Our office understands the importance of protecting your personal information. To help you understand how we are doing that, we have outlined here how our office is using & disclosing your information.
The office will collect, use & disclose information about you for the following purposes:
-
To deliver safe & efficient patient care.
-
To identify & ensure continuous high-quality service.
-
To assess your health needs & provide health care: to advise you of treatment options:
-
To enable us to contact you, to establish & maintain communication with you.
-
To offer & provide treatment, care & service in relationship to the oral & maxillofacial complex & to book & confirm appointments.
-
To allow us to efficiently follow up for treatment, care and billing.
-
To complete & submit dental claims for third party adjudication & payment.
-
To comply with legal & regulatory requirements, including delivery of patients charts & records to the Royal college of Dental Surgeons of Ontario in timely fashion. When required: according to the provisions of the Regulated Health Professions act.
-
To comply with agreements/undertakings entered into voluntarily by the member of the Royal College of Dental Surgeons of Ontario, including the delivery and/or review of patient’s charts & records to the College in a timely fashion for regulatory & monitoring purposes.
-
To permit potential purchases, practice brokers, or advisors to conduct in audit in preparation for a practice sale.
-
To deliver your charts your charts & records to the dentist’s insurance carrier to enable the Insurance company to assess liability & quality damages, if any.
-
To prepare material for the Health Professions Appeal; & Review Board (HPARB)
-
To invoice for goods and services.
-
To process credit care payments, to collect unpaid accounts.
-
To assist this office to comply with regulatory requirements.
-
To comply generally with the late.
By signing the consent section of this Patient Consent Form, you have agreed that you have given your informed consent to the collection, use and/o disclosure of your personal information for the purposes that are listed. If a new purpose arises for the use and/or disclosure for your personal information, we will seek your approval in advance.
Your information will not under any conditions supply your Insurer with your confidential medical history. In the event this kind of request made; we will forward the Information directly to you for your review & for your specific consent.
When unusual requests are reviewed, we will contact you for permission to release such information. We may also advise you if such release is inappropriate.
You may withdraw your consent for use or disclosure of your personal information & we will explain the ramifications & decisions & the process.
