As a health care provider covered under HIPAA legislation, you are expected to be HIPAA compliant. As part of HIPAA compliance, Smile Gallery Pro recommends that the following agreements be completed:

1. We recommend that you sign a marketing consent form with all patients for which you will be including photos and/or information into Smile Gallery Pro. Here is an example of a marketing consent form in both .doc and .pdf formats:

Marketing Consent Form

Marketing Consent Form



2. We recommend that you sign a business associate contract with Smile Gallery Pro to establish a HIPAA compliant relationship. Please print and complete the following agreement:

Business Associate Contract Form

Are you a patient with a privacy concern?

Should you find your photos or information involved with the Smile Gallery Pro technology, please contact your health services provider where this information was initially disclosed. You may also want to contact HIPAA via the HIPAA Website.

Smile Gallery Pro is an Internet dental photo storage and display technology used by health care providers. We have, to the best of our ability, encouraged your dental professional to adhere to HIPAA and privacy best-practices.

Disclaimer: The information contained on this Website does not constitute legal advice. It is also not a substitute for legal or other professional advice. Users should consult their own legal counsel for advice regarding the application of the law and this document as it applies to the HIPAA regulations.