HIPAA Notice of Privacy Practices

Last updated: October 2026

This notice describes how medical and dental information about you may be used and disclosed and how you can get access to it. Please review it carefully.

How we may use and disclose your information

• Treatment — coordinating care with your dentist and other providers.
• Payment — billing you, your insurance plan or Medi-Cal.
• Health care operations — quality review, training and appointment reminders.
• As required by law, for public health, or to avert a serious threat to health or safety.

Your rights

• Get a copy of your records and request corrections.
• Request confidential communications and limits on what we share.
• Get a list of those with whom we've shared your information.
• Get a copy of this notice and file a complaint if you feel your rights were violated, including with the U.S. Department of Health and Human Services Office for Civil Rights.

Our responsibilities

We are required by law to maintain the privacy and security of your protected health information and will notify you promptly if a breach occurs.

Complete the HIPAA acknowledgment form before your first visit.

Contact

Questions about this notice? Call Legendary Orthodontics at (916) 381-7171 or visit any of our offices and ask for the office manager.