Simply Smiles – Comprehensive Dentistry & Facial Esthetics

Effective Date: April 24, 2026

Our Commitment to Your Privacy

Simply Smiles – Comprehensive Dentistry & Facial Esthetics is committed to protecting the privacy and security of your health information. This notice explains how we may use and disclose your information and outlines your rights regarding that information.

We are required by law to maintain the confidentiality of your protected health information (PHI) and to provide you with this notice.

How We May Use and Disclose Your Information

For Treatment

We use your information to provide, coordinate, and manage your dental care. This may include sharing information with specialists, dental labs, or other healthcare providers involved in your treatment.

For Payment

We use your information to bill and collect payment from insurance companies or other responsible parties. This may include sharing details about your treatment with your insurance provider.

For Healthcare Operations

We use your information to operate our practice, improve patient care, and ensure quality services. This includes staff training, quality reviews, and administrative functions.

Additional Uses and Disclosures

We may also use or disclose your information:

  • When required by federal, state, or local law
  • For public health and safety purposes
  • To report abuse, neglect, or domestic violence
  • For health oversight activities
  • In response to court orders or legal proceedings
  • For law enforcement purposes
  • For workers’ compensation claims

We only share the minimum necessary information in these situations.

Uses That Require Your Permission

We will obtain your written authorization before:

  • Sharing your information for marketing purposes
  • Selling your health information
  • Using or disclosing information not described in this notice

You may revoke your authorization at any time in writing.

Your Rights Regarding Your Health Information

You have the right to:

  • Access your records
  • Request corrections
  • Request confidential communications
  • Request restrictions
  • Receive an accounting of disclosures
  • Receive a copy of this notice
  • Choose a personal representative

Our Responsibilities

Simply Smiles is required to:

  • Maintain the privacy and security of your protected health information
  • Notify you promptly if a breach occurs
  • Follow the practices described in this notice
  • Provide you with a copy of this notice

We will not use or share your information beyond what is described here unless you give us written permission.

Appointment Reminders and Communication

We may contact you for:

  • Appointment reminders
  • Treatment follow-ups
  • Billing inquiries

This communication may occur via phone, voicemail, text message, or email unless you request otherwise.

Changes to This Notice

We reserve the right to update this Notice of Privacy Practices at any time. Any changes will apply to all information we maintain about you. The updated notice will be available in our office and on our website.

Questions or Complaints

If you have questions about this notice or believe your privacy rights have been violated, you may contact:

Simply Smiles – Comprehensive Dentistry & Facial Esthetics
44031 Ashburn Shopping Plaza #131
Ashburn, VA 20147
Phone: (703) 858-3456
Email: info@simplysmilesdds.com