HIPAA Privacy Notice

At Miami Perfect Smile, we are committed to maintaining the privacy of your protected health information (PHI) in accordance with applicable law. This notice applies to all information and records related to your care that our practice has received or created. It extends to information received or created by our employees, staff, volunteers, and physicians. This notice informs you about the ways in which we may use and disclose your medical information. It also describes your rights and our obligations regarding your medical information.

How We May Use and Disclose Your Medical Information


We may use your medical information to provide you with medical treatment or services. For example, we may disclose your medical information to doctors, nurses, technicians, or other personnel involved in your care.


We may use and disclose your medical information to bill and collect payment for the services we provided to you.

Health Care Operations

We may use and disclose your medical information in connection with our health care operations. Health care operations include quality assessment and improvement activities, reviewing the competence or qualifications of health care professionals, and conducting training programs.

Your Rights Regarding Your Medical Information

Right to Inspect and Copy

You have the right to inspect and copy your medical information.

Right to Amend

If you feel that the medical information we have about you is incorrect or incomplete, you may ask us to amend the information.

Right to an Accounting of Disclosures

You have the right to request an “accounting of disclosures,” which is a list of the disclosures we made of your medical information.

Right to Request Restrictions

You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or health care operations.

Right to Request Confidential Communications

You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.

Changes to This Notice

We reserve the right to change this notice and make the new notice apply to medical information we already have as well as any information we receive in the future.


If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services.