HIPPA Notice

This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.

1. Our Commitment to Your Privacy

Gables Smile Studio is committed to protecting your protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

2.How We May Use Your Information

We may use and disclose your health information to provide treatment, obtain payment for services, and support our healthcare operations, including scheduling, quality improvement, and staff training.

3. Your Rights

You have the right to:

• Request access to your dental records

• Request corrections to your records

• Request a list of certain disclosures we've made

• Request restrictions on how we use or share your information

• Receive a paper copy of this notice at any time

4. When We Share Your Information Without Authorization

In limited circumstances required by law, such as public health reporting or in response to a court order, we may be required to disclose your information without your authorization.

5. Contact for Privacy Concerns

If you have questions or wish to file a complaint about our privacy practices, contact our office at hello@gablessmilestudio.com or (305) 555-0148. You may also file a complaint with the U.S. Department of Health and Human Services without fear of retaliation.

6. Changes to This Notice

We reserve the right to change this notice and will post the updated version on our website.