Privacy Policy (HIPAA Compliant)
Notice of Privacy Practices for Valencia Family Dental Care.
Effective Date: January 1, 2024
1. Our Commitment to Your Privacy
At Valencia Family Dental Care, we are committed to protecting the privacy and security of your protected health information (PHI) in compliance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable state laws. This Notice of Privacy Practices describes how we may use and disclose your PHI to carry out treatment, payment, or health care operations and for other purposes that are permitted or required by law.
2. How We May Use and Disclose Your Health Information
- For Treatment: We may use your PHI to provide you with dental treatment or services. We may disclose your PHI to dentists, physicians, nurses, technicians, or other personnel who are involved in taking care of you.
- For Payment: We may use and disclose your PHI so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company, or a third party.
- For Health Care Operations: We may use and disclose your PHI for our dental practice operations. These uses and disclosures are necessary to run our practice and make sure that all of our patients receive quality care.
3. Your Rights Regarding Your Health Information
- Right to Inspect and Copy: You have the right to inspect and copy your PHI that may be used to make decisions about your care.
- Right to Amend: If you feel that the PHI we have about you is incorrect or incomplete, you may ask us to amend the information.
- Right to an Accounting of Disclosures: You have the right to request a list of the disclosures we made of your PHI.
- Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose about you for treatment, payment, or health care operations.
- Right to Request Confidential Communications: You have the right to request that we communicate with you about dental matters in a certain way or at a certain location.
4. ADA Compliance and Accessibility
We are committed to ensuring our website and physical office are accessible to everyone, including individuals with disabilities, in compliance with the Americans with Disabilities Act (ADA). If you require assistance or have specific accessibility needs, please contact our office prior to your visit so we can accommodate you.
5. Changes to This Notice
We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for PHI we already have about you as well as any information we receive in the future.
6. Contact Information
If you have any questions about this notice or if you believe your privacy rights have been violated, please contact our Privacy Officer at:
Valencia Family Dental Care
345 S Euclid St Suite A
Fullerton, CA 92832
Phone: (714) 451-0010