Privacy Policy & HIPAA Notice

Echo Lane Dental · Dr. Milad Balai, DDS · General Dentist

Effective Date: January 1, 2024  ·  Last Updated: May 2025

HIPAA Notice of Privacy Practices

How We Use and Disclose Your Health Information

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.

Echo Lane Dental is required by law to maintain the privacy of your protected health information (PHI), to provide you with this Notice of our legal duties and privacy practices, and to notify you if there is a breach of your unsecured PHI.

Permitted Uses and Disclosures

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your dental care and related services. For example, we may share information with specialists or other providers involved in your treatment.

Payment

We may use and disclose your PHI to obtain payment for services we provide, including billing and collection activities.

Healthcare Operations

We may use and disclose your PHI for operational purposes such as quality assessment, training, and administrative activities necessary to run the practice.

As Required by Law

We will disclose your PHI when required to do so by federal, state, or local law, including for public health activities, law enforcement purposes, and other situations permitted under HIPAA.

Your Rights Regarding Your PHI

  • Right to Access: You have the right to inspect and obtain a copy of your PHI maintained in our records.
  • Right to Amend: You may request an amendment to your PHI if you believe it is incorrect or incomplete.
  • Right to an Accounting: You may request a list of disclosures of your PHI made for purposes other than treatment, payment, or operations.
  • Right to Restrict: You may request restrictions on certain uses and disclosures of your PHI. We are not required to agree, except for disclosures to a health plan for services you have paid for in full.
  • Right to Confidential Communications: You may request that we communicate with you about your PHI in a specific way or at a specific location.
  • Right to a Paper Copy: You have the right to receive a paper copy of this Notice upon request.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Echo Lane Dental or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be retaliated against for filing a complaint. To reach our office, call (713) 973-0118.

Website Privacy Policy

Information We Collect Online

Contact Form Submissions

When you submit a visit request form on this website, we collect your name, phone number, email address, and preferred appointment time. This information is used solely to contact you about scheduling and is stored securely.

Automatically Collected Data

We may collect standard analytics data such as pages visited, browser type, and referring URL to understand how visitors use our site. This data is anonymous and aggregated. We do not sell this information.

Third-Party Services

This site may use Google Maps embeds and Google Fonts, which are subject to Google's privacy policy. We do not share your personal information with any third-party marketers.

Data Retention

Information submitted through the website is retained only as long as necessary to fulfill the purpose for which it was collected or as required by law.

Security

We use reasonable administrative, technical, and physical safeguards to protect information submitted through this website. However, no data transmission over the Internet can be guaranteed to be completely secure.

Questions About This Notice?

Please contact our office. We are happy to provide a paper copy of this Notice or answer any privacy-related questions.

Echo Lane Dental

Dr. Milad Balai, DDS · General Dentist

952 Echo Ln, Suite 470 · Houston, TX 77024

(713) 973-0118