HIPAA Information

The UCLA School of Dentistry is considered a component of the covered entity of the University of California under the federal Health Insurance Portability and Accountability Act of 1996, which mandated significant changes in the legal and regulatory environments governing the provision of health benefits, the delivery and payment of healthcare services, and the security and confidentiality of individually identifiable, protected health information.

The UCLA School of Dentistry is fully committed to protecting patient health information and maintaining patient confidentiality. However, due to the semi-private layout of our clinical facilities where dental chairs units are separated by partitions, there is a risk of incidental disclosure of your patient information to other individuals who may be nearby. While the chance of incidental disclosure through overhead communications cannot be completely eliminated, the UCLA School of Dentistry has taken reasonable precautions to minimize and limit such incidental use and disclosure.

As required by HIPAA, the School of Dentistry will distribute a Notice of Privacy Practices to each new and continuing patient at his/her first visit on or after April 14, 2003. Each patient who is given a copy of the Notice of Privacy Practices will also be asked to acknowledge receipt of such notice.

For your convenience, you may download a Notice of Privacy Practices, here:

As you will see in your review of our Notice of Privacy Practices, patients have a number of rights including the following:

Right to Inspect and Copy Records (request a copy and release your information to another party with this form)

Right to Request an Amendment or Addendum to Records (request an amendment or addendum to your record)

Right to an Accounting of Disclosures (request an accounting of certain disclosures of your medical information)

Right to Request Restrictions (request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or operations)

Right to Request Confidential Communications (request that we communicate with you about medical matters in a certain way or at a certain location)