Notice of
Privacy Practices

We are required by law to:

We reserve the right to change this Notice at any time. Any revised Notice will apply to information we already maintain as well as information we receive in the future. Updated versions will be available at our offices and on our website.

We may use and disclose your Protected Health Information for the following purposes:

1. Treatment

We may use and disclose your health information to provide, coordinate, and manage your dental care. Examples include:

2. Payment

We may use and disclose your information to obtain payment for services provided. Examples include:

3. Healthcare Operations

We may use and disclose health information for activities necessary to operate our practice. Examples include:

4. Appointment Reminders and Communications

We may contact you regarding appointment reminders, follow-up care, missed appointments, treatment recommendations, or patient satisfaction surveys.

Communication may occur through:

5. Treatment Alternatives and Health-Related Services

We may use your information to inform you about:

6. Individuals Involved in Your Care

Unless you object, we may disclose relevant information to family members, relatives, close friends, caregivers, or other individuals involved in payment for your care, if they are involved in your healthcare or payment decisions.

7. Business Associates

We may share information with trusted third-party vendors who help us operate our practice. Examples include billing companies, practice management software providers, cloud storage providers, IT support providers, and legal/accounting professionals. These parties must safeguard your information as required by law.

8. Public Health Activities

We may disclose information when required by law for public health purposes, including reporting diseases, reporting injuries, preventing public health threats, and reporting adverse events.

9. Abuse, Neglect, or Domestic Violence

We may disclose information when required or authorized by law to report abuse, neglect, or domestic violence.

10. Health Oversight Activities

We may disclose information to agencies responsible for licensing, audits, inspections, investigations, and regulatory oversight.

11. Judicial and Administrative Proceedings

We may disclose information in response to court orders, subpoenas, administrative proceedings, or other lawful legal requests.

12. Law Enforcement

We may disclose information to law enforcement when permitted or required by law.

13. Research

Under certain circumstances, we may use or disclose information for approved research activities that comply with applicable privacy laws.

14. Serious Threat to Health or Safety

We may disclose information when necessary to prevent or lessen a serious threat to health or safety.

15. Specialized Government Functions

We may disclose information for military activities, national security purposes, correctional institutions, or protective services authorized by law.

16. Workers' Compensation

We may disclose information as authorized by workers' compensation laws and similar programs.

17. De-Identified Information

We may remove identifying information from records and use or disclose the remaining information as permitted by law.

We will obtain your written authorization before using or disclosing your information for purposes not otherwise permitted by law. This generally includes:

You may revoke your authorization at any time in writing. Revocation will not affect disclosures already made based on prior authorization.

You have the following rights regarding the Protected Health Information we maintain about you:

1. Right to Access Your Records

You have the right to inspect and obtain copies of your health records, subject to certain limitations.

2. Right to Electronic Copies

If records are maintained electronically, you may request electronic copies when available.

3. Right to Request Corrections

If you believe information is inaccurate or incomplete, you may request an amendment. We may deny certain requests if permitted by law.

4. Right to Request Restrictions

You may request restrictions on how we use or disclose your information. While we are not always required to agree, we will consider all reasonable requests.

5. Right to Confidential Communications

You may request that we communicate with you using alternative methods or at alternative locations. Examples include:

6. Right to an Accounting of Disclosures

You may request a list of certain disclosures we have made of your health information.

7. Right to Receive a Paper Copy of This Notice

You may request a paper copy of this Notice at any time, even if you previously received it electronically.

8. Right to File a Complaint

You have the right to file a complaint if you believe your privacy rights have been violated. You may file a complaint with 97 Smiles or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be retaliated against for filing a complaint.

To submit a privacy complaint or ask questions regarding this Notice, please contact our Privacy Officer:

97 Smiles reserves the right to modify this Notice at any time. Any revised Notice will apply to all health information maintained by the practice. The current version will always be available at our offices and on our website.

This Notice of Privacy Practices is effective as of June 9, 2026.