Notice of Privacy Practices

This Notice describes how Perfect Smiles and Orthodontics, PLLC ("the Practice") may use and disclose your protected health information (PHI) to carry out treatment, payment, and health care operations, and your rights regarding that information.

Clear Studios markets and administers a membership program but does not collect, transmit, or store protected health information. All clinical information is handled by the Practice through a separate HIPAA-compliant electronic health record and practice management system under an appropriate Business Associate Agreement.

1. Your Rights

• Get an electronic or paper copy of your medical record — you may inspect and obtain a copy.
• Ask us to correct your record.
• Request confidential communications (e.g., at an alternative address or phone number).
• Ask us to limit what we use or disclose.
• Request a paper copy of this Notice, even if you agreed to receive it electronically.
• Choose someone to act for you — a personal representative authorized under state law.
• Get a list of those with whom we've shared information (accounting of disclosures).
• File a complaint if you feel your rights have been violated.

2. How We Use and Disclose Your Information

For Treatment

We may use and disclose your health information to provide, coordinate, or manage your dental care and related services.

For Payment

We may use and disclose your information so that treatment and services may be billed to you, an insurance plan, or a third party, including membership administration handled by Clear Studios for non-clinical billing purposes only.

For Health Care Operations

We may use and disclose your information for practice operations such as quality assessment, training, and administrative functions.

3. Uses and Disclosures Requiring Your Authorization

Uses and disclosures of your health information for marketing purposes, and disclosures that constitute a sale of your health information, require your written authorization. You may revoke an authorization in writing at any time.

4. Uses and Disclosures Required or Permitted Without Authorization

We may use or disclose your information when required by law, including:

• To comply with legal proceedings
• For public health and safety reporting
• To avert a serious threat to health or safety
• To coroners, medical examiners, and funeral directors
• To workers' compensation or similar programs as authorized by law
• As required by law enforcement or other government health oversight activities

5. Your Choices

For certain health information, you can tell us your choices about what we share — for example, sharing information with family members, close friends, or others involved in your care. If you are not able to tell us your preference (for example, if you are unconscious), we may share your information if we believe it is in your best interest.

6. Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information, to notify you following a breach of unsecured PHI, and to let you know promptly if a breach occurs that may have compromised your information. We must follow the duties described in this Notice and give you a copy of it.

7. Changes to This Notice

We can change the terms of this Notice, and the changes will apply to all information we have about you. The new Notice will be available upon request, at our locations, and on our website.

8. Complaints

If you feel your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.

9. Contact

For questions about this Notice or to file a complaint, please contact:

Perfect Smiles and Orthodontics, PLLC
c/o Clear Studios
301 W Atlantic Ave, Suite 5
Delray Beach, FL 33444
clearstudiosmanagement@gmail.com

Last Updated: August 27, 2026

Membership Disclaimers

* “Unlimited cleanings and whitening” are subject to clinical approval. Modern smile-care membership with benefits stated in your selected plan. Benefits may include eligible professional polishing or preventive care, whitening, examinations, diagnostics, oral-health saliva screening, and member pricing on designated services. Cancel anytime. No insurance required. All services are subject to clinical eligibility, availability, and the Membership Terms.

Cancel anytime. Cancellation stops future recurring charges. The enrollment payment and completed monthly payments are nonrefundable, except as required by law or for a verified billing error.

Membership is not dental insurance. Clinical benefits remain subject to professional evaluation, eligibility, availability, and the Membership Terms. Certain eligible expenses may qualify for HSA/FSA payment; confirm eligibility with your plan administrator.