Our office understands the importance of protecting your personal health information. To help you understand how we are doing that, we have outlined below how our office is collecting, using and disclosing your personal health information.
This office will collect, use and disclose information about you for the following purposes:
Please note that any questions or concerns that you might have about your personal health information can be directed to our contact person: Dr Tudor Codreanu. He can be reached at: Coventry Dental Care, 684 Ontario St, Unit #6, Stratford, ON, N5A 3J7, P: 519-305-9100, E: email@example.com
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/or disclosure of your personal health information for the purposes that are listed. If a new purpose arises for the use and/or disclosure of your personal health information, we will seek your approval in advance.
Your personal health 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 the RHPA.
You may withdraw your consent for use or disclosure of your personal health information at any time.
Any requests for access or correction to your personal health information should be directed, in writing, to Dr Tudor Codreanu. If you are dissatisfied with the manner in which we have addressed your requests for access or correction to your personal health information or if you have general concerns about our privacy practices, you may contact the Office of the Privacy Commissioner of Ontario. Thank you for your support and understanding in helping our office comply with all regulatory requirements and generally with the law.
Our office policies respect Canada’s Anti-Spam Legislation. We use electronic messages (emails, telephone texts, etc) to inform you of any information pertaining to your file (i.e. upcoming appointment reminders, general messages, newsletters, payment reminders, marketing etc). If at any time you wish to withdraw consent, you may do so by contacting us at 519-305-9100 or firstname.lastname@example.org