HIPAA Notice of Privacy
Practices
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.
Effective date
July 21, 2026
Amir Sanjabi Dental is committed to protecting the privacy of your Protected Health Information (PHI). PHI is information in your medical record that could identify you, such as your name, address, medical history, treatment records, diagnoses, test results, and billing information.
Note: This website is for informational and consultation request purposes only. We do NOT collect Protected Health Information (PHI) through this website.
Table of Contents
How We May Use and Disclose Your Health Information
Treatment
We use PHI to provide healthcare services, including:
- Coordinating your dental implant surgery, restorations, and post-operative care within our office
- Consulting with specialists or laboratories about your treatment plan
Payment:
PHI may be used for:
- Submitting claims to your insurance company
- Verifying insurance coverage and benefits
Healthcare Operations
We use information for:
- Quality improvement and patient safety activities
- Staff training and education
Permitted Uses Without Authorization
Disclosures may occur when required by federal, state, or local law, and for public health activities, health oversight, judicial proceedings, law enforcement, and to avert a serious threat to health or safety.
Uses Requiring Authorization
Written permission is required for marketing communications and any disclosure in exchange for remuneration. We do not sell PHI.
Your Rights Regarding Your Health Information
- Right to Access: You may inspect and obtain a copy of your health records.
- Right to Amend: You may request corrections if information is incorrect or incomplete.
- Right to an Accounting: You may request a list of certain disclosures we have made of your PHI.
- Right to Request Restrictions: You may request limitations on the use or disclosure of your PHI.
- Right to Confidential Communications: You may request that we communicate with you in a specific way or at a specific location.
- Right to a Paper Copy: You may obtain a paper copy of this notice at any time.
Our Legal Duties and Responsibilities
We are required to
- Maintain the privacy and security of your PHI.
- Notify you promptly if a breach occurs that may have compromised the privacy or security of your information.
We will not
- Use or disclose your information without authorization except as described in this notice.
- Sell your PHI.
- Use or disclose PHI for marketing purposes without your authorization.
Changes to This Notice
We reserve the right to change this notice at any time and to make the revised notice effective for all PHI we maintain.
Complaints
Internal Contact
Amir Sanjabi Dental 10901 Paramount Blvd Downey, CA 90241 Phone: (562) 869-0928
Federal Contact
U.S. Department of Health and Human Services Office for Civil Rights
www.hhs.gov/ocr/privacy/hipaa/complaints/
Phone: 1-877-696-6775
Contact Information
Privacy Officer
Amir Sanjabi Dental
10901 Paramount Blvd, Downey, CA 90241
Phone: (562) 869-0928
Patients receive acknowledgment of this notice at their first appointment.