Notice of Privacy Practices
How your health information may be used and disclosed — the full legal notice
Schedule ConsultationNotice of Privacy Practices · Effective August 8, 2026
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 is issued by Center for Implant Dentistry (Arpana Gupta, DDS and Sambhav Jain, DDS, Inc.) and applies to both of our offices and to every member of our workforce. We are required by law to maintain the privacy of your protected health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect. If you prefer a plain-language overview of your rights, see Your Health Information Privacy Rights— but that page is a summary, and this notice is the document that governs.
How We May Use and Disclose Your Health Information for Treatment
We use your health information to provide your dental care and we may disclose it to other clinicians involved in that care. For example: we review your health history, radiographs, and 3D CBCT scans to plan implant surgery; we share your records with a physician when your medical condition affects sedation planning; we send a prescription to your pharmacy; and we coordinate with a dental laboratory that fabricates your crown, bridge, or full-arch prosthesis. We may also contact you with appointment reminders and information about treatment we are providing or have recommended, such as post-operative check-in calls after implant placement.
For Payment
We may use and disclose your health information to bill and collect payment for your care. For example: we submit claims to your dental insurer, including the procedure codes, dates, and supporting radiographs the plan requires; we verify your benefits before treatment; and, when you ask us to, we share the information a third-party financing company needs to process your application.
For Health Care Operations
We may use and disclose your health information to run the practice competently and safely. For example: we review treatment records for quality checks, use records in training staff, and use your information for scheduling, record-keeping, and obtaining professional advice — including legal and accounting services — where the advisor is bound to protect it.
Family, Friends, and Others Involved in Your Care
If you bring someone into the room during a consultation, or ask us to discuss your care or billing with a family member or friend, we may share the information relevant to that person's involvement — and you may withdraw that permission at any time. If you are incapacitated or in an emergency, we will use professional judgment to share only what is directly relevant to the person's involvement in your care. A parent, legal guardian, or person holding a valid medical power of attorney (your personal representative) may exercise your rights and receive your information on your behalf; we verify their authority before acting.
Uses and Disclosures Permitted or Required by Law Without Your Authorization
The law permits or requires us to use or disclose health information without your authorization in a limited set of situations. In each one we disclose only what the law allows, and California law is often stricter than the federal rule — where it is, we follow California law:
- When required by law — for example, in response to a court order or a valid legal mandate.
- Public health activities — such as reporting communicable disease or adverse reactions to medications or devices to public health authorities.
- Reporting suspected abuse, neglect, or domestic violence to the authorities designated by law, as California requires of health care providers.
- Health oversight — audits, inspections, and licensing reviews by agencies such as the Dental Board of California or the U.S. Department of Health and Human Services.
- Judicial and administrative proceedings — in response to a court order, or to a subpoena or discovery request that meets legal requirements.
- Law enforcement — in the narrow circumstances the law permits, such as identifying or locating a suspect, fugitive, material witness, or missing person.
- Coroners, medical examiners, and funeral directors, as necessary to carry out their duties — including dental-record identification of a decedent.
- To avert a serious threat — when we believe in good faith that disclosure is necessary to prevent a serious and imminent threat to the health or safety of a person or the public.
- Workers' compensation — as authorized by the laws governing work-related injury claims.
- Specialized government functions — such as military command authorities for members of the armed forces, or national security activities authorized by law.
Uses and Disclosures That Require Your Written Authorization
Uses and disclosures other than those described in this notice will be made only with your written authorization, and the following always require it. You may revoke an authorization at any time, in writing, and we will stop the use or disclosure going forward — except to the extent we have already acted in reliance on it.
- Most uses and disclosures for marketing purposes.
- Any sale of your health information — which we do not do, and would in any event require your authorization.
- Most disclosures to a third party that is not treating you, paying for your care, or working for us under a written agreement to protect your information — for example, sending your photograph to an outside technology vendor for a cosmetic simulation you request.
- Psychotherapy notes: the special federal rules for psychotherapy notes do not arise in this practice, because as a dental practice we do not create or maintain them.
What This Practice Does Not Do
- We do not sell your health information.
- We do not use or disclose your health information for fundraising, because we do not fundraise.
- We do not use or disclose your health information for research.
- We do not use your health information for underwriting; we are a dental practice, not a health plan, and federal law in any event prohibits the use of genetic information for underwriting purposes.
Your Rights Regarding Your Health Information
You have the following rights over the health information we keep about you. To exercise any of them, contact our Privacy Officer using the details at the end of this notice; some requests must be made in writing, and the front desk can give you the short form for each.
- Right to access — to inspect and receive a copy of your dental and billing records, on paper or electronically, generally within the timeframes the law requires; we may charge a reasonable, cost-based fee for copies. In limited circumstances we may deny access, and in most of those you may have the denial reviewed.
- Right to amend — to ask us, in writing, to correct information you believe is wrong or incomplete. We may deny the request in certain situations — for example, if we did not create the record — but we will explain why in writing, and you may file a statement of disagreement that becomes part of your record.
- Right to an accounting of disclosures — to receive a list of certain disclosures we have made of your health information in the six years before your request, excluding disclosures for treatment, payment, and operations and those you authorized. The first accounting in any twelve-month period is free; we will tell you the cost-based fee for any additional one before we incur it.
- Right to request restrictions — to ask us to limit how we use or disclose your information for treatment, payment, or operations. We are not required to agree to every request, but one is your absolute right: if you pay for a service in full out of pocket, you may require that we not disclose information about that service to your health plan.
- Right to confidential communications — to ask that we contact you in a specific way or at a specific location, for example only on your mobile phone or at a particular address. We will accommodate all reasonable requests, and we will not ask you why.
- Right to a paper copy — to receive a paper copy of this notice at either office at any time, even if you agreed to receive it electronically.
- Right to breach notification — to be notified promptly if a breach occurs that compromises the privacy or security of your unsecured health information.
Our Duties
- We are required by law to maintain the privacy and security of your protected health information.
- We must provide you this notice of our legal duties and privacy practices, and abide by the terms of the notice currently in effect.
- We must notify affected patients following a breach of unsecured protected health information.
- We will not use or disclose your information other than as described here unless you authorize it in writing — and you may revoke that authorization at any time, in writing.
California's Stricter Protections (CMIA)
California's Confidentiality of Medical Information Act (Civil Code §§ 56–56.37) applies to this practice in addition to HIPAA, and in several respects it is stricter — for example, it requires that authorizations to disclose medical information meet specific form requirements, and it gives patients a direct right to sue for unauthorized disclosures. Where California law gives you greater protection or greater rights than HIPAA, we follow California law. Nothing in this notice reduces any protection California law provides.
Changes to This Notice
We reserve the right to change this notice and to make the revised notice effective for all protected health information we maintain, including information created or received before the change. When we make a material change, we will post the revised notice on this page with its new effective date, make it available at both offices, and offer a copy at your next visit. The effective date of the current version appears at the top of this page.
Complaints
If you believe your privacy rights have been violated, you may complain to us and to the U.S. Department of Health and Human Services, Office for Civil Rights. To complain to us, contact our Privacy Officer at (510) 574-0496 or info@bayareaimplantdentistry.com, or write to the Privacy Officer at either office address below. To complain to the federal government, write to: Office for Civil Rights, U.S. Department of Health and Human Services, 200 Independence Avenue S.W., Washington, D.C. 20201; call 1-877-696-6775; or file online at hhs.gov/ocr/privacy/hipaa/complaints (opens in a new tab).
We will never retaliate against you for filing a complaint, with us or with anyone else. Exercising your rights or raising a concern will not change the care you receive here.
Privacy Officer and Contact Information
Privacy questions, requests, and complaints are handled by our designated Privacy Officer. Contact the Privacy Officer at the phone number or email below, or by mail at either office address, marked “Attention: Privacy Officer.”
Phone: (510) 574-0496 · Email: info@bayareaimplantdentistry.com
- Center for Implant Dentistry — Fremont office: 3381 Walnut Ave, Fremont, CA 94538 · (510) 574-0496
- Center for Implant Dentistry — San Francisco office: 4318 Geary Blvd, Suite 201, San Francisco, CA 94118 · (415) 696-2922
This Notice of Privacy Practices is provided under 45 CFR § 164.520 and took effect on August 8, 2026. It applies to all protected health information created or maintained by the practice at both offices. A plain-language summary is available at Your Health Information Privacy Rights; where the summary and this notice differ, this notice and the law control. Paper copies are available at either office on request, at no charge.