HIPAA POLICY
Effective Date: 28th July 2025
Your Health Information Rights
You have the right to:
★ Get a copy of your health and claims records
★ Correct your health and claims records
★ Request confidential communication
★ Ask us to limit the information we share
★ Get a list of those with whom we’ve shared your information
★ Get a copy of this privacy notice
★ Choose someone to act for you
★ File a complaint if you believe your privacy rights have been violated
Your Choices
You have choices about how we use and share your information for:
★ Marketing purposes
★ Sale of your information
★ Most sharing of psychotherapy notes
Our Uses and Disclosures
We may use and share your information for:
★ Treatment (coordinating care with other providers)
★ Payment (billing and claims processing)
★ Healthcare operations (quality improvement, training)
★ Legal requirements (public health reporting, law enforcement)
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
★ Smile America Dental Center Privacy Officer
★ U.S. Department of Health and Human Services Office for Civil Rights
You will not be retaliated against for filing a complaint.