We are committed to collecting, using, and disclosing personal information responsibly.

Personal Information
Personal information for our purposes is; that information necessary for the provision of professional oral health care services provided to you, and information necessary to administer this dental practice. Personal information includes all that information provided by you to us on our patient information/health/medical history form at the first visit and any subsequent visits. Personal information may also include any information provided by you to us during the normal course of communication between patient and dental office staff. We will use and disclose only information provided to us by you or another person acting on your behalf.

Information Protection
We are committed to protecting your personal information. We have established and implemented a variety of security measures to properly manage and safeguard your personal information from loss, theft and unauthorized access. Access to your personal information shall be on a "need to know" basis.

Information Disclosure
Your personal information shall be disclosed to only those who have a need to know and them specific information disclosed shall be restricted to only that information relevant to the recipients need to know. Those who have a need to know include other dentists and health care providers (i.e. dental specialists, personal physicians). Further, the personal information disclosed to dental benefit providers is limited to only that personal information required by the provider. You may at any time designate any restrictions as to whom we may disclose your personal information or restrict the content of a disclosure.

Information Retention and Destruction
We will retain you personal information for the period necessary to continue providing oral health services to you, and for its related administration. We will destroy information in a secure manner when the information is no longer necessary for the provision of oral health services and is not required to be retained for compliance with provincial or federal regulations or statutes.

Video Surveillance
For your safety all public areas (excluding dental chairs, treatment rooms and x-rays rooms) are monitored by video surveillance. Some camera's may be equipped with a voice recorder.

Your Access to Your Records
We are committed to providing you with open access to your personal information held by us. You may at any time ask us to see your records held by us and to request amendments to that information. We will provide access to you within a reasonable timeframe recognizing your desire for the information and our need to carry on our practice with limited interruption.

Complaint Process and Contact
Should you wish to make a formal complaint regarding our privacy practices, please do so in writing to our privacy officer at Dentix24. Should you have any questions, comments, or concerns, please bring them to our attention or to our privacy officer. We will be pleased to assist you.

Having read and understood the above PRIVACY STATEMENT, I consent to the collection, use and disclosure of my personal information as presented in the statement, subject to the restrictions identified below.