Journey Smiles Orthodontics and Pediatric Dentistry

Notice of Privacy Practices

Effective Date: February 9, 2026

Welcome. At Journey Smiles Orthodontics and Pediatric Dentistry (“we,”“our,” or “us”),

we are committed to protecting the privacy and security of your personal and health

information. This Privacy Policy explains how we collect, use, disclose, and safeguard your

information when you visit our website or receive care from us, and describes your rights

concerning your information under applicable privacy laws, including the Health Insurance

Portability and Accountability Act of 1996 (HIPAA).

By Accessing our website or receiving services from us, you agree to the terms outlined in

this Privacy Policy.

1. Information we Collect

A. Personal and Health Information

We may collect information that identifies you or relates to your dental care when you:

• Complete online forms (appointment requests, contact requests, patient

registration),

• Visit our oQice,

• Communicate with our team, or

• Submit information through email, phone, text or our patient portal.

Types of Information Collected:

• Name, address, email, phone number

• Date of birth

• Insurance and billing information

• Treatment and dental/medical history

• Appointment details and communication

• Health information necessary for diagnosis and care

This information may be considered Protected Health Information (PHI) under HIPAA

when collected in connection with treatment, payment, or health care operations.

B. Website Usage Data

When you visit our website, we may automatically collect analytics data such as:

• IP address

• Browser and device type

• Pages visited and time spent

• Referrer URL

We also use cookies and similar technologies to improve site functionality and user

experience. You may adjust browser settings to refuse cookies; however, doing so may

aQect website features.

2. How we Use Your Information

We use your information to:

• Provide dental and orthodontic care and services

• Schedule, manage, and confirm, appointments

• Communicate about treatment, reminders, and care instructions

• Process insurance claims and billing

• Improve our services and website

• Comply with legal, regulatory, and professional obligations

We will use and disclose PHI only as permitted by law and as described in this Policy or our

HIPAA Notice of Privacy Practices.

3. Information Sharing and Disclosure

We do not sell or rent your personal information.

We may share information (Including PHI) with:

Healthcare Providers involved in your care

Insurance Companies and Payers for claims and payment

Business Associates and Service Providers (e.g., billing, software vendors) under

strict confidentiality agreements

Legal or Governmental Authorities where required by law (e.g., subpoenas, public

health reporting)

Emergency Contacts or Family Members, if permitted or authorized by you

We require that entities receiving PHI on our behalf agree to safeguard it in compliance with

HIPAA.

4. Data Security

We implement administrative, technical, and physical safeguards designed to protect your

personal and health information from unauthorized access, misuse, or disclosure.

However, no system can guarantee absolute security.

If you believe there has been a privacy breach involving your information, please contact us

immediately.

5. Your Privacy Rights

Under HIPAA and Applicable Law, You Have the Right To:

• Access and Inspect your PHI

Request Copies of your records

Request Corrections (amendments) to your information

Receive an Accounting of disclosures of your PHI

Request Restrictions on certain uses and disclosures

Request Alternative Communications (e.g., email vs. mail)

Requests to exercise these rights must be submitted in writing and may require identity

verification before processing requests.

6. Special Protections for Substance Use Disorder (SUD) Records – 42

CFR Part 2

We comply with 42 Code of Federal Regulations (CFR) Part 2, which provides additional

privacy protections for records related to the diagnosis, treatment, or referral for treatment

of Substance Use Disorder (SDU).

What this Means for You:

• SUD-related records are subject to stricter confidentiality protections than other

health records.

• These records cannot be disclosed without your specific written consent, except as

permitted or required by law.

• Your consent must clearly state who may receive the information, what information

may be shared, and for what purpose.

Permitted Disclosures of SUD Information Without Consent

SUD-related information may be disclosed without your authorization only in limited

circumstances, including:

• Medical emergencies

• Research, audits, or evaluations (with appropriate safeguards)

• Court orders that meet part 2 requirements

• As otherwise permitted under federal law

Prohibition on Re-Disclosure

Any SUD information disclosed under your authorization is accompanied by the following

statement:

This information has been disclosed to you from records protected by federal confidentiality rules

(42 CFR Part 2). The federal rules prohibit you from making any further disclosure unless expressly

permitted by the written consent of the person to whom it pertains or as otherwise permitted by law. A general authorization for the release of medical or other information is NOT suGicient for this

purpose.

7. Children’s Privacy

We do not knowingly collect personal information from children via the website without

verified parental consent. Clinical information for minor patients is collected with consent

for the purpose of providing care. Parents or legal guardians may access their child’s

information in accordance with applicable law.

8. Third-Party Links

Our website may include links to third-party sites (e.g., social media or payment portals).

We are not responsible for the privacy practices of these external sites and encourage you

to review their privacy policies.

9. Changes to This Policy

We may update this Privacy Policy from time to time. The revised version will be posted

here with an updated “E=ective Date.” Your continued use of the website after changes are

posted constitutes acceptance of those changes.

10. Contact Us

For questions, privacy concerns, or to exercise your privacy rights, please contact us.

Journey Smiles Orthodontics and Pediatric Dentistry

2900 Delk Rd., Suite 420

Marietta, GA. 30067

(770) 790-4590

[email protected]