NOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES
Your Information. Your Rights. Our Responsibilities.
This notice describes how your protected health information may be used and disclosed, and how you can get access to this information. Please review it carefully.
Effective Date: February 16, 2026
YOUR RIGHTS
You have the right to:
- Get a copy of your health record
- Correct information in your record
- Request confidential communication
- Ask us to limit the information we share
- Get a list of those with whom we have shared your information
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint if you believe your privacy rights have been violated
YOUR CHOICES
You have some choices in the way that we use and share information as we:
- Share information with family and friends involved in your care
- Provide disaster relief
- Market our services or sell your information (only with written permission)
OUR USES AND DISCLOSURES
We may use and share your health information as we:
- Treat you
- Run our organization
- Bill for your services
- Comply with the law
- Address public health and safety issues
OUR RESPONSIBILITIES
We are required by law to maintain the privacy and security of your protected health information.
- We will notify you promptly if a breach occurs that may compromise your information.
- We must follow the duties and privacy practices described in this notice.
- We will not use or share your information other than as described unless you tell us we can in writing.
- A full copy of our Notice of Privacy Practices is available upon request at any of our office locations.
QUESTIONS OR COMPLAINTS
If you have questions about this notice, please contact:
Privacy Officer: Ashwini K
Phone: 4083618133
Email: info@yousmiledental.com
Mailing Address: 3334 Elcamino Real, Santa Clara,CA,95051
NONDISCRIMINATION STATEMENT
We comply with applicable federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex.
LANGUAGE ASSISTANCE
Our dental offices provide free language assistance services to individuals who do not speak English well enough to discuss the dental care we are providing.
Spanish:
Nuestro consultorio dental proporcionará servicios gratuitos de asistencia lingüística a personas que no hablen inglés con suficiente fluidez para discutir la atención dental.
