HIPAA Notice
HIPAA Notice of Privacy Practices
HIPAA Notice
Effective Date: August 17, 2026
At My Smile Experience, we understand the importance of protecting your health information. This HIPAA Notice of Privacy Practices explains how we may use and disclose your protected health information (PHI) and how you can access your information.
How We May Use and Share Your Health Information
We may use or disclose your health information for purposes including:
- Providing dental care and treatment
- Coordinating services related to your care
- Communicating with you about appointments, treatment options, and services
- Completing administrative and operational activities
- Meeting legal and regulatory requirements
Information Submitted Through Our Website
Information submitted through our website forms may include contact information and photos related to your dental needs.
The Invisalign Step 1 form allows you to submit photos of your teeth so our team can review your inquiry and provide information about Invisalign treatment options.
Please don’t include medical details here.
For your privacy and security, we recommend sharing detailed health information only through approved patient communication methods provided by our office.
Your Privacy Rights
You have rights regarding your protected health information, including:
- Requesting access to your health information
- Requesting corrections to your health information
- Requesting restrictions on certain uses or disclosures
- Requesting confidential communications
Our Commitment to Your Privacy
We are committed to maintaining the privacy and security of your health information and following applicable HIPAA requirements when handling protected health information.
Contact Information
If you have questions about this HIPAA Notice of Privacy Practices or your privacy rights, please contact:
My Smile Experience
341 Summer Street #1 Somerville, MA 02144
617-620-9220 / 617-625-9400