Effective Date: July 2, 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.
Haru Dental is required by law to maintain the privacy of your protected health information (“PHI”), to provide you with this Notice of our legal duties and privacy practices, and to notify affected individuals following a breach of unsecured PHI. We are required to abide by the terms of the Notice currently in effect.
How We May Use and Disclose Your Health Information
Treatment
We use and disclose your PHI to provide, coordinate, and manage your dental care, including sharing information with dentists, specialists, laboratories, and other providers involved in your treatment.
Payment
We use and disclose your PHI to obtain payment for services, including billing and collecting from you, your dental or health plan, or a third party, and verifying coverage and benefits.
Health Care Operations
We use and disclose your PHI for operations such as quality assessment, staff review and training, licensing, and general administrative activities.
Appointment Reminders and Treatment Options
We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
As Required or Permitted by Law
We may use or disclose your PHI when required or permitted by law, including for public health activities, health oversight, judicial and law-enforcement purposes, to avert a serious threat to health or safety, for workers’ compensation, and other purposes permitted under HIPAA.
Uses and Disclosures Requiring Your Written Authorization
Most uses and disclosures of PHI for marketing purposes, disclosures that constitute a sale of PHI, and other uses not described in this Notice will be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.
Your Rights Regarding Your Health Information
- Access: You may inspect and request a copy of your PHI that we maintain, subject to limited exceptions.
- Amendment: You may request that we amend PHI you believe is incorrect or incomplete.
- Accounting of Disclosures: You may request a list of certain disclosures we have made of your PHI.
- Restrictions: You may request restrictions on certain uses and disclosures; we will accommodate reasonable requests where required by law.
- Confidential Communications: You may request that we communicate with you by alternative means or at an alternative location.
- Paper Copy: You have the right to a paper copy of this Notice upon request.
- Breach Notification: You have the right to be notified following a breach of your unsecured PHI.
Our Responsibilities
We are required to maintain the privacy of your PHI, provide this Notice of our duties and privacy practices, abide by the terms of the Notice currently in effect, and notify you if we are unable to agree to a requested restriction.
Changes to This Notice
We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as any information we receive in the future. The current Notice will be posted at our office and on our Website with its effective date.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our office using the contact information below, or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.
Contact / Privacy Officer
To exercise your rights, ask questions, or file a complaint, contact our Privacy Officer:
Haru Dental
1454 Marcelina Ave, Torrance, CA 90501
Phone: (310) 362-2875
Email: info@harudental.com
Contact form: harudental.com/contact-us