Notice of Privacy Practice
Our office is obligated to follow the terms of this Notice. We will not use or disclose PHI about you without your written authorization, except as described in this Notice. We reserve the right to change our practices and this Notice and to make the new Notice effective for all PHI we maintain. The most up to date version of this notice will be available on our website, petitesmilesdentistry.com, at all times.
Your Health Information Rights
You have the following rights pertaining to your PHI:
Obtain a paper copy of the Notice upon request. You may request a paper copy of this Notice, or any revised Notice at any time.
Request a restriction on certain uses and disclosures of PHI. You have the right to request additional restriction on our use or disclosure of PHI about you by sending a written request to our Privacy Officer. We are not required to agree to those restrictions.
Inspect and obtain a copy of your PHI. You have the right to see a copy of PHI about you contained in a designated record set for as long as our office maintains the PHI. The designated record set may include billing, charting, and x-rays. We may charge a reasonable fee for copying and mailing such records.
Examples of How We May Use & Disclose PHI
The following describes how we use your PHI:
We will use PHI for Treatment
Example: Should a prescription be needed to treat a patient in the office, your PHI may be disclosed to a pharmacist.
We will use your PHI for payment
Example: Your PHI will be used in billing your insurance company for treatment rendered in our office
We will use your PHI for health care operations
We may use and disclose PHI in performing business activities.
Example: We routinely conduct in-office chart audits to ensure correctness of billing, We are also likely to disclose PHI for the purposes without a written consent.
Business Associates
Example: We contract an outside company to provide us with technical support on our computer system. In assisting us with maintaining our systems, this company has access to PHI.
As required by law
Any other uses and disclosures will be made only with your written authorization.
For More Information or to Report a Problem
Petite Stories
My experience at Petite Smiles Dentistry with Dr. Heba Rashed exceeded my expectations. The clinic itself was beautifully designed with a child-friendly atmosphere, creating a relaxing environment. It was evident that they catered to their patients and the attention to detail was remarkable.
Brittany D.
So glad my kids first dental experience was at Petite Smiles! I have 4-year-old triplets and each one was so comfortable at the clinic. The entire Petite Smiles team was incredibly warm and welcoming. They engaged with my kids, which really helped them feel comfortable throughout their cleaning and checks. And Dr. Rashed was awesome – very knowledgeable, thorough, and communicative throughout the visit.
Fairuz M
I’m absolutely thrilled to share our wonderful experience with Petite Smiles Pediatric Dentistry. From the moment we stepped into their clinic, we were greeted with warm smiles and a friendly atmosphere that immediately put my children at ease. They even had a board with their names welcoming them in! It’s so important to create such a positive environment for children where they could be nervous…