HIPAA Privacy & Security Notice – Smile Clear 3D Miami

Smile Clear 3D Miami complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and is committed to protecting the privacy, confidentiality, and security of your Protected Health Information (PHI).

By receiving services at our clinic, you acknowledge and understand the following:

1. Use and Disclosure of PHI

We may use and disclose your PHI for the purposes of:

  • Treatment (providing dental care, diagnostics, and follow-up),

  • Payment (insurance claims, billing, financing applications), and

  • Healthcare operations (quality assurance, internal management, clinical coordination).

We will not use or disclose your information for any purpose outside these permitted uses without your written authorization.

2. Patient Rights Under HIPAA

You have the right to:

  • Access and obtain a copy of your health records,

  • Request corrections or updates to your information,

  • Request restrictions on how your PHI is used or shared,

  • Request confidential communication methods (email, phone, etc.),

  • Receive an accounting of disclosures made outside of treatment, payment, or operations,

  • File a privacy complaint without fear of retaliation.

3. Protection of Your Information

We follow strict administrative, physical, and technical safeguards to protect electronic PHI (ePHI), including:

  • Controlled access to patient information,

  • Staff training and confidentiality requirements,

  • Secure storage, transmission, and encryption of data,

  • Monitoring and limiting access to authorized personnel only.

4. Breach Notification

In the event of any unauthorized access, loss, or disclosure of your PHI, we will notify you promptly in accordance with HIPAA Breach Notification Rule requirements.

5. Privacy Officer Contact

If you have questions about your rights or how your information is handled, you may contact our Privacy Officer at:

Smile Clear 3D Miami
15420 SW 136th St UNIT 59, Miami, FL 33196
Phone: (305) 282-8854
Email: info@smileclear3d.com