HIPAA Notice

Please review this notice carefully

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

This notice applies to health information maintained by Dental Krafts at 1806 Professional Dr, Suite A, Sacramento, CA 95825. It describes how the practice may use and disclose protected health information, your rights and our legal duties. Website browsing and third-party web features are also described in our Privacy Policy.

Privacy questions and requests

Privacy contact: Dental Krafts office
Ask to speak with the person responsible for privacy requests and complaints.

Dental Krafts
1806 Professional Dr, Suite A
Sacramento, CA 95825
(916) 481-3930
info@thedentalkrafts.com

Contact us to request records, an amendment, confidential communication, a restriction, an accounting of disclosures or a paper copy of this notice. We may ask for a written request and verify identity or authority.

Your rights

• Inspect or obtain a copy of your records. You may request access to the dental and billing information we maintain about you, in an available paper or electronic format. We respond within the time required by law. California generally provides inspection within five working days and copies within 15 days after a qualifying written request, subject to applicable exceptions. Fees, if permitted, will follow the applicable legal limits. If access is denied, we explain the reason and any available review rights.
• Request a correction. You may ask us to amend information you believe is incorrect or incomplete. We may deny a request in circumstances allowed by law; we will explain a denial in writing, generally within 60 days, and explain your right to submit a statement of disagreement.
• Request confidential communication. You may ask us to contact you in a particular way or at another location. We accommodate reasonable requests.
• Ask for limits on uses or disclosures. You may request restrictions for treatment, payment or health care operations. We are generally not required to agree, except as the law requires. If you pay for a service in full out of pocket and request it, we will not disclose information solely about that service to your health plan for payment or operations unless disclosure is required by law. Agreed restrictions may have an emergency-treatment exception.
• Request an accounting of disclosures. You may ask for a list of certain disclosures made during the six years before your request. It generally excludes disclosures for treatment, payment, operations, disclosures you authorized and other legal exceptions. One accounting in a 12-month period is free; we will explain a permitted fee for additional requests before proceeding.
• Get this notice on paper. You may request a paper copy at any time, even if you agreed to receive it electronically.
• Use an authorized representative. A person legally authorized to act for you may exercise applicable rights. We verify that authority and follow legal limits, including protections that may apply to minors.
• Make a complaint without retaliation. You may complain to the practice or to the U.S. Department of Health and Human Services. We will not retaliate against you or make treatment conditional on giving up these rights.

Treatment, payment and health care operations

• Treatment: we may use and share information to provide and coordinate your dental care. For example, we may share relevant records with a specialist or another professional treating you.
• Payment: we may use and share information to bill for care and obtain payment. For example, we may send information about a procedure to your dental insurer.
• Health care operations: we may use and share information to run the practice, review quality, coordinate services, train personnel and contact you when needed. For example, we may review treatment records to improve care.
• Service providers: vendors performing functions for the practice may receive information when legally permitted and subject to required confidentiality safeguards and agreements.

We may contact you about appointments, treatment alternatives or health-related services. You may request a confidential communication method. We apply applicable limits to the information used or disclosed.

Your choices and written permission

You may tell us whether to share relevant information with family, friends or others involved in your care or payment, and in a disaster-relief situation. If you cannot communicate a preference, we may share information when professional judgment indicates it is in your best interest or when otherwise permitted by law.

Uses and disclosures not described in this notice require your written authorization unless another legal permission applies. Most uses or disclosures of psychotherapy notes, marketing that requires authorization, and any sale of protected health information require written authorization. You may revoke an authorization in writing, except to the extent we have already relied on it or another legal exception applies.

If the practice conducts fundraising using permitted information, you can opt out of further fundraising communications. If Part 2 substance use disorder information is involved, you will receive a clear advance notice and an opportunity to choose whether to receive those communications.

Other uses and disclosures allowed or required by law

Only when the applicable legal conditions are met, information may be used or disclosed for:

• Public health activities, such as reporting disease, adverse reactions or product recalls; reporting suspected abuse or neglect; and preventing or reducing a serious threat to health or safety.
• Health oversight, audits, investigations and other activities authorized by law, including HHS review of privacy compliance.
• Research subject to the applicable authorization, review or other legal requirements.
• Organ or tissue donation, or the work of a coroner, medical examiner or funeral director.
• Workers’ compensation, certain law-enforcement purposes and specified government functions, subject to legal limits.
• Court or administrative orders, subpoenas or other legal processes, after applicable conditions and protections are satisfied.
• Other disclosures required by law.

A request for information does not automatically make disclosure permissible. Additional federal and California protections may limit any of these uses.

Additional protections for substance use disorder records

If we receive or maintain records protected by 42 CFR Part 2, additional confidentiality rules apply. When we receive such records under your consent for treatment, payment and health care operations, HIPAA may permit further use or disclosure, subject to Part 2’s continuing restrictions and other applicable law.

Part 2 records may not be used or disclosed in civil, criminal, administrative or legislative investigations or proceedings against you without your specific written consent or a qualifying court order and subpoena or similar legal mandate. Consent for legal proceedings is separate from a general consent for treatment, payment and operations. This restriction applies even when another part of this notice describes a possible disclosure.

If information is shared with a recipient that is not subject to HIPAA, it may no longer be protected by HIPAA and may be redisclosed. Applicable Part 2 restrictions and other laws can continue to protect it.

California privacy protections

When California law provides greater privacy protection or access rights, we follow the applicable more protective rule. California’s Confidentiality of Medical Information Act generally requires authorization unless a specific legal exception permits or requires disclosure. Additional protections can apply to certain mental health, HIV-related and other specially protected records. We obtain additional permission when required and do not treat a general website inquiry as authorization to disclose medical information.

The practice will review requests involving sensitive records, minors or legal proceedings under the laws applicable to the request.

Our responsibilities and changes to this notice

We are required by law to maintain the privacy of protected health information, provide this notice of our duties and practices, follow the notice currently in effect, and notify affected individuals following a breach of unsecured protected health information as required by law.

We may change this notice and make the revised terms apply to information already held as well as information received later. A revised notice will state its effective date and be available in the office, on the website and upon request.

How to file a complaint

Contact the Dental Krafts privacy contact listed above if you believe your privacy rights have been violated. You may also file directly with the HHS Office for Civil Rights, call 1-877-696-6775, or write to U.S. Department of Health and Human Services, 200 Independence Avenue SW, Washington, DC 20201. You do not have to complain to the practice first.

We will not retaliate against you for filing a complaint.

Patient privacy resources

This draft is adapted from the HHS February 2026 model notice for health care providers. Further information is available in HHS guidance on Part 2 records, California medical-information confidentiality, and California record access.