Colorado Privacy Act

Welcome to the Perfect Teeth privacy form. You can use this form to make a request related to personal information that is collected when you use our website or our dental offices. 

If you select “Info request”, we will let you know what type of data has been collected and send it to you. If you select “Data Deletion”, we will delete any information that we have collected about you. If you select “Opt-Out”, we will remove you from Perfect Teeth communications (for example, marketing).  

Please note: If you are a Perfect Teeth patient, this does not include any information from your dental record. We do not delete patient treatment records until the allowable destruction date in compliance with Colorado law.

The information provided in this form will ONLY be used for purposes of processing your data protection request and to communicate with you regarding your request. 

For more information about how we use and protect your personal information, please view our Privacy Policy. 

Info RequestData DeletionOpt-Out Select request type* First Name* Last Name* Email address* Mailing address* City* State* Zip*