Notice of Privacy Practices
Effective September 7, 2026
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Who Follows This Notice
This notice applies to Miller Orthodontics, PLLC (“Miller Orthodontics,” “we,” or “us”) and to every member of our workforce at all of our locations, including our Carrollwood / North Tampa, Brandon, and Apollo Beach offices.
We are required by law to maintain the privacy of your protected health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
How We May Use and Disclose Your Health Information
The following describes the ways we may use and disclose your protected health information without your written authorization.
For Treatment
We use your health information to provide orthodontic care. For example, Dr. Miller may review your records and imaging to plan treatment, our clinical team may discuss your case internally, and we may share information with your general dentist, an oral surgeon, or another provider involved in your care.
For Payment
We use and disclose your health information to bill and collect payment. For example, we may send claims and supporting records to your dental insurance plan, verify benefits and eligibility before treatment, or obtain prior authorization.
For Health Care Operations
We use your health information to run the practice, including quality review, training, licensing, business planning, and administration. For example, we may review records to evaluate the care our team provides.
Appointment Reminders and Treatment Information
We may contact you to remind you of an appointment, or to tell you about treatment alternatives or other health-related services. Where you have given a mobile number and consented, these may be sent by text message, as described in our Privacy Policy.
Family Members and Others Involved in Your Care
Unless you object, we may share information relevant to your care with a family member, guardian, or other person you have involved. For a patient who is a minor, we may share information with a parent or legal guardian as permitted by law.
Other Uses and Disclosures Permitted or Required by Law
We may use or disclose your health information without your authorization when:
- Required by federal, state, or local law
- Needed for public health activities, such as reporting disease, injury, or adverse events
- We are required to report suspected abuse, neglect, or domestic violence to an authorized agency
- A health oversight agency conducts an audit, investigation, inspection, or licensure review
- We receive a court or administrative order, subpoena, discovery request, or other lawful process
- Law enforcement makes a request permitted by law, for example to identify or locate a suspect, or to report a crime
- Disclosure is necessary to a coroner, medical examiner, or funeral director, or to support organ and tissue donation
- Needed to avert a serious and imminent threat to the health or safety of you or another person
- Required for specialized government functions, including military, national security, and correctional purposes
- Authorized by and necessary to comply with workers' compensation laws
- Used for research that has been approved by an institutional review board or privacy board
Uses and Disclosures That Require Your Written Authorization
Your written authorization is required before we may use or disclose your health information for:
- Most marketing communications
- Any sale of your health information
- Most uses and disclosures of psychotherapy notes, where we maintain any
- Use of your photograph, image, or testimonial in our advertising, on our website, or on our social media
Any other use or disclosure not described in this notice will be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.
Your Rights Regarding Your Health Information
Right to Inspect and Copy
You may inspect and obtain a copy of your health and billing records, generally within 30 days of a written request. If you ask for an electronic copy of records we hold electronically, we will provide it in the form you request where readily producible. We may charge a reasonable, cost-based fee.
Right to Amend
If you believe information in your record is incorrect or incomplete, you may ask us in writing to amend it. We may deny the request in certain circumstances, and if we do we will explain why in writing and you may submit a statement of disagreement.
Right to an Accounting of Disclosures
You may request a list of certain disclosures we have made of your health information. This does not include disclosures for treatment, payment, or health care operations, or disclosures you authorized.
Right to Request Restrictions
You may ask us to restrict how we use or disclose your information. We are not required to agree to most requests. However, we must agree to a request not to disclose information to your health plan when the disclosure is for payment or health care operations and you have paid for that item or service in full out of pocket.
Right to Confidential Communications
You may ask us to contact you at a particular address or by a particular method, for example only at a specific phone number. We will accommodate reasonable requests.
Right to a Paper Copy of This Notice
You may ask for a paper copy of this notice at any time, even if you agreed to receive it electronically.
Right to Be Notified of a Breach
We will notify you if a breach occurs that may have compromised the privacy or security of your health information.
Our Duties
We are required by law to maintain the privacy of your protected health information, to provide this notice describing our legal duties and privacy practices, and to abide by the terms of the notice currently in effect.
We reserve the right to change this notice and to make the revised notice effective for health information we already hold as well as information we receive in the future. The current notice will be posted in our offices and on this page, with its effective date.
How to Raise a Concern or File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer using the contact details below, or directly with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights, at 200 Independence Avenue SW, Washington, D.C. 20201, or at hhs.gov/ocr/complaints.
You will not be retaliated against for filing a complaint.
Contact Our Privacy Officer
To exercise any of the rights described above, or to ask a question about this notice, contact the Privacy Officer at Miller Orthodontics:
Privacy Officer
Miller Orthodontics, PLLC
1303 W Fletcher Ave
Tampa, FL 33612