Notice of Privacy Practices

Effective Date: September 24, 2026.

Bellagio Dental Implant Center
517 Northlake Blvd, Suite 3
North Palm Beach, FL 33408
Phone: (561) 705-0045

YOUR INFORMATION. YOUR RIGHTS. OUR RESPONSIBILITIES.

This notice describes how your medical and dental information may be used and disclosed and how you can access this information. Please review it carefully.

YOUR RIGHTS

You have the right to:

• Get a copy of your paper or electronic dental and medical record.
• Ask us to correct your dental or medical record if you believe it is incorrect or incomplete.
• Request that we communicate with you in a particular way, such as by phone, email, mail, or at a different address.
• Ask us to limit certain information we use or share.
• Receive a list of certain disclosures of your health information.
• Receive a paper copy of this Notice of Privacy Practices at any time.
• Choose someone to act for you when that person has legal authority to do so.
• File a complaint if you believe your privacy rights have been violated.

To exercise any of these rights, please contact our Privacy Officer at Bellagio Dental Implant Center, 517 Northlake Blvd, Suite 3, North Palm Beach, FL 33408, or call (561) 705-0045.

OUR USES AND DISCLOSURES

We may use and share your protected health information to:

Treatment

We may use and share your information with dentists, physicians, specialists, laboratories, or other health care professionals involved in your care.

Payment

We may use and share your information to bill for services and obtain payment from you, your insurance company, or another responsible party.

Health Care Operations

We may use and share your information to operate our practice, improve the quality of care we provide, train staff, manage services, and contact you when necessary.

Appointment Reminders and Practice Communications

We may contact you regarding appointments, treatment follow-up, office updates, and health-related services that may be relevant to your care.

We may also use or disclose your information when required or permitted by law, including for public-health and safety matters, health oversight, workers’ compensation, law enforcement requests, legal proceedings, and to prevent or reduce a serious threat to health or safety.

YOUR CHOICES

For certain information, you may tell us your preferences about sharing information with family members, close friends, or others involved in your care or payment for your care. If you are unable to communicate your preference, we may share information when we reasonably believe it is in your best interest or when needed to lessen a serious and imminent threat to health or safety.

We will not use or share your protected health information for marketing purposes, sell your information, or share psychotherapy notes unless you give us written authorization, except where otherwise permitted or required by law.

SUBSTANCE USE DISORDER RECORDS

To the extent we maintain substance use disorder patient records subject to 42 CFR Part 2, we will not use or disclose those records in civil, criminal, administrative, or legislative investigations or proceedings against you without your written consent or a court order and subpoena, as required by law.

OUR RESPONSIBILITIES

• We are required by law to maintain the privacy and security of your protected health information.
• We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and provide you with a copy upon request.
• We will not use or share your information other than as described in this notice unless you give us written permission. You may revoke that permission in writing at any time.

CHANGES TO THIS NOTICE

We may change the terms of this notice, and the changes will apply to all information we maintain. The updated notice will be available at our office and on our website.

COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with Bellagio Dental Implant Center by contacting our Privacy Officer at the address or phone number above.

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at Filing a Health Information Privacy Complaint.

We will not retaliate against you for filing a complaint.