Effective Date: 05/01/2024

Introduction

Kathy Zahedi DDS & Associates (referred to as “we,” “our,” “us,” or “the practice”) is committed to protecting the privacy and confidentiality of our patients’ personal and health information. This Privacy Policy outlines our practices regarding the collection, use, and disclosure of your information.

Information We Collect

Personal Information

We may collect the following personal information from you:

• Name
• Address
• Phone number
• Email address
• Date of birth
• Insurance information
• Emergency contact information

Health Information

We may collect the following health-related information:

• Medical history
• Dental history
• Treatment plans
• X-rays and other diagnostic images
• Medication details
• Notes and reports from your dental care providers

How We Use Your Information

We use your information for the following purposes:

• To provide, manage, and coordinate dental care and treatment
• To communicate with you regarding appointments, treatments, and services
• To process insurance claims and manage billing and payment
• To comply with legal and regulatory requirements
• To improve our services and the quality of care we provide

How We Share Your Information

We may share your information with the following entities under specific circumstances:

• Healthcare Providers: Other dental and medical professionals involved in your care.
• Insurance Companies: For the purpose of processing claims and obtaining payment.
• Business Associates: Third-party service providers who perform functions on our behalf, such as billing and IT services, under a contract ensuring they will safeguard your information.
• Legal and Regulatory Authorities: When required by law or to comply with legal processes.

Your Rights

You have the following rights regarding your personal and health information:

• Access: You have the right to access and obtain a copy of your information.
• Amendment: You have the right to request an amendment to your information if you believe it is incorrect or incomplete.
• Restriction: You have the right to request a restriction on the use or disclosure of your information.
• Confidential Communications: You have the right to request that we communicate with you in a specific manner or at a specific location.
• Accounting of Disclosures: You have the right to receive an accounting of certain disclosures of your information.

Data Security

We implement appropriate administrative, technical, and physical safeguards to protect your information from unauthorized access, use, or disclosure. Despite these measures, no security system is impenetrable, and we cannot guarantee the security of our systems 100%.

Changes to This Privacy Policy

We may update this Privacy Policy from time to time to reflect changes in our practices or legal requirements. We will notify you of any significant changes by posting the new policy on our website and indicating the effective date of the update.

Contact Us

If you have any questions or concerns about this Privacy Policy or our privacy practices, please contact us at:

Kathy Zahedi DDS & Associates
1450 10th St #400, Santa Monica, CA 90401
Santa Monica, CA 90401
Phone: (310) 393-0195
Email: kathyzahedidds@gmail.com 

By receiving services from [Dental Office Name], you acknowledge that you have read and understood this Privacy Policy.

Note: This Privacy Policy is provided for informational purposes and does not constitute legal advice. Please consult with a legal professional to ensure compliance with applicable laws and regulations.