HIPAA · Notice of privacy practices

How your health information is used and protected.

This is the federally-required HIPAA Notice of Privacy Practices for Dublin Ranch Dental. It describes how protected health information about you may be used and disclosed, and how you can access this information. Please review it carefully.

Effective date

Effective June 2026. This Notice describes our practices effective on the date above, and the practices of Dr. Prajesh Desai, DDS, the workforce of Dublin Ranch Dental, and any business associates acting on our behalf.

Our duties

Dublin Ranch Dental is required by federal law (HIPAA Privacy Rule, 45 CFR Part 164) and state law to: (1) maintain the privacy of your protected health information (PHI); (2) provide you with this Notice; (3) follow the terms of this Notice currently in effect; and (4) notify affected individuals of any breach of unsecured PHI.

How we use and disclose your health information

We may use and disclose your PHI for the following purposes without your written authorization:

  • Treatment. To provide dental care — for example, sharing X-rays or treatment notes with a specialist we refer you to.
  • Payment. To bill and collect payment for the care we provide — for example, sending claims to your dental insurer.
  • Health care operations. To run our practice — for example, internal quality review, accreditation, and staff training.
  • Appointment reminders and follow-up. Text or call you about upcoming appointments or post-visit care.
  • Treatment alternatives and health-related benefits. Tell you about treatment options or services we offer.
  • As required by law. For example, mandatory reporting of suspected child or elder abuse, dental health-public health activities, response to a court order or subpoena, or as required by California Business and Professions Code.
  • To avert a serious threat to health or safety.
  • To public health, oversight, military, workers’ compensation, law enforcement, coroners, and similar authorities — only as permitted by law and only the minimum necessary.

Uses and disclosures that require your written authorization

We will not use or disclose your PHI for the following purposes without your written authorization:

  • Marketing communications that promote a product or service in exchange for payment from the third party.
  • Sale of your PHI.
  • Most uses or disclosures of psychotherapy notes (not applicable to typical dental records).
  • Use of your name, image, voice, or identifiable case in promotional materials (including this website).

You may revoke any authorization in writing at any time. We cannot undo any disclosures we already made in reliance on it.

Your rights regarding your health information

  • Right to inspect and copy. You may inspect and obtain a copy of your dental record. We may charge a reasonable, cost-based fee for copies.
  • Right to amend. You may request that we correct PHI you believe is inaccurate or incomplete.
  • Right to an accounting of disclosures. You may request a list of certain disclosures we have made of your PHI.
  • Right to request restrictions. You may ask us to limit how we use or disclose your PHI. We will consider but are not required to agree, except for restrictions on disclosure to your health plan when you have paid in full out of pocket for a service.
  • Right to request confidential communications. You may ask us to contact you about your dental care in a specific way or at a specific location.
  • Right to a paper copy of this Notice. You may request a paper copy at any time, even if you have agreed to receive it electronically.
  • Right to be notified of a breach of your unsecured PHI.
  • Right to choose someone to act for you (a legal guardian or person with health-care power of attorney).

To exercise any of these rights, contact the practice in writing using the address below.

How to file a complaint

If you believe your privacy rights have been violated, you may file a complaint with the practice 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
Toll-Free: 1-877-696-6775
www.hhs.gov/hipaa/filing-a-complaint

We will not retaliate against you for filing a complaint.

Changes to this Notice

We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as any PHI we receive in the future. The current Notice is always available at this page and posted in the practice. You may request a printed copy at any time.

Contact our Privacy Officer

Privacy Officer · Dublin Ranch Dental
3704 Dublin Blvd, Dublin, CA 94568
(925) 999-9088
dublinranchdental@gmail.com

This Notice is provided pursuant to 45 CFR §164.520. Effective June 2026.