Your Rights and Our Responsibilities
Legacy Dental Temecula
NOTICE OF PRIVACY PRACTICES
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.
Legacy Dental Temecula is committed to protecting the privacy of your health information. We are required by federal law to provide you with this Notice of Privacy Practices. We follow these requirements under the Health Insurance Portability and Accountability Act (HIPAA), as enforced by the U.S. Department of Health and Human Services (HHS).
Protected Health Information is any health information we create or receive that can be associated with you and can be used to identify you. This includes:
For Treatment: We use your health information to provide you with dental treatment, follow-up care, and maintain your dental records.
For Payment: We use your information to bill you, submit insurance claims, collect payments, and manage your account.
For Healthcare Operations: We use your information to improve our services, evaluate staff performance, conduct quality assurance, and comply with legal obligations.
For Notification: We may contact you about appointment reminders, test results, alternative treatments, or information about dental health and services we provide.
We may disclose your Protected Health Information without your authorization when:
We will ask for your written authorization before using or disclosing your Protected Health Information for:
Right to Access: You have the right to inspect and obtain a copy of your health records within 30 days. A reasonable copying fee may apply.
Right to Amendment: If you believe information in your record is inaccurate or incomplete, you can request corrections.
Right to an Accounting of Disclosures: You may request a list of all disclosures of your health information made in the past six years.
Right to Request Restrictions: You may ask us to limit how we use or disclose your information. We will consider your request but are not obligated to agree.
Right to Confidential Communications: You may request that we communicate with you about your health information in a specific manner or at a specific location.
Right to Receive Notice: You have the right to receive this Notice of Privacy Practices.
Right to File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services Office for Civil Rights.
To exercise any of these rights, please contact our Privacy Officer:
Requests must be in writing. We will respond to your request within 30 days.
We reserve the right to amend this Notice of Privacy Practices. Changes will be effective for all Protected Health Information we maintain, including information created or received before the effective date of the change. We will post the updated notice in our office and on our website.
We may share your Protected Health Information with business associates (such as insurance companies, consultants, and service providers) who assist us in providing care and services to you. All business associates are contractually required to maintain the confidentiality and security of your information.
In the unlikely event of a breach of your Protected Health Information, we will notify you as required by law. Notification will be made without unreasonable delay, and will include a description of the breach, the steps you should take, and the measures we are taking to prevent future breaches.
If you believe we have violated your privacy rights, you may file a complaint with:
You will not be retaliated against for filing a complaint.
This Notice is effective as of the date listed below. If you have questions about this Notice or our privacy practices, please contact us at:
Last Updated: May 19, 2026
Effective Date: May 19, 2026
Notice ID: HIPAA-2026-001