Privacy Policy

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

In this office, Dr. Laurie Suraski and Dina Gouliquer act as the Privacy Information Officers.

All staff members who come in contact with your personal information are trained in the appropriate uses and protection of your information.

In the 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 College of Dental Surgeons of Ontario, and the law

This office will collect, use and disclose information about you for the following purposes:

To deliver safe and efficient patient care
To identify and ensure continuous high quality service
To assess your health needs
To provide health care
To advise you of treatment options
To enable us to contact you, establish and maintain communication with you (including booking and confirming appointments, treatment follow-up, billing, etc)
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
To complete and submit dental claims for third party adjudication and payment
To comply with legal and regulatory requirements, including the delivery of patient charts and records to the Royal College of Dental Surgeons of Ontario when required
To deliver charts and records to the dentist’s insurance carrier to enable the insurance company to assess liability and quantify 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 unpaid accounts
To assist this office to comply with all regulatory requirements
To comply generally with the law

If a new purpose arises, we will seek your approval in advance.

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 the RHPA, and for the defence of a 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.

If 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.

Tottenham Village Dentistry uses SMS/texts, emails and phone calls regarding appointment reminders and patient care.

For SMS/texts you may reply STOP to unsubscribe or HELP for help. Msg & Data rates may apply. Messaging frequency may vary.

Your information will never be shared with third parties or affiliates for marketing purposes.