Notice of Privacy Practices
Effective Date: 09/30/2026
At Fremont Pediatric Dental, we respect your privacy and are committed to protecting the health information entrusted to us. This HIPAA Privacy Notice explains how we may use and share your child’s protected health information (PHI), as well as your rights regarding this information.
Protected health information includes information about your child’s dental care, treatment, health history, appointments, insurance information, and other details that identify your child and relate to their healthcare.
How We May Use and Share Health Information
We may use or disclose your child’s health information for the following purposes:
Treatment
We may use and share health information with dentists, specialists, dental team members, and other healthcare providers involved in your child’s care. This allows us to provide coordinated and effective treatment.
Payment
We may use and share information with insurance companies or other parties responsible for payment to process claims, verify coverage, and complete billing activities.
Healthcare Operations
We may use health information for practice operations, including quality improvement, staff training, scheduling, compliance activities, and improving the patient experience.
Other Permitted Uses and Disclosures
We may share health information when permitted or required by law, including:
To comply with legal requirements
To prevent serious threats to health or safety
For public health activities
For healthcare oversight activities
When required by law enforcement or legal proceedings
We will obtain your written authorization before using or sharing your child’s health information for purposes not described in this notice unless permitted by law.
Your Rights Regarding Health Information
You have the following rights regarding your child’s protected health information:
Right to Review and Request Copies
You may request access to your child’s dental and health records. You may also request copies of these records as allowed by law.
Right to Request Corrections
If you believe information in your child’s records is incorrect or incomplete, you may request that we make corrections.
Right to Request Confidential Communications
You may request that we contact you in a specific way or at a specific location to help protect your privacy.
Right to Request Restrictions
You may request limits on how we use or share your child’s health information. We will review your request according to applicable laws.
Right to Receive a Copy of This Notice
You may request a paper or electronic copy of this HIPAA Privacy Notice at any time.
Our Commitment to Protecting Your Information
Fremont Pediatric Dental uses appropriate safeguards to protect your child’s health information from unauthorized access, use, or disclosure. We limit access to health information to team members who need it to provide care, manage payments, or perform necessary practice operations.
Changes to This Privacy Notice
We may update this HIPAA Privacy Notice from time to time. Any changes will apply to all health information we maintain, and the updated notice will be available upon request and on our website.
Questions or Concerns
If you have questions about this notice or believe your privacy rights have been violated, please contact us:
Fremont Pediatric Dental
2111 Parkside Dr #C
Fremont, CA 94536
Phone: 510-792-1551
You may also submit a complaint without fear of retaliation. We are committed to addressing privacy concerns and protecting the confidentiality of every child and family we serve.