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Effective Date: March 2026

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

Our Commitment to Your Privacy

EasySmile PLLC, doing business as EasySmile Implant Studio, is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of your Protected Health Information (PHI), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.

What Is Protected Health Information?

Protected Health Information (PHI) includes any information that relates to your past, present, or future physical or dental health condition, the provision of health care to you, or payment for that care, and that can be used to identify you. This includes your name, address, phone number, date of birth, treatment records, and billing information.

How We May Use and Disclose Your Health Information

Treatment:
We may use and disclose your PHI to provide, coordinate, or manage your dental care and related services. For example, we may share information with a specialist or laboratory involved in your treatment.

Payment:
We may use and disclose your PHI to obtain payment for services we provide to you. For example, we may share billing information with a third-party financing company involved in covering the cost of your care.

Healthcare Operations:
We may use and disclose your PHI for activities related to running our practice, such as quality improvement, staff training, compliance reviews, and business management.

Appointment Reminders:
We may contact you to remind you of scheduled appointments or follow-up care using the contact information you have provided, including by phone, text message, or email.

Treatment Alternatives:
We may use your PHI to tell you about treatment options or health-related services that may be of interest to you.

As Required by Law:
We will disclose your PHI when required to do so by federal, state, or local law, including to public health authorities, law enforcement, or in response to a valid court order or subpoena.

Uses and Disclosures That Require Your Authorization

For uses and disclosures beyond those described above, we will ask for your written authorization. This includes:

• Most uses and disclosures of psychotherapy notes
• Uses and disclosures of your PHI for marketing purposes
• Sale of your PHI

You may revoke any authorization you have given us at any time in writing, except to the extent that we have already taken action in reliance on it.

Systems and Vendors We Use

EasySmile PLLC, DBA EasySmile Implant Studio, uses HIPAA-compliant third-party software platforms to support scheduling, communications, and practice operations. The following vendors may have access to protected health information:

• GoHighLevel — CRM and marketing automation platform used to manage consultation requests and follow-up communications
• Twilio — SMS delivery platform used to send appointment-related text messages
• Mailgun — Email delivery platform used to send follow-up communications
• CallRail — Call tracking platform used to record and route inbound calls
• Microsoft Clarity — Website analytics and session recording platform used to improve website experience. Collects anonymized behavioral data including mouse movements, clicks, and scrolling. No PHI is intentionally transmitted to Clarity.
• PixelYourSite — Pixel management plugin used to deploy advertising tracking on our website on behalf of Google and Meta. No PHI is intentionally transmitted through this system.
• ProLayers LeadConnector — Integration layer used to route lead data from our website into our CRM. Handles name and contact information submitted through our forms.

All vendors who may handle protected health information have executed Business Associate Agreements (BAAs) with EasySmile PLLC, DBA EasySmile Implant Studio, as required under HIPAA.

Remote and Digital Communications

If you communicate with our team by phone, text message, email, or any other remote channel, please be aware that these communications may not be fully encrypted end-to-end. By choosing to communicate with us through these channels, you acknowledge this limitation and consent to their use. We take reasonable steps to secure all communications but cannot guarantee the security of transmissions outside our direct control.

Data Retention

We retain your health-related information for a minimum of six years from the date it was created or the date it was last in effect, whichever is later. This is consistent with the HIPAA record retention standard. After this period, records are securely destroyed in accordance with applicable law.

Your Rights Regarding Your Health Information

Right to Access:
You have the right to inspect and receive a copy of your health information. Requests must be submitted in writing to our Privacy Officer. We may charge a reasonable fee for copying and postage.

Right to Amend:
If you believe information in your record is incorrect or incomplete, you may request that we amend it. We may deny the request in certain circumstances and will explain any denial in writing.

Right to an Accounting of Disclosures:
You may request a list of disclosures we have made of your PHI, other than for treatment, payment, operations, or disclosures you authorized.

Right to Request Restrictions:
You may request that we restrict certain uses or disclosures of your PHI. We are not required to agree to your request, but if we do, we will honor it except in the case of a medical emergency.

Right to Request Confidential Communications:
You may request that we communicate with you in a specific way or at a specific location. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice:
You may request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

Right to Be Notified of a Breach:
You have the right to be notified in the event that we discover a breach of your unsecured PHI.

Our Responsibilities

EasySmile Implant Studio is required to:

• Maintain the privacy and security of your Protected Health Information
• Provide you with this Notice of our legal duties and privacy practices
• Notify you promptly if a breach occurs that may have compromised your information
• Follow the terms of the Notice currently in effect
• Not use or share your information other than as described here unless you provide written authorization

 

Changes to This Notice

We reserve the right to change the terms of this Notice. Any revised Notice will be posted on our website and made available in paper form at our office. The effective date at the top of the Notice will be updated to reflect any changes.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or directly with the U.S. Department of Health and Human Services. You will not be penalized or retaliated against in any way for filing a complaint.

To file a complaint with our office:
Privacy Officer: Benjamin Immerman
EasySmile Implant Studio
2963 Gulf to Bay Blvd, Suite 270, Clearwater, FL 33759
Phone: 727-977-4000
Email: admin@easysmileimplantstudio.com

To file a complaint with the U.S. Department of Health and Human Services:
Office for Civil Rights, U.S. Department of Health and Human Services
200 Independence Avenue, S.W., Washington, D.C. 20201
Toll Free: 1-877-696-6775
Website: hhs.gov/ocr/privacy/hipaa/complaints

© 2026 EasySmile Implant Studio. All rights reserved.