BOLTON DENTAL – NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED, DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
THE PRIVACY OF YOUR HEALTH INFORMATION IS IMPORTANT.
OUR LEGAL DUTY
We are required by applicable federal and state law to maintain the privacy of your health information and give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice will remain in effect until we replace it.
We reserve the right to, consistent with applicable law, change our privacy practices and the terms of this Notice at any time. All such changes may apply to all health information in our possession, including health information gathered before we made the changes. Prior to any significant change in our privacy practices, we will change this Notice. You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of the Notice, please contact us using the information listed at the end of this Notice.
While using our Service, we may ask you to provide us with certain personally identifiable information that can be used to contact or identify you (“Personal Data”). Personally identifiable information may include, but is not limited to:
- First name and last name
- Email address
- Phone number
- Business name
- Website URL
- Our social media pages
- Address, State, Province, ZIP/Postal code, City
- Any personal data you post on our website or social media pages
- Data about how you use our website
- Technical data such as your IP address, your login data, details about your browser, time zone settings, and other technology on the devices you use to access our website
- Your marketing and communication preferences
- Any information that you directly provide to us, whether through our contact form, over the phone, by email, or otherwise
- Photographs of you at events
- Cookies and Usage Data
Your information will NEVER be sold to any third party.
USES AND DISCLOSURES OF PERSONAL INFORMATION
We use and disclose personal information about you for treatment, payment, and healthcare operations. For example:
TREATMENT: We may use and disclose your personal information to a physician, employees, medical consultants, contractors, or other Healthcare provider providing treatment to you.
We may employ third-party companies and individuals to facilitate our Service (“Service Providers”), to provide the Service on our behalf, perform Service-related services, or assist us in analyzing how our Service is used. These third parties have access to your Personal Data only to perform these tasks on our behalf and are obligated not to disclose or use it for any other purpose. In almost all cases, this information is obfuscated and randomized to protect your identity.
HEALTHCARE OPERATIONS: We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, review of healthcare professionals, evaluating performance, conducting training programs, accreditation, certification, licensing, or credentialing activities.
PERSONS INVOLVED IN CARE: We may use or disclose health information to notify or assist in the notification of (including identifying or locating) a family member, your personal representative, or another person responsible for your care, your location, your general condition, or death.
REQUIRED BY LAW: We may use or disclose your health information if we are required to do so by law.
ABUSE OR NEGLECT: We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, domestic violence, or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health, safety, or the safety of others.
NATIONAL SECURITY: We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counterintelligence, and other national security activities. We may disclose to a correctional institution having custody of protected health information of a patient under certain circumstances.
APPOINTMENT REMINDERS: We may use or disclose some of your health information to provide you with appointment reminders (such as texts, emails, voicemail messages, postcards, or letters.)
PAYMENT: We may use and disclose your health information to obtain payment for services provided to you.
YOUR AUTHORIZATION: In addition to our use of your health information for treatment, payment, or healthcare operations, you may give us written authorization to use your health information to disclose it to anyone for any purpose. If you give us authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect.
TO YOUR FAMILY AND FRIENDS: We must disclose your health information to you, as described in the Patient Rights section of this Notice. With written authorization, we may disclose your health information to a family member, friend, or another person, to the extent your authorization permits us to do so.
ANALYTICS: We may use third-party Service Providers to monitor and analyze the use of our Service. You may opt out of the following analytics services in the manner described below:
BEHAVIORAL REMARKETING: Bolton Dental and its marketing service Social Dental NOW, LLC, and other marketing agencies or affiliate use remarketing services to connect and market to you on third-party websites to you after you have visited our website or social media platform. You may opt out of the following remarketing services in the manner described below:
GOOGLE ADS: Google AdWords remarketing service is provided by Google Inc. You can opt out of Google Analytics for Display Advertising and customize the Google Display Network ads by visiting the Google Ads Settings page: https://www.google.com/settings/ads
TWITTER: Twitter remarketing service is provided by Twitter Inc. You can opt out of Twitter’s interest-based ads by following their instructions: https://support.twitter.com/articles/20170405
FACEBOOK: Facebook remarketing service is provided by Facebook Inc. You can learn more about interest-based advertising from Facebook by visiting this page: https://www.facebook.com/help/164968693837950
To opt out of Facebook’s interest-based ads, follow these instructions from Facebook: https://www.facebook.com/help/568137493302217
VOLUNTARY ONGOING CONTACT: Visitors are allowed to browse our website and our social media pages without entering any personal information. The option to enter your name, email address, phone number, or any other personal information into our online forms or scheduling system is purely voluntary to help us communicate with you. By entering information on our website or social media pages or visiting our website, you are granting us permission to use said information for our practice to track and follow up with your requests and to attempt to connect with you via email, chats, texts, and social media.
If you become a patient, sometimes our practice takes before and after photos of you and close-ups of your smile. By becoming patient at our office, you are granting your permission for us potentially, in some cases, use these smile close-ups on our online smile gallery. These close-ups are of your smile only and the work we do; we will not use your face or anything with identifiable information about you.
ACCESS: You have, with limited exceptions, the right to look at or get copies of your health information. You must make a request in writing to obtain access to your health information. You may obtain a form to request access by using the contact information listed at the end of this Notice. We will charge you a reasonable cost-based fee for expenses, such as copies and staff time. You may also request access by sending us a letter to the address at the end of this Notice. If you request copies, we will charge you both per page of information, staff time at an hourly rate, and postage cost if the copies are mailed to you. You may request that we provide copies in a format other than photocopies. We will use the format you request unless we cannot practicably do so, and we will charge a cost-based fee for providing your health information in that format. Contact us using the information at the end of this Notice for a full explanation of our fee structure.
DISCLOSURE ACCOUNTING: You have the right to receive a list of instances in which we have disclosed your health information for purposes other than treatment, payment, healthcare operations, and certain other activities for the last seven years. If you request this accounting more than once in 12 months, we may charge you a reasonable, cost-based fee for the responding to the additional requests.
RESTRICTION: You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in an emergency.)
ONLINE COMMUNICATIONS: By accepting services from BOLTON DENTAL you agree to our mutual non-disparagement agreement. Bolton Dental will not speak or write about any patient publicly in any negative fashion. By accepting services from us, you agree to reciprocate this agreement and not publicly comment negatively about us. Further, you represent that you understand and agree that the name and other proprietary information about Bolton Dental is valuable intellectual property, protected by law and that disparaging Bolton Dental, its dentists, treatment providers, orits staff in any manner, or in any medium, would damage the value of this intellectual property.
To permit Bolton Dental to protect its intellectual property, I hereby grant Bolton Dental and its representatives the non-revoke-able right and power to remove or have removed any and all disparaging or negative information I’ve said, written, or published about Bolton Dental, its employees, or agents by me from any media. Further, I understand such comments would cause reputable harm to Bolton Dental, and I would be responsible for that harm.
LIABILITY: You assume the sole risk of transmitting your information as it relates to the use of this website or our social media pages, and for any data corruptions, intentional interceptions, intrusions or unauthorized access to information, or any delays, interruptions to, or failures preventing the use this website or other social media pages. In no event shall Bolton Dental be liable for any direct, indirect, special, consequential, or monetary damages, including fees and penalties in connection with your use of materials posted on this website or our social media pages or connectivity to or from this site to any other site.
LIMITATION OFMARKETING HEALTH-RELATED SERVICES: Other than in the limited and unidentifiable fashion described above in “voluntary ongoing contact,” Bolton Dental will not use your personal information for marketing communications without your written authorization.
QUESTIONS AND ISSUES:
If you have any issue with Bolton Dental, the fastest course of action to solve any issue is to call the Office Manager or Dr. David directly. Your calls are always welcome, and one of them will always return your call.
Please contact us if you want more information about our privacy practices or have questions or concerns.
If you are concerned that we may have potentially violated your privacy rights, or you disagree with a decision we have made about access to your health information or in response to a request you have made to amend or restrict the use or disclosure of your health information, we ask you to immediately bring your concern to our attention using the contact information listed at the end of this Notice.
We fully support your right to the privacy of your health information. We will not respond adversely in any way if you choose to file a complaint with us.
Exceptional dental care is a lot closer than you think.
Located in Bolton at the intersection of 495 and Rt. 117, easily accessible from MetroWest Boston.