• Nepal Medical Council — www.nmc.org.np
• Nepal Dental Association

We will not retaliate against you for filing a complaint.

7. Contact Information