Privacy Policy

A Perfect Smile Privacy Policy

A Perfect Smile respects your privacy and we are committed to protecting it.

This notice describes: how health information about you may be used; how health information about you can be disclosed, and how you can get access to this information.

 

OUR LEGAL DUTY

In accordance with the privacy law under the Health Insurance Portability and Accountability Act (HIPPA) of 1996, our office must take reasonable steps to limit the use or disclosure of, and requests for, your protected health information. Under this law we are also required to provide you access to our privacy practices, which details how health information about you may be used and how you may access this information.

 

USES AND DISCLOSURES OF HEALTH INFORMATION

A Perfect Smile will use and disclose health information about you for treatment and payment with your authorization.

For Example:

Treatment: We may use or disclose your health information to a physician or other healthcare provider providing treatment to you.

Payment: We may use and disclose your health information to obtain payment for services we provide you.

 

In addition, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect. Unless you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this notice.

 

To Your Family and Friends: We may disclose your health information to a family member, friend or other person to the extent necessary to help with your healthcare or with payment for your healthcare, but only if you agree in writing that we may do so.

Marketing Health-Related Services: We will not use your health information for marketing communications or any third party without your written authorization.

Required by Law: We may use or disclose your health information when we are required to do so by law.

 

PATIENT RIGHTS

Access: You have the right to look at or get copies of your health information. You must make a request in writing to obtain access to your health information. Our office will charge you a reasonable cost-based fee for expenses such as copies, staff time, and postage.

Electronic Notice: If you receive this notice on our Web Page or by electronic mail (e-mail), you are entitled to receive this notice in a written form.

 

For any questions or concerns, please contact our office immediately and ask to be connected to Krisztina Napolitano, Practice Manager at:

Address: 168 U.S. Route 1, Falmouth, Maine 04103

Telephone: 207-781-2448, Fax: 207-781-4232

E-mail: krisztina@perfectsmileme.com