HIPAA Compliance

Effective Date: August 14, 2025

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

At America’s Bright Smiles of Pompano Beach, we are committed to protecting your private health information. “Protected Health Information” (PHI) is your individually identifiable health information, including demographic data, that relates to your past, present, or future physical or mental health, the provision of health care to you, or the payment for that care. We are required by law to maintain the privacy of your PHI and to provide you with this notice of our legal duties and privacy practices.

How We May Use and Disclose Your Health Information

The following categories describe different ways that we use and disclose your PHI.

  • For Treatment: We may use and disclose your PHI to provide, coordinate, or manage your dental care and any related services. This includes sharing information with other dentists, doctors, nurses, or specialists involved in your care. For example, we may share your X-rays with a specialist you have been referred to.
  • For Payment: We may use and disclose your PHI to obtain payment for the treatment and services you receive. For example, we will send a claim to your dental insurance plan that includes information identifying you, your diagnosis, and the procedures performed.
  • For Health Care Operations: We may use and disclose your PHI for our operational needs. These uses are necessary to run our practice efficiently and ensure that all of our patients receive quality care. Examples include quality assessment activities, employee review, training of dental students, and conducting or arranging for other business activities.
  • Appointment Reminders: We may use and disclose your PHI to contact you as a reminder that you have an appointment for treatment or medical care at our office.
  • As Required By Law: We will disclose your PHI when required to do so by federal, state, or local law. This includes responding to a court order, subpoena, or other lawful process.
  • Public Health Risks: We may disclose your PHI for public health activities, such as preventing or controlling disease, injury, or disability.

Any other use or disclosure of your PHI not covered in this notice will be made only with your written authorization. You may revoke this authorization at any time, in writing, except to the extent that our practice has already taken action in reliance on your authorization.

Your Rights Regarding Your Health Information

You have the following rights regarding the PHI we maintain about you:

  • Right to Inspect and Copy: You have the right to inspect and obtain a copy of your PHI. We may charge a reasonable, cost-based fee for this service.
  • Right to Amend: If you feel that the PHI we have about you is incorrect or incomplete, you may ask us to amend the information. You must provide a reason that supports your request.
  • Right to an Accounting of Disclosures: You have the right to request a list of the disclosures we have made of your PHI for purposes other than treatment, payment, and health care operations.
  • Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose about you for treatment, payment, or health care operations. We are not required to agree to your request.
  • Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice at any time.

Our Responsibilities

America’s Bright Smiles of Pompano Beach is required by law to:

  • Maintain the privacy of your PHI.
  • Provide you with this notice of our legal duties and privacy practices.
  • Abide by the terms of the notice currently in effect.

We reserve the right to change this notice and to make the new notice provisions effective for all PHI we already have as well as any information we receive in the future. We will post a copy of the current notice in our office with the effective date.

For More Information or to Report a Problem

If you have questions or would like additional information, or if you believe your privacy rights have been violated, you may contact our Privacy Officer. You may also file a complaint with the U.S. Secretary of Health and Human Services. There will be no retaliation for filing a complaint.

Contact Information:
Privacy Officer
America’s Bright Smiles of Pompano Beach
2701 NE 14th Street Causeway #1
Pompano Beach, FL 33062
Phone: (954) 941-2490