Jared Ford, DDS Privacy Policy

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION COLLECTED FOR THE SAKE OF DENTAL CARE TREATMENT MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.PLEASE REVIEW IT CAREFULLY.THIS NOTICE IS UPDATED AS OF JUNE 23rd, 2016.

Your Right to Know

You have a right to know what we do with the personal and confidential information we collect about you in the normal course of providing dental care. Our dentist, and all of Jared Ford, DDS, is committed to maintaining the confidentiality, integrity and security of personal and medical information entrusted to us by our patients. We want you to know how we protect your information and how we responsibly use it. We hope you will take a moment to review our Privacy Policy.

You can be certain that protection of your personal health and financial information is one of our priorities.

Our dentist strives to protect the personal healthcare and financial information of all current and former patients. To maintain the level of service you expect from us, we may need our dentist to share limited dental health and financial information within the medical community (such as your referring dental specialist), with select insurance companies, and/or other third parties (Business Associates for operations purposes).

You have the right to request an electronic copy of your dental records, and a complete copy of all your Protected Health Information will be provide to you or your clearly identified designee.If your records are not maintained or accessible on site, we will do so within 60 days of the written request.If they are, we will do so within 30 days of the request.We reserve the right to put your records on an electronic media storage device of our choosing, and to require payment for the labor costs to respond to the request.

Personal Information We Collect

We need accurate, current dental health and financial information about you so that we can determine your dental care problems and meet your specific needs. We collect personal information that you provide to us on new patient forms and consents throughout the course of your dental care. In addition, we maintain information about your transactions with us, such as fee payments, insurance coverage, and payment history.

Information We May Disclose

We may share your personal financial and dental health information on a confidential basis only with authorized employees, representatives and third parties whose services are required to assure the highest level of dentistry to you. We will disclose only the information that is necessary to such individuals or companies who perform dental care or financial services on your behalf.We may share selected financial information about you with your insurance companies in order to ensure proper payment on your behalf.

We will not disclose any non-public personal information about you or about any other patients or former patients except as authorized by law, as described in this Privacy Notice or as otherwise communicated to you.There may be circumstances in which we are ordered by a court to provide Protected Health Information.If we need to make disclosure of any non-public personal information, we will seek your authorization. That authorization will be specific to the reason cited, and in writing, and can be revoked by you in writing at any time.

Our dentist respects and shares your concern for privacy, we will not provide your dental health information to anyone outside of our practice except as described above. We reserve the right to make any material change in this Privacy Notice.

The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), and related laws, and rules, requires notifications be given to patients of what may be done with Protected Health Information.Unless we have authorization, we will not use or disclose any psychotherapy notes that come into our possession or use or disclose any Protected Health Information for marketing, fundraising or for sale.

You have the right to revoke any authorizations given, and to opt out of communications such as fundraising communications.

You have the right to restrict disclosures to your dental health plan when you request, in writing, that our dentist not disclose such information and you have paid for the service in full out of your own pocket, unless otherwise required or permitted by law.This includes the right to request a paper prescription.It is your responsibility to notify your dental health plan of the restriction.

Protection of Your Information

Reasonable care will be taken to keep pertinent dentistry records current, complete and accurate, if you see any inaccuracy in your billing statements, or in any other communication from our dental office, we would appreciate your assistance in making corrections by contacting our dentist or staff.You have the right to request corrections to your records.

We will protect all information collected about you, and we will restrict access to your non-public personal information by maintaining physical, electronic and procedural safeguards. We will restrict access to the protected data to only those individuals who must use it in the performance of their job-related duties. Employees who violate our Privacy Policy will be subject to disciplinary action, which may include termination.

You have the right at any time to request restrictions on what we may disclose or to inspect the information before we disclose it. In addition, you may ask for copies of your protected health information at any time. Finally, you have the right to receive an account of disclosures of your protected health information.

You have the right to revoke any authorizations given, and to opt out of communications such as fundraising communications.

You have the right to restrict disclosures to your dental care plan when you request, in writing, that we not disclose such information and you have paid for the service in full out of your own pocket, unless otherwise required or permitted by law.We are not required to agree to all requested restrictions.This includes the right to request a paper prescription.It is your responsibility to notify your health plan of the restriction.

Safeguards in Place at Jared Ford, DDS Fort Myers Dentist

At the dental office of Jared Ford, DDS we have administrative, technical and physical safeguards in place to ensure privacy.

These include:

·Policies and procedures for handling information.

·Limited access to facilities where information is stored.

·Requirements for third parties to comply with privacy laws.

·Continuous review of Jared Ford, DDS practices.

We provide training on confidentiality and patient privacy to ensure employees are dedicated to keeping your personal information safe and secure.

At times, we need to disclose your non-public personal information to insurance companies as necessary to effect, administer, or enforce our transactions with you. We may also share all of this information with other healthcare providers that perform services on your behalf. They too must follow the law and keep the information confidential. You have the right to be notified of any breach of your Protected Health Information.

Our Commitment to You

You are a valued patient, and the information you provide to us is safe and used responsibly. We will continue to maintain your privacy and provide you with information about how we share your non-public personal health and financial information.

Above all, we value your trust and your confidence in our ability to manage and protect your important personal information.

If you have any questions or concerns about our Privacy Policy, please contact us by telephone at (239) 936-9323 and speak with our office staff.

Ford Signature Dentistry Ft Myers, Fl 33907

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Jared Ford is a Ft Myers dentist and sole practitioner of Ford Signature Dentistry, a general and cosmetic dentist office located in 33907.

Ford Signature Dentistry

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Our Ft Myers dentist connects with his patients on social media channels including Google+. This allows you to learn about your oral health on your preferred platform!Our Ft Myers dentist connects with his patients on social media channels including Pinterest. This allows you to learn about your oral health on your preferred platform!
Our Ft Myers dentist connects with his patients on social media channels including YouTube. This allows you to learn about your oral health on your preferred platform!Our Ft Myers dentist connects with his patients on social media channels including email. This allows you to learn about your oral health on your preferred platform!Our Ft Myers dentist connects with his patients on social media channels including Facebook. This allows you to learn about your oral health on your preferred platform!

Call Us at (239) 936-5252