Privacy Policy

 

PATIENT CONSENT FORM

FOR COLLECTION, USE AND DISCLOSURE OF PERSONAL INFORMATION

Privacy of your personal information is an important part of our office providing you with quality dental care. We understand the importance of protecting your personal information. We are committed to collecting, using and disclosing your personal information responsibly. We also try to be as open and transparent as possible about the way we handle your personal information. It is important to us to provide this service to our patients.

In this office, Dr. Barton Walters acts as the Privacy Information Officer.

All staff members who come in contact with your personal information are aware of the sensitive nature of the information you have disclosed to us. They are all trained in the appropriate uses and protection of your information.

Attached to this consent form, we have outlined what our office is doing to ensure that:

  • Only necessary information is collected about you;

  • We only share your information with your consent;

  • Storage, retention and destruction of your personal information complies with existing legislation, and privacy protection protocols;

  • Our privacy protocols comply with privacy legislation, standards of our regulatory body, the Royal Collect of Dental Surgeons of Ontario, and the law.

Do not hesitate to discuss our policies with Dr. Walters or any member of the office staff.

How Our Office Collects, Uses and Discloses Patients’ Personal Information

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 and disclosing your information.

  • To deliver safe and efficient patient care

  • To identify and to ensure continuous high quality of service

  • To assess your health needs and to provide health care

  • To advise you of treatment options

  • To enable us to contact you, to establish and maintain communication with you

  • To offer and provide treatment, care and services in relationship to the oral and maxillofacial complex and dental care generally

  • To communicate with other treating healthcare providers, including specialists and general dentists who are the referring dentists and/or peripheral dentists

  • To allow us to maintain communication and contact with you to distribute healthcare information and to book and confirm appointments

  • To allow us to efficiently follow-up for treatment, care and billing

  • For teaching and demonstrating purposes on an anonymous basis

  • To complete and submit dental claims for third party adjudication and payment

  • To comply with legal and regulatory requirements, including the delivery of patients’ charts and records to the Royal College of Dental Surgeons of Ontario in a 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 with the Royal College of Dental surgeons of Ontario, including the delivery and/or review of patients’ charts and records to the College in a timely fashion for regulatory and monitoring purposes

  • To permit potential purchasers, practice brokers or advisors to evaluate the dental practice or to allow such parties to conduct an audit in preparation for a practice sale

  • To deliver your charts and records to the dentist’s insurance carrier to enable the insurance company to assess liability and qualify for damages, if any

  • To prepare materials for the Health Professions Appeal and Review Board (HPARB)

  • To invoice for goods and services

  • To process credit card payments

  • To collect for unpaid accounts

  • To assist this office to comply with all regulatory requirements

  • To comply generally with the law

Your information may be accessed by regulatory authorities under the terms of the Regulated Health Professions Act (RHPA) for the purposes of the Royal College of Dental Surgeons of Ontario fulfilling its mandate under RHPA, and for the defence of legal issue.

Our office will not under any conditions supply your insurer with your confidential medical history. In the event this kind of request is made, we will forward the information directly to you for review, and for your specific consent.

When unusual requests are received, we will contact you for permission to release such information. We may also advise you if such a release is inappropriate.

You may withdraw your consent for use or disclosure of your personal information, and we will explain the ramifications of that decision, and the process.

  • Metropolitan Dental—Now Open

    To all of our valued patients of Metropolitan Dental:

    Hello everyone! This is coming to all of you with good news! We have finally received official approval to head back to work. We have been closed for almost three months. Needless to say we are all quite excited to head back to Metropolitan Dental and to once again see all of you for your dental needs.

    COVID-19 has been a very difficult time for all of us, including the shut down of dentistry across the province. We understand that many of you have been forced to wait for your dental care and we deeply appreciate your understanding and patience while we were closed. Your health and well being continue to be our highest priority as we carefully prepare and update our practice procedures. Please be assured that we will be taking care of you, just as we will be taking care of our families and ourselves.

    We know that our capacity of getting back to work will not be 100% initially, but we will be working hard to see all of you. We have opened our doors as of June 8th. We ask, unless you are experiencing an emergency, please wait for us to call you, instead of you calling the office. This will help to make our job of scheduling and re-scheduling patients easier. If you would like to email us to schedule or update an appointment click here.

    There are some new protocols that have been put in place by the Minister of Health for your next dental appointment, so we will be emailing these out to you prior to your appointment. These new screening processes are important for everyone to follow, we thank you for your co-operation.

    Once again, we thank you for your trust and patronage over the decades. Please remember as businesses continue to re-open, the DENTAL office is one of the cleanest and most sterile places that you will encounter. We have been working hard to ensure that commitment to you.

    We look forward to seeing all of your smiling faces again.

    Sincerely,

    Dr. Barton Walters, and Dr. Andrew Kaplan

    And the entire team at Metropolitan Dental

  • Metropolitan Dental

    Metropolitan Dental