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J. Fred Arnold, III, DMD, PSC
Privacy Policy Statement
Cosmetic Dentistry Center of Lexington (CDC) is committed
to respecting and protecting the privacy of visitors to our web
sites as well as the privacy of our actual customers. This Privacy
Policy governs the manner in which CDC collects, uses, stores,
archives and discloses information collected from clients and
from visitors of this Web site. For visitors, once you choose
to provide us personally identifiable information (any information
by which you can be identified), you can be assured that it will
only be used to support your customer relationship with CDC.
This policy will let you know:
What personally identifiable information is collected
from Visitors?
How do we use the information collected from visitors?
What information is collected from Customers?
How do we use the information collected from Customers?
What are the kind of security precautions that are
in place to protect the loss, misuse, or alteration of your information?
How does CDC protect children's privacy?
What else should you know about your online privacy?
Can changes be made to this Policy?
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What personally identifiable information is collected
from Visitors?
CDC collects information in several
ways from different parts of our web site. The primary goal of
CDC in collecting personal information
is to provide you, the user, with a customized experience and
to assist your navigation throughout this web site. When you visit
our web site, our web server collects basic visitor information
about you that includes your ISP's domain, the time you accessed
our web site, and the pages from within our web site that you
visit. The web server may also collect other information such
as the web browser that you are using (which may also include
operating system information) and the page that you came from
before visiting this page on our server. CDC may collect aggregated, anonymous data about Visitors, including,
for example, the number of unique views received by the Web site,
the domains from which such Visitors originate, and similar information
that does not identify any particular User.
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How do we use the information collected from Visitors?
The basic user information collected is used to help us analyze
web traffic and to improve the content of our web site. Cookies
may be used to facilitate your customer interaction with us. Cookies
are small pieces of information that a web site can store in a
designated file on your computer. Cookies allow a web application
to respond to you as an individual. By gathering and remembering
information about your preferences, the web application can tailor
its operation to your needs, likes, and dislikes. We may from
time to time disclose to third parties aggregate information on
our web site's traffic profile. For example, Internet advertising
companies may require this data to help us better target our advertisements
on our web site(s) and/or other web sites. Note that our site
may provide links to products and services offered by other companies;
the company's web site that you link to will be able to determine
that you linked from our web site.
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What information is collected from Customers?
CDC collects information in several
ways from different parts of our web site. When you sign up for
CDC's services, you provide us with
both contact and payment information. Contact information typically
includes your name, address, phone number and domain name. Payment
information typically includes your credit card number. While
you are a CDC customer, we manage information
with regard to your account status, choice of services, and customer
logs. In addition, we may store customers' electronic mail and
other communications as a necessary incident to the transmission
and delivery of those communications.
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How do we use the information collected from Customers?
We use the contact information you provide us to establish our
service for you. We use payment information for payment processing
purposes only. We create and maintain other information such as
customer account status, choice of services, and customer logs
in the normal course of providing service. CDC may share customer information with selected partners, for
example, to provide you with information about products which
might be of interest to you or to enable you to take advantage
of special partner programs. CDC may
also use customer information to provide customers with system
information or information about new or upgraded products. We
will not otherwise disclose customer personal and account information
unless we have reason to believe that disclosing such information
is necessary to identify, make contact with, or bring legal action
against someone who may be causing harm or interfering with the
rights or property of CDC, our customers,
or others, or where CDC has a good faith
belief that the law requires such disclosure. CDC also will not, except for reasons stated below, disclose
to third parties the contents of any electronic mail or other
electronic communications that CDC stores
or transmits for its customers. The circumstances under which
CDC will disclose such electronic customer
communications are when: It is necessary in order to provide service
to the customer; It is necessary to protect the legitimate interests
of CDC and its customers; It is required
to cooperate with interception orders, warrants, or other legal
process that CDC determines in its sole
discretion to be valid and enforceable; and It is necessary to
provide to a law enforcement agency when the contents are inadvertently
obtained by CDC and appear to pertain
to the commission of a crime. CDC disclaims
any intention to censor, edit, or engage in ongoing review or
surveillance of communications stored on or transmitted through
its facilities by customers or others. CDC will, however, review, delete, or block access to communications
that may harm CDC, its customers or
third parties. The grounds on which CDC
may take such action include, but are not limited to, actual or
potential violations of CDC's Terms
of Service. Customers may opt out of receiving newsletters and/or
notices of new or upgraded products and services from CDC by sending a request to privacy@CDC.com. In this request, customers must identify
their domain name and contact information. Please note, however,
that CDC reserves the right to send
bulletins and other important information regarding our services
at our discretion.
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What are the kind of security precautions that
are in place to protect the loss, misuse, or alteration of your
information?
Other than authorized personnel of CDC,
you are the only person who has access to your personal information.
Your account is password-protected to prevent unauthorized access.
We recommend that you do not divulge your password to anyone.
CDC will never ask you for your password
in an unsolicited phone call or in an unsolicited email. As an
extra security precaution, you may want to logoff once you have
completed a communications session with our servers via FTP, your
Control Panel, or other means. This is to ensure that others cannot
access your personal information and correspondence if you share
a computer with someone else or are using a computer in a public
place like a library or Internet cafe. Unfortunately, no data
transmission over the Internet can be guaranteed to be 100% secure.
As a result, while we strive to protect your personal information,
CDC cannot ensure or warrant the security
of any information you transmit to us or from our online services,
and you do so at your own risk. Once we receive your transmission,
we make our best effort to ensure its security on our systems.
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How does CDC protect
children's privacy?
CDC.com is a general audience web site.
Children should always ask a parent for permission before sending
personal information to anyone online. CDC does not share personal information about users under the
age of 13 with third parties and we do not sell or rent personal
information about any of our users, regardless of age. In addition,
CDC will not send any direct email offers
to users who indicate they are under the age of 13. As a result
of the new Children's Online Privacy Protection Act (COPPA) in
the United States, we are required to prohibit children under
13 who reside in the U.S. from using any of the features of our
site that require them to submit information via forms. This is
due to the onerous reporting and verification requirements that
this new law places on web sites that allow children under 13
to submit information via forms. Since we do not have the large,
dedicated staff that would be necessary to comply with these requirements,
our only option in order to remain in compliance with the law
is to prohibit all children under 13 who reside in the U.S. from
posting any information via forms on our web site. Therefore,
children under 13 who reside in the U.S. should not submit any
information via forms on our web site, and if you submit such
information, you warrant that you are either over the age of 13
or not located in the U.S. and thus not subject to COPPA.
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What else should you know about your online privacy?
Ultimately, you are solely responsible for maintaining the secrecy
of your passwords and/or any account information. Please be careful
and responsible whenever you're online.
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Can changes be made to this Policy??
CDC may modify this Privacy Policy
at any time. This Privacy Policy was last revised on Jan. 1, 2002
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COSMETIC DENTISTRY CENTER OF LEXINGTON
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE
USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY. THE PRIVACY OF YOUR HEALTH INFORMATION
IS IMPORTANT TO US.
OUR LEGAL DUTY
We are required by applicable federal and state law to maintain
the privacy of your health information. We are also required
to 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 takes effect 4/14/03,
and will remain in effect until we replace it.
We reserve the right to change our privacy practices and the
terms of this Notice at any time, provided such changes are permitted
by applicable law. We reserve the right to make the changes in
our privacy practices and the new terms of our Notice effective
for all health information that we maintain, including health
information we created or received before we made the changes.
Before we make a significant change in our privacy practices,
we will change this Notice and make the new Notice available
upon request.
You may request a copy of our Notice at any time. For more information
about our privacy practices, or for additional copies of this
Notice, please contact us using the information listed at the
end of this Notice.
USES AND DISCLOSURES OF HEALTH INFORMATION
We use and disclose health information about you for treatment,
payment, and healthcare operations. For example:
Treatment: We may use or disclose your health information to
a physician or other healthcare provider providing treatment
to you.
Payment: We may use and disclose your health information to obtain
payment for services we provide to you.
Healthcare Operations: We may use and disclose your health information
in connection with our healthcare operations. Healthcare operations
include quality assessment and improvement activities, reviewing
the competence or qualifications of healthcare professionals,
evaluating practitioner and provider performance, conducting
training programs, accreditation, certification, licensing or
credentialing activities.
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 or to
disclose it to anyone for any purpose. If you give us an 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. Unless you give us a written authorization,
we cannot use or disclose your health information for any reason
except those described in this Notice.
To Your Family and Friends: We must disclose your health information
to you, as described in the Patient Rights section of this Notice.
We may disclose your health information to a family member, friend
or other person to the extent necessary to help with your healthcare
or with payment for your healthcare, but only if you agree that
we may do so.
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, of your location, your
general condition, or death. If you are present, then prior to
use or disclosure of your health information, we will provide
you with an opportunity to object to such uses or disclosures.
In the event of your incapacity or emergency circumstances, we
will disclose health information based on a determination using
our professional judgment disclosing only health information
that is directly relevant to the person’s involvement in
your healthcare. We will also use our professional judgment and
our experience with common practice to make reasonable inferences
of your best interest in allowing a person to pick up filled
prescriptions, medical supplies, x-rays, or other similar forms
of health information.
Marketing Health-Related Services: We will not use your health
information for marketing communications without your written
authorization.
Required by Law: We may use or disclose your health information
when 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, or 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 or safety or the health or 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 correctional
institution or law enforcement official having lawful custody
of protected health information of inmate or patient under certain
circumstances.
Appointment Reminders: We may use or disclose your health information
to provide you with appointment reminders (such as voicemail
messages, postcards, or letters).
PATIENT RIGHTS
Access: You have the right to look at or get copies of your health
information, with limited exceptions. 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. (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 $1.00 for each page, $25 per
hour for staff time to locate and copy your health information,
and postage if you want the copies mailed to you. If you request
an alternative format, we will charge a cost-based fee for providing
your health information in that format. If you prefer, we will
prepare a summary or an explanation of your health information
for a fee. Contact us using the information listed 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 or our business associates disclosed your
health information for purposes, other than treatment, payment,
healthcare operations and certain other activities, for the last
6 years, but not before April 14, 2003. If you request this accounting
more than once in a 12-month period, we may charge you a reasonable,
cost-based fee for responding to these 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).
Alternative Communication: You have the right to request that
we communicate with you about your health information by alternative
means or to alternative locations. {You must make your request
in writing.} Your request must specify the alternative means
or location, and provide satisfactory explanation how payments
will be handled under the alternative means or location you request.
Amendment: You have the right to request that we amend your health
information. (Your request must be in writing, and it must explain
why the information should be amended.) We may deny your request
under certain circumstances.
Electronic Notice: If you receive this Notice on our Web site
or by electronic mail (e-mail), you are entitled to receive this
Notice in written form.
QUESTIONS AND COMPLAINTS
If you want more information about our privacy practices or have
questions or concerns, please contact us. If you are concerned
that we may have violated your privacy rights, or you disagree
with a decision we made about access to your health information
or in response to a request you made to amend or restrict the
use or disclosure of your health information or to have us communicate
with you by alternative means or at alternative locations, you
may complain to us using the contact information listed at the
end of this Notice. You also may submit a written complaint to
the U.S. Department of Health and Human Services. We will provide
you with the address to file your complaint with the U.S. Department
of Health and Human Services upon request.
We support your right to the privacy of your health information.
We will not retaliate in any way if you choose to file a complaint
with us or with the U.S. Department of Health and Human Services.
Contact person: Beverly Reasoner, Telephone: 859.269.1000, Fax:
859.266.1445, E-mail: info@lexingtonsmiles.com Address: 699 Perimeter
Drive, Suite 200, Lexington, KY 40517
©
2002 American Dental Association, All Rights Reserved, Reproduction
and use of this form by dentists and their staff is permitted.
Any other use, duplication or distribution of this form by any
other party requires the prior written approval of the American
Dental Association.
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