Privacy Policy

HIPAA Privacy Notice

THIS NOTICE DESCRIBES HOW DENTAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Understanding Your Dental Record/Information

Each time you visit a hospital, physician, or other healthcare provider, a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a:

Basis for planning your care and treatment
Means of communication among the many health professionals who contribute to your care
Legal document describing the care you received
Means by which you or a third-party payer can verify that services billed were actually provided
Tool in educating health professionals
Source of data for medical research
Source of information for public health officials charged with improving the health of this state and the nation
Source of data for our planning and marketing
Tool with which we can assess and continually work to improve the care we render and the outcomes we achieve

Understanding what is in your record and how your health information is used helps you ensure its accuracy, better understand who, what, when, where, and why others may access your health information, and help you make more informed decisions when authorizing disclosure to others.

Your Health Information Rights

Although your health record is the physical property of the healthcare practitioner or facility that compiled it, the information belongs to you. You have the right to:

Obtain a paper copy of the notice of information practices upon request
Inspect and copy your health record as provided for in 45 CFR 164.524
Amend your health record as provided in 45 CFR 164.528
Obtain an accounting of disclosures of your health information as provided in 45 CFR 164.528
Request communications of your health information by alternative means or at alternative locations
Request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522
Revoke your authorization to use or disclose health information except to the extent that action has already been taken

Our Responsibilities

This organization is required to:

Maintain the privacy of your health information
Provide you with this notice as to our legal duties and privacy practices with respect to information we collect and maintain about you
Abide by the terms of this notice
Notify you if we are unable to agree to a requested restriction
Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, we will mail a revised notice to the address you've supplied us.

We will not use or disclose your health information without your authorization, except as described in this notice. We will also discontinue to use or disclose your health information after we have received a written revocation of the authorization according to the procedures included in the authorization.

How We May Use and Disclose Health Information About You

For Treatment

We may use your health information to provide you with dental treatment or services. We may disclose health information about you to dentists, dental hygienists, dental assistants, or other personnel who are involved in taking care of you.

For Payment

We may use and disclose your health information to obtain payment for services we provide to you. For example, a bill may be sent to you or a third-party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used.

For Health Care Operations

We may use and disclose health information about you for our office operations. These uses and disclosures are necessary to run our office and make sure that all of our patients receive quality care.

For More Information or to Report a Problem

If you have questions and would like additional information, you may contact our office at:

Dr. Randa Nasr DDS
12854 10th Street, Suite D
Chino, CA 91710
Phone: (909) 628-5540

If you believe your privacy rights have been violated, you can file a complaint with our office or with the Secretary of Health and Human Services. There will be no retaliation for filing a complaint.

Website Privacy Policy

Information Collection

Our website may collect non-personally identifiable information about you when you visit our site. This information may include your IP address, browser type, operating system, and pages visited.

Cookies

We may use cookies to enhance your experience on our website. Cookies are small files stored on your computer that allow us to recognize you on subsequent visits.

Security

We implement appropriate security measures to protect your personal information. However, no method of transmission over the Internet is 100% secure.

Third-Party Links

Our website may contain links to other websites. We are not responsible for the privacy practices of other sites. We encourage you to read the privacy statements of each website you visit.

Effective Date: This notice is effective as of January 1, 2026

Last Updated: January 2026