2815 Princess Street
Kingston, ON  K7P 2X2
(613) 634-2216

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An apple a day may keep the doctor away, but not the orthodontist. Apples should be avoided, as their hard texture may cause problems with your braces.
An apple a day may keep the doctor away, but not the orthodontist. Apples should be avoided, as their hard texture may cause problems with your braces.

Privacy Policy

PATIENT CONSENT – FOR COLLECTION, USE AND DISCLOSURE OF PERSONAL INFORMATION

Privacy of your personal information has always been an important part of providing you with quality dental care. We understand the importance of protecting your personal information. We are committed to collecting, using and disclosing your personal information responsibly. We also try to be as open and transparent as possible about the way we handle your personal information. It is important to us to provide this service to our patients.

In this office, Dr. Timothy Agapas acts as the Privacy Information Officer.

All staff members who come in contact with your personal information are aware of the sensitive nature of the information that you have disclosed to us. They are all trained in the appropriate uses and protection of your information.

We will outline what our office is doing to ensure that:

How our office collects, uses and discloses patients’ personal information

Our office understands the importance of protecting your personal information. We only collect what we absolutely need. To help you understand how we are doing that, we have outlined how our office is using and disclosing your information.

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

By continued attendance of appointments at our office you are giving your implied consent to the collection, use and/or disclosure of your personal information for the purposes that are listed. Signing of the consent section of this Patient Consent Form gives your explicit informed consent to the collection, use and/or disclosure of your personal information for the purposes that are listed. If a new purpose arises for the use and/or disclosure of your personal information, 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 defense 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 a request is made, we will forward the request directly to you for review, and for your specific consent.

When 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 the use or disclosure of your personal information. That decision may impair our ability to continue with timely, efficient treatment. If so, we will inform you.

Please be assured that every staff person in our office is committed to ensuring that you receive the best quality dental care.

Do not hesitate to discuss our policies with any member of our staff.

For information, questions or concerns on our office’s privacy policies, contact:

Privacy Officer
Dr. Timothy R. Agapas
Dentistry Professional Corporation
5-2815 Princess Street
Kingston, Ontario
K7P 2X2