We consider the task of privately obtaining prediction error guarantees in ordinary least-squares regression problems with Gaussian covariates (with unknown covariance structure). We provide the first sample-optimal polynomial time algorithm for this task under both pure and approximate differential privacy. We show that any improvement to the sample complexity of our algorithm would violate either statistical-query or information-theoretic lower bounds. Additionally, our algorithm is robust to a small fraction of arbitrary outliers and achieves optimal error rates as a function of the fraction of outliers. In contrast, all prior efficient algorithms either incurred sample complexities with sub-optimal dimension dependence, scaling with the condition number of the covariates, or obtained a polynomially worse dependence on the privacy parameters. Our technical contributions are two-fold: first, we leverage resilience guarantees of Gaussians within the sum-of-squares framework. As a consequence, we obtain efficient sum-of-squares algorithms for regression with optimal robustness rates and sample complexity. Second, we generalize the recent robustness-to-privacy framework [HKMN23, (arXiv:2212.05015)] to account for the geometry induced by the covariance of the input samples. This framework crucially relies on the robust estimators to be sum-of-squares algorithms, and combining the two steps yields a sample-optimal private regression algorithm. We believe our techniques are of independent interest, and we demonstrate this by obtaining an efficient algorithm for covariance-aware mean estimation, with an optimal dependence on the privacy parameters.