Poppy Kids Pediatric Dentistry · Effective: October 31, 2022 · Last revised: February 23, 2026
Federal and state laws require us to maintain the privacy of your health information. We are also required to provide this notice about our office's privacy practices, our legal duties, and your rights regarding your health information. Poppy Kids Pediatric Dentistry ("Practice") is committed to preserving the privacy and confidentiality of your health information.
This Notice of Privacy Practices (NPP) describes how we may use and disclose your protected health information ("PHI") to carry out treatment, payment, or health care operations and for other purposes permitted or required by law (45 CFR § 164.520). This notice has been revised to conform to HIPAA's Final Omnibus Rule (published 01/25/13).
We reserve the right to change our privacy practices and the terms of this notice at any time, provided such changes are permitted by applicable law, and to make the new terms effective for all health information we maintain. Before making a significant change, we will update this notice and make the new version available upon request.
You may obtain a copy of this notice by:
1. Visiting our website at www.poppykidsdental.com
2. Contacting the office to request a copy by mail or email
3. Requesting a copy at the time of your next appointment
Your PHI may be used and disclosed by our Practice's provider, administrative, and clinical staff, and by others outside our Practice who are involved in your care and treatment for the purpose of providing healthcare services to you.
We may use or disclose your health information to our employees and to other health care providers involved in your care — including other dentists, specialists, pharmacists, or laboratories that perform tests or fabricate dental prostheses or orthodontic appliances.
We may use and disclose your health information to obtain payment for services we provide, including verifying insurance eligibility, obtaining benefit determinations, and submitting billing information. If you pay out-of-pocket and in full for a service, you may request that we restrict disclosure of that service to your health plan.
We may use and disclose your health information in connection with health care operations, including quality assessment, reviewing provider performance, conducting training programs, and accreditation, certification, or licensing activities.
We may share your PHI with third-party business associates such as answering services, billing services, consultants, and legal counsel. We obtain written agreements from business associates to ensure the protection of your PHI.
Beyond treatment, payment, and operations, we may use or disclose your health information only with your written authorization. You may revoke any authorization in writing at any time; revocation will not affect disclosures already made while the authorization was in effect.
You have the right to request restrictions on disclosure to family members, relatives, close friends, or any other person you identify. We will honor reasonable requests.
We will not send unsecured emails containing your health information without your prior authorization. You may revoke this authorization at any time.
We may notify a family member, personal representative, or other person responsible for your care of your location, general condition, or death. If you are present, we will give you an opportunity to object. In an emergency, we will use professional judgment to disclose only information directly relevant to that person's involvement in your care.
We may contact you about products or services related to your treatment or care coordination. We will not otherwise use or disclose your health information for marketing purposes without your written authorization, and we will disclose whether we receive payment for any authorized marketing activity.
If this dental practice is sold or merged with another organization, your health records will become the property of the new owner. You may request that copies of your health information be transferred to another dental practice.
We may use or disclose your health information when required to do so by applicable law.
We may disclose your health information to public health agencies for purposes such as preventing or controlling disease, reporting abuse or neglect, reporting domestic violence, reporting to the FDA, or reporting disease or infection exposure.
We may disclose your health information to appropriate authorities if we reasonably believe you are a possible victim of abuse, neglect, domestic violence, or other crimes, or to avert a serious threat to health or safety.
We may disclose health information to military authorities, authorized federal officials for national security activities, or to correctional institutions or law enforcement under certain lawful circumstances.
We may contact you to provide appointment reminders via voicemail, postcards, or letters, and may leave a message with the person answering the phone if you are unavailable.
Upon arriving at our office, we may ask you to sign an intake sheet and may announce your name when we are ready to see you.
For the safety and security of our patients, staff, and visitors, video surveillance cameras are installed throughout our office. In accordance with California state law, these cameras record video only and do not capture audio. Surveillance is used strictly for security purposes.
You have the right to look at or get copies of your health information, with limited exceptions. Requests must be made in writing. We may charge a reasonable, cost-based fee for copies or alternative formats. Contact us for our full fee structure.
You have the right to receive a list of instances in which we disclosed your health information for purposes other than treatment, payment, or health care operations for the last six years. If you request this accounting more than once in a 12-month period, we may charge a reasonable fee.
You have the right to request additional restrictions on our use or disclosure of your health information. We are not required to agree, but if we do, we will honor the agreement (except in emergencies). If you pay out-of-pocket and in full for a service, we must agree to your request not to share that information with your health plan.
You have the right to request that we communicate with you by alternative means or at alternative locations. Requests must be in writing and must specify the alternative means or location.
In the event your unsecured protected health information is breached, we will notify you as required by law.
You have the right to request that we amend your health information. Your request must be in writing and explain why the information should be amended. We may deny your request under certain circumstances.
Your health information may be disclosed to researchers as approved by an Institutional Review Board or privacy board, without written authorization, in appropriate circumstances.
We may use demographic information and dates of treatment to contact you for fundraising activities. If you wish to stop receiving fundraising communications, please notify us using the contact information below.
If you have questions about our privacy practices or wish to file a complaint, please contact us:
You may also file a written complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.
Poppy Kids Pediatric Dentistry complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.