TERMS & CONDITIONS
You agree that Your information given to Us is a true and accurate record. You agree to be responsible for all the payment of fees and understand that payment is due at the time of service. Any expenses, costs of disbursements incurred by Dental at Keys shall be paid by the responsible party listed in the details You have given. You further acknowledge that failure to attend any appointment without notice may result in a fee and a deposit requirement for any future appointments (see below for details). You have read and agree with the privacy statement below. Forms will be electronically signed and a copy will be kept digitally. Any paper forms that have been filled will be scanned and digitally kept. You agree to this process.
Australian Charter of Healthcare Rights
You have the right to health care. You have the right to safe and high quality care. You have the right to respect, dignity and consideration. You have a right to be informed about services, treatment, options and costs in a clear and open way. You have a right to be included in decisions and choices about your care. You have a right to privacy and confidentiality of your personal information. You have a right to comment on your care and to have your concerns addressed.
Changes to your appointment
While we endeavour to provide patients with a courtesy reminder for their appointments, it is ultimately the patient’s responsibility to remember the appointment time. Our practice requires 48 hours notice for changes for all appointments. Failure to give adequate notice may result in a fee charge.
We pride ourselves with providing the best service possible. However, if for any reason you are dissatisfied with our service, please contact our practice directly at (03) 8759 4490 or email us at email@example.com.
General privacy Statement
Dental at Keys respects your right to privacy and considers all of the information you have provided in this form to be personal information for the purposes of the Privacy Act 1988 (C’th) as amended (“Privacy Act”).
We collect the information in order to provide you with dental services. We will keep your information secure and confidential. If necessary, we may pass your information on to other health practitioners for a second opinion or referral purposes. We may also be required by law to provide your information to outside agencies. Dental at Keys, its related companies or agents (“Related Persons”), may also use this information to promote health and related services to you or for other purposes permitted under the Privacy Act.
Where possible we only collect your personal information directly from you and where that is not reasonable practicable we may collect your personal information from other sources. Dental at Keys may collect personal information directly from you when:
• You complete a medical history form;
• You request information concerning Dental at Keys’ services in person, by phone or online.
In addition we may collect personal information from Related Persons to assist them in developing and promoting health related products and services that may be of interest to you (unless you ask us not to).
We may take images of your teeth before, during and after treatment. These images will be mainly used for record keeping and to assist us in treatment planning. You acknowledge that these images may be used in a practice portfolio to showcase examples of dental work to other patients and your identity will remain anonymous.
By providing your personal information to us in this form or by other means, you acknowledge and agree that Dental at Keys may:
• Collect and use your personal information to provide health and related services to you;
• Collect and use your personal information to contact you for market research and to provide you with information and offers about health-related products and services offered by Dental at Keys and Related Persons; and
• Disclose your personal information on a confidential basis to Related Persons who may contact you for promotional and informational purposes in relation to health-related products and services.
Our staff may contact you on available telephone numbers and email addresses. When our staff contact you and you are not available, they may leave messages which identify the caller or sender and the purpose for which the communication is made.
Whenever you are provided with market research or marketing information by Dental at Keys or Related Persons you will be offered the opportunity to inform us if you do not want your personal information to be used for those purposes in the future.
Contact us via email on firstname.lastname@example.org or mail to ‘Level 1, Medical Centre, Keysborough South Shopping Centre, 211-215 Chapel Road, Keysborough VIC 3173’, should you have any questions, comments or concerns regarding privacy matters or you do not want your personal information used for marketing purposes.
You may change your details at any time by advising us in writing via email. All information we receive from our customers is protected by our secure server. Dental at Keys is secure server software encrypts all customer information before it is sent to us. Furthermore, all customer data collected is secured against unauthorised use or access. Credit card information is not stored by us on our servers.
Storage and security of your information
We receive and store information you enter on our website or give us in any other way from time to time. You may provide basic contact information such as your name, phone number, address, and email address to enable us to send information or process your product order and we may also collect additional information at other times, including but not limited to, when you provide feedback, change your content or email preferences, respond to a survey, or communicate with our customer support.
We may use personal information collected from you for the purpose of providing you with direct marketing material, updates regarding our website and information in the form of a newsletter. This will only apply if you have registered or subscribed to such publications by registering your details with us. However if you wish to cease receiving any such information you may let us know either by email or unsubscribing at any time and your request will be actioned immediately.
Individual profile and Dental at Keys details are not used for any other purpose. Details are only supplied to a third party supplier when it is required by law, for goods or services which you have purchased or to protect our copyright, trademarks and other legal rights.
We respect the privacy of our online visitors. We may collect information on or through this website that can personally identify you. For example, we collect personally identifiable information which you volunteer to us to respond to visitor questions and comments about us and our products and services, and to mail e-newsletters (Personal Data).
Any non-personal information, communications and material you send to this website or to us by email, or which we obtain from third parties without promises of confidentiality, may be kept, used and disclosed by us on a non-confidential basis. We are free to use and reproduce any such information freely, and for any purpose whatsoever. Specifically, we will be free to use any ideas, concepts, know-how or techniques contained in such information for any purpose, including developing, manufacturing or marketing products.
Disclosure of your information
We may from time to time need to disclose certain information, which may include your Personal Data, to comply with a legal requirement, such as a law, regulation, court order, subpoena, warrant, in the course of a legal proceeding or in response to a law enforcement agency request. Also, we may use your Personal Data to protect the rights, property or safety of Dental at Keys, our customers or third parties.
If there is a change of control in one of our businesses (whether by merger, sale, transfer of assets or otherwise) customer information, which may include your Personal Data, could be disclosed to a potential purchaser under a confidentiality agreement. We would only disclose your information in good faith and where required by any of the above circumstances.
We do not and will not sell or deal in personal or customer information. We will never disclose your personal details to a third party except the necessary information required by providers of products or services you have purchased or to protect the rights, property or safety of Dental at Keys, our customers or third parties or if required by law.
We may however use in a general sense without any reference to your name, your information to create marketing statistics, identify user demands and to assist it in meeting customer needs generally. In addition, we may use the information that you provide to improve our website and services but not for any other use.
We strive to ensure the security, integrity and privacy of personal information submitted to our website, and we periodically update our security measures in light of current technologies.