GLBA Privacy Policy

In compliance with the Gramm-Leach-Billey Act, Delta Dental has developed a Privacy Policy that applies to our employees, officers, directors, agents, producers, and any other transaction Delta Dental has which may contain your confidential information.

View GLBA Privacy Notice PDF

HIPAA Notice of Privacy Practices

This notice provides the usage, disclosures and legal duties with respect to protected health information.

View HIPAA Notice of Privacy PDF

HIPAA Notice of Privacy Practices (Delta Dental Patient Direct)

View HIPAA Notice (Delta Dental Patient Direct) PDF

Notice of Privacy Practices (Individual Choice – Premier)

View NPP (Individual) PDF

HIPAA Authorization Form

This form provides written authorization from individuals before Delta Dental may use or disclose a person's personal health information.

HIPAA Authorization Form

HIPAA Compliance Calendar

View HIPAA Compliance Calendar PDF