Notice of Privacy Practices
This Notice of Privacy Practices describes how health information about you may be used and disclosed and how you may access this information. Please review it carefully.
Fontana Dental Group is committed to protecting the privacy of our patients’ health information.
Fontana Dental Group
9193 Sierra Ave., Suite D
Fontana, CA 92335
Phone:
(909) 822-2226
Email:
fontandentalgroup@yahoo.com
Our Responsibilities
Fontana Dental Group is required by law to maintain the privacy of protected health information, provide patients with notice of our legal duties and privacy practices, and follow the terms of the Notice currently in effect.
We are committed to protecting your dental and health information and using it only as permitted or required by law.
How We May Use and Disclose Your Health Information
We may use and disclose your health information for treatment, payment, and healthcare operations.
Treatment
We may use your health information to provide dental care and treatment. For example, our dentists, hygienists, assistants, and administrative team may review your dental records, X-rays, medical history, medications, allergies, and treatment plans in order to provide appropriate care.
We may also share information with specialists, laboratories, pharmacies, or other healthcare providers involved in your care.
Payment
We may use and disclose your health information to bill and collect payment for dental services. This may include sharing information with dental insurance companies, benefit administrators, billing services, or other parties involved in payment processing.
Healthcare Operations
We may use and disclose your health information for office operations, quality improvement, staff training, licensing, credentialing, auditing, legal compliance, and other administrative purposes necessary to operate our dental practice.
Appointment Reminders and Communications
We may contact you to remind you about appointments, follow up on treatment, discuss scheduling, provide information about dental services, or communicate about your care.
Individuals Involved in Your Care
Unless you object, we may share relevant information with a family member, caregiver, or other person involved in your care or payment for care.
Required by Law
We may use or disclose your health information when required by federal, state, or local law.
Public Health and Safety
We may disclose information for public health activities, reporting requirements, preventing or controlling disease, reporting abuse or neglect, or preventing a serious threat to health or safety when permitted or required by law.
Health Oversight Activities
We may disclose information to health oversight agencies for audits, investigations, inspections, licensure, or disciplinary actions as required by law.
Legal Proceedings
We may disclose health information in response to a court order, subpoena, discovery request, or other lawful legal process.
Law Enforcement
We may disclose health information to law enforcement officials when permitted or required by law.
Your Rights Regarding Your Health Information
You have certain rights regarding your protected health information.
Right to Inspect and Copy
You may request to inspect or receive a copy of your dental records, subject to certain legal limitations.
Right to Request an Amendment
If you believe information in your dental record is incorrect or incomplete, you may request an amendment.
Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your health information. We are not required to agree to all requested restrictions, except where required by law.
Right to Request Confidential Communications
You may request that we communicate with you in a certain way or at a certain location, such as by phone, mail, or another preferred method.
Right to an Accounting of Disclosures
You may request a list of certain disclosures of your health information made by our office, subject to legal exceptions.
Right to Receive a Copy of This Notice
You have the right to receive a paper copy of this Notice upon request.
Breach Notification
If a breach occurs that may have compromised the privacy or security of your protected health information, we will notify you as required by law.
Changes to This Notice
Fontana Dental Group may change this Notice of Privacy Practices at any time. Any updated Notice will apply to information we already have about you as well as information we receive in the future.
The current Notice will be posted on this website and available upon request.
Complaints
If you believe your privacy rights have been violated, you may contact Fontana Dental Group using the information below. You may also file a complaint with the U.S. Department of Health and Human Services.
We will not retaliate against you for filing a complaint.
Contact Information
For questions about this Notice of Privacy Practices, please contact:
Fontana Dental Group
9193 Sierra Ave., Suite D
Fontana, CA 92335
Phone:
(909) 822-2226
Email:
fontandentalgroup@yahoo.com
Effective Date: 2026