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Privacy Policy

Notice of Privacy Practices

We understand your medical and dental information is personal and are committed to protecting it. We create a record of the care and services you receive at our office. We need this record to provide you with quality dental care and to comply with certain legal requirements. This notice outlines ways we may use and share your Protected Health Information (PHI). A complete version of our Privacy Practices is available upon request.

Patient Rights: You have the right to request a copy of your health records and to request the type of format you want (paper or electronic format). If you request, in writing, a copy of your records be sent to a specific third party, the records must be sent as directed and in a timely manner.

We have a Legal Duty to:

  1. Keep your personal health information private.
  2. Give you this notice describing our legal duties, privacy practices, and your rights regarding your dental information.
  3. Follow the terms of the current notice.
  4. Notify you of an accidental disclosure of your private health information in a timely manner.

We have the right to change our privacy practices and the terms of this notice at any time, provided the
changes are permitted by law.

Notice of Change to Privacy Practices: Before me make an important change in our privacy practices, we will
change this notice and make the new notice available upon request.

USE AND DISCLOSURE OF YOUR MEDICAL INFORMATION

The following describes different ways we use and disclose your protected health information. Not every use or disclosure will be listed. However, we have listed some ways we are permitted to use and disclose medical information. We will not use or disclose your medical information for any purpose not listed below without your specific written authorization. Any specific written authorization you provide may be revoked at any time by writing to us.

  1. For Treatment: We may use your PHI to provide you with dental treatment or services. We may disclose medical information about you to healthcare providers who may be involved in your treatment both directly and indirectly.
  2. For Payment: We may use and disclose your PHI for payment purposes. A bill may be sent to you or a third-party payer. The information on or accompanying the bill may include your medical information.
  3. We may not sell or use your personal health information for marketing or fundraising purposes without your signed authorization.
  4. We are required to inform you if there are any financial conflicts of interest with us and the products or services utilized by us.
  5. If you pay for your dental treatment and request we not disclose the procedure to your insurance company we must comply with your request as long as you pay in full for the procedure in a timely manner.

CHANGES TO THIS NOTICE – We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office and on our website.

Manager
[email protected]
(704) 749-5700  Effective date: 10/11/2023

Description of SMS Program/Service:

Our SMS program is designed to keep you informed and engaged with timely updates and notifications. You will receive messages regarding [specific types of messages, e.g., appointment reminders, promotional offers, service updates] at [frequency, e.g., weekly, monthly]. The purpose of our SMS communications is to enhance your experience by providing relevant and timely information.  

Type of Personal Information Collected: We collect the following personal information from users:

  • Name
  • Email address
  • Phone number

Transparency about the data we collect is essential for establishing trust with our users.

Methods of Personal Data Collection: We collect personal data through various methods, including:

  • Online forms on our website
  • Cookies and tracking technologies
  • Direct user input during registration or service use

These methods help us gather necessary information to provide and improve our services.

Purpose of Data Collection: The data we collect is used for the following purposes:

  • Facilitating SMS communications
  • Providing targeted content or offers
  • Enhancing user experience and service quality

Data Storage and Security Measures: User data is stored securely using industry-standard security practices. We implement robust measures to protect your data from unauthorized access, loss, or misuse. Our security protocols include encryption, access controls, and regular security audits.

User Rights and Options: Users have the following rights regarding their personal data:

  • Access: You can request access to your personal data.
  • Modification: You can request corrections to your personal data.
  • Deletion: You can request the deletion of your personal data.

To exercise these rights or opt-out of SMS communications, please [provide clear instructions, e.g., contact our support team, reply STOP to any message].

No Sharing of Mobile Information: No mobile information will be shared with third parties or affiliates for marketing or promotional purposes. All other categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

Opt-In Consent: By submitting your phone number, you are authorizing us to send you text messages and notifications. Message/data rates apply. Reply STOP to unsubscribe from messages sent by us.

South Gaston Pediatric Dentistry logo

3340 Robinwood Rd. Ste 140
Gastonia, North Carolina 28054

Charlotte Best 2023 Winner

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