Privacy Policy

Personal Information

In our office we are dedicated to ensuring the protection of our patient’s personal information and ensuring that this information is used only in a professional manner. The following information indicates some of the information that is collected, why we collect it, and when we may disclose your personal information. We collect, use and disclose your personal information where permitted or required by law.

Personal Information/Financial Information

We collect information from our patients such as full name, home address, home telephone numbers, home email, work address, work telephone numbers, work email address, and cellular phone number. This information is considered contact information and is collected for a variety of purposes including:

To open and update a file;
To invoice patients for dental services, to process credit card payments or to collect unpaid accounts;
To process claims for payment or reimbursement from a third party health benefit provider or insurance company;
To send correspondence to our patients regarding the need for further examination or treatment;
To send correspondence to our patients regarding our clinic and practice;
We collect information related to financial matters for facilitation of payment of your treatment.

Contact information may be disclosed to a third party benefit provider or insurance company when submitting a claim on the patients behalf, for payment or reimbursement of all or part of the cost of the treatment provided, or when a patient has requested a preauthorization of a proposed treatment.

Medical/Dental History

We collect from our patients’ information about their health history, physical and mental condition, and dental health history. This information is collected for a variety of purposes and may be used in part to assist us in diagnosing dental conditions and providing appropriate treatment for you, and may be disclosed for the following purposes:

To a third party health benefit provider of insurance company in the submission of a claim on behalf of a patient, for reimbursement or payment of all or part of a cost of treatment.
To a third party health benefit provider of insurance company on behalf of a patient in the submission of a preauthorization of treatment.
To other health/dental providers where, upon your consent, we are seeking a second opinion.
To other health/dental providers where, upon your consent, we have referred you for additional treatment/alternative treatment.