HIPAA Form

The HIPAA (Health Insurance Portability and Accountability Act) form is an essential component of patient privacy and confidentiality in the healthcare industry.  This form outlines your rights and explains how your personal health information may be used and disclosed by healthcare providers.  By signing the HIPAA form, you acknowledge that you have received this information and understand your privacy rights.

The form ensures that your confidential medical information remains protected and allows you to give or restrict consent for certain uses of your data. At Bridge Street Dental Center, we prioritize patient privacy and compliance with HIPAA regulations to maintain the utmost confidentiality and trust.

 Download your HIPAA form.