Notice of Privacy Practices (Effective March 2024)
Welcome to Chompers Pediatric Dentistry and Orthodontics. We value the trust you place in us and are committed to protecting the privacy and confidentiality of your health information. This Notice of Privacy Practices (NPP) explains how we may use and disclose your health information and outlines your rights regarding this information. Please review this notice carefully.
Our Responsibilities:
  • We are legally obligated to maintain the privacy of your health information.
  • We will provide you with a copy of this NPP as it outlines our legal duties and privacy practices related to your health information.
  • We will adhere to the NPP currently in effect.
Your Health Information:
  • We collect health information that is necessary to provide you with dental care. This may include medical history, dental records, diagnostic test results, treatment plans, and insurance details.
  • We may use and disclose your health information for purposes of treatment, payment, and healthcare operations, including informing you about alternative treatments or other health-related benefits and services that may interest you.
Uses and Disclosures:
  • Your health information may be shared with business associates who perform services on our behalf, under agreements that oblige them to protect your information.
  • We may use and disclose your health information to support electronic exchanges of health data to enhance treatment, payment, and healthcare operations.
Your Rights:
  • Access to Records: You have the right to obtain an electronic or paper copy of your health records upon request.
  • Amendments: You may ask us to correct or amend information you believe is incorrect or incomplete.
  • Accounting of Disclosures: You have the right to request an accounting of disclosures, which is a list of the instances we have shared your health information for purposes other than treatment, payment, or operations.
  • Restrictions and Confidential Communications: You may request restrictions on our use or disclosure of your health information. You may also request that we communicate with you in a specific way or at a specific location.
Complaints:
  • If you have concerns about our use or disclosure of your health information, please contact our Privacy Officer directly at 650-871-5437 or by visiting our office. You also have the right to file a complaint with the Secretary of the Department of Health and Human Services.
Contact Information:
  • For more information about our privacy practices or to exercise your rights, please contact our Privacy Officer at:
    • Email: [email protected]
    • Phone: 650-871-5437
    • Address: 1215 Mission Road, South San Francisco, CA 94080
Changes to this Notice:
  • We reserve the right to change our privacy practices and the terms of this NPP at any time. All changes will apply to the health information we already hold, as well as any information we receive in the future. We will post the revised notice in our office and on our website, and will provide you with a copy by mail upon request.
Thank you for choosing Chompers Pediatric Dentistry and Orthodontics. We are dedicated to protecting your privacy and ensuring you receive quality dental care.