Notice of Privacy Practices
Comfort Dental
13133 Harbor Blvd, Garden Grove, CA 92843
Phone: 714-537-8770 · Email: info@comfortdentaloc.com
Effective Date: July 18, 2026
THIS NOTICE DESCRIBES HOW MEDICAL AND DENTAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Our Commitment to Your Privacy
Comfort Dental is required by law to maintain the privacy of your protected health information ("PHI") and to provide you with this Notice describing our legal duties and privacy practices regarding your PHI. We are required to abide by the terms of this Notice as long as it remains in effect. We reserve the right to change the terms of this Notice and to make the revised Notice effective for all PHI we maintain, including PHI created or received before the revision. A revised Notice will be posted in our office and on our website, and you may request a copy at any time.
How We May Use and Disclose Your Health Information
Treatment
We may use and disclose your PHI to provide, coordinate, or manage your dental treatment. For example, we may share information with a specialist, oral surgeon, or laboratory involved in your care.
Payment
We may use and disclose your PHI to obtain payment for services we provide to you. For example, we may send information to your dental insurance carrier to confirm coverage or process a claim.
Health Care Operations
We may use and disclose your PHI for our operations, such as quality assessment, staff training, patient satisfaction surveys, and business planning.
Appointment Reminders and Treatment Alternatives
We may use and disclose your PHI to contact you with appointment reminders (by phone, text, mail, or email) or to tell you about treatment options or health-related benefits and services that may interest you.
Individuals Involved in Your Care
We may share relevant PHI with a family member, friend, or other person you identify, if you do not object, as needed for your care or for notification purposes (e.g., informing a family member of your location following treatment).
As Required by Law
We will disclose PHI when required to do so by federal, state, or local law — for example, in response to a court order, for public health reporting, or to report suspected abuse or neglect.
Health Oversight, Legal Proceedings, and Law Enforcement
We may disclose PHI to health oversight agencies for activities authorized by law, in response to a valid legal proceeding, or to law enforcement officials under limited circumstances required or permitted by law.
To Avert a Serious Threat to Health or Safety
We may disclose PHI when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.
Business Associates
We may disclose PHI to outside companies that perform services on our behalf (such as billing services or dental laboratories), who are required by written agreement to protect the privacy of your information.
Uses and Disclosures Requiring Your Written Authorization
Other than the uses described above, we will not use or disclose your PHI without your written authorization, including for most marketing purposes or the sale of PHI. You may revoke a signed authorization at any time by notifying us in writing, except to the extent we have already acted in reliance on it.
Your Rights Regarding Your Health Information
You have the right to:
- Inspect and copy your dental records, with limited exceptions. We may charge a reasonable, cost-based fee for copies.
- Request amendment of your PHI if you believe it is incorrect or incomplete. We may deny your request in certain circumstances and will explain why in writing.
- Request an accounting of disclosures we have made of your PHI for purposes other than treatment, payment, and health care operations, going back up to six years.
- Request restrictions on certain uses or disclosures of your PHI. We are not required to agree to all requested restrictions, but we must agree to a restriction on disclosure to a health plan if the disclosure relates to a service you paid for in full, out of pocket.
- Request confidential communications — for example, that we contact you only at a certain phone number or address.
- Request a paper copy of this Notice at any time, even if you agreed to receive it electronically.
- Be notified of a breach of your unsecured PHI, if one occurs.
To exercise any of these rights, please submit a written request to our office using the contact information above.
Our Duties
We are required by law to maintain the privacy and security of your PHI, provide you with this Notice of our legal duties and privacy practices, and abide by the terms of the Notice currently in effect.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our office using the contact information below, or with the U.S. Department of Health and Human Services, Office for Civil Rights:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-800-368-1019
Website: www.hhs.gov/ocr/privacy/hipaa/complaints
We will not retaliate against you for filing a complaint.
Contact Information
Questions about this Notice, or requests regarding your PHI, may be directed to:
Privacy Officer
Comfort Dental
13133 Harbor Blvd, Garden Grove, CA 92843
Phone: 714-537-8770
Email: info@comfortdentaloc.com