privacy policy

Welcome to Word of Mouth Family Dentistry’s web site. We appreciate your interest in us and hope to make your on-line experience enjoyable and secure. Your privacy is very important to us and we will make every reasonable effort to safeguard any information we collect.

Personal Information (Including Social Security Number) Privacy Protection Policy

Word of Mouth Family Dentistry maintains policies that protect the confidentiality of personal information, including Social Security numbers, obtained from its patients in the course of its regular business functions. We are committed to protecting information about our patients and employees, especially the confidential nature of their personal information (PI). Personal Information is information that is capable of being associated with an individual through one or more identifiers including but not limited to, a Social Security number, a driver’s license number, a state identification card number, an account number, a credit or debit card number, a passport number, an alien registration number or a health insurance identification number, and does not include publicly available information that is lawfully made available to the general public from federal, state or local government records or widely distributed media.

  • Word of Mouth Family Dentistry is committed to protecting the confidentiality of Social Security numbers and other Personal Information. Our Privacy Policy imposes a number of standards to guard that confidentiality.
    • We will not use or share Social Security numbers or personal information with anyone outside the company except when permitted or required by federal and state law.
    • Our employees and business associates (insurance companies, financial providers, software vendors, contractors, etc.) must only access Social Security numbers or personal information as required by their job duties. We have in place a minimum necessary policy which states that employees and business associates may only access, use or disclose Social Security numbers or personal information to complete a specific task and as allowed by law.
    • We safeguard Social Security numbers and other personal information by having physical, technical, and administrative safeguards in place.
  • If you have questions regarding this policy, please contact our Privacy Officer.

HIPAA Notice of Privacy Practices

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule allows patients the right to receive a notice that describes how individual health information may be used and/or disclosed and how to acquire access to this information. This is normally done during your first visit and anytime this notice is updated.

Word of Mouth Family Dentistry Privacy Practices (pdf)

(The above link can only be viewed using Adobe Acrobat Reader. If you don't have Adobe Acrobat Reader, you can download a free copy by clicking here. )

Contacting the Privacy Officer

We are available to answer privacy questions or for reporting privacy issues. You may contact the Word of Mouth Privacy Officer by:

  • calling us at 719-576-6551
  • or writing us at:
    Word of Mouth Family Dentistry
    Attn: Privacy Officer
    202 E. Cheyenne Mtn Blvd, Suite E
    Colorado Springs CO 80906
  • or emailing us at wordofmouthdental@yahoo.com

Privacy Authorization Forms

Word of Mouth Family Dentistry is fully committed to the spirit and letter of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), including but not limited to the Privacy Rule that was issued pursuant to HIPAA. A major provision of the Privacy Rule is to safeguard sensitive, personal information about patients. This information is referred to as Protected Health Information (PHI), and includes individually identifiable health care and demographic data.

HIPAA allows Word of Mouth Family Dentistry to use and disclose certain member information for clearly defined treatment, payment and health care operations (TPO). However, patients have the right to restrict the release of information about them beyond these uses. The Individual Authorization Form provides the means for patients to identify who can see their PHI and what specific PHI can be seen for purposes other than TPO. If you need to have your PHI disclosed to someone outside of Word of Mouth Family Dentistry for purposes other than TPO, complete the form and submit it to us. If you have questions, please contact our Privacy Officer.

Patient Release Authorization Form (pdf)

(The above link can only be viewed using Adobe Acrobat Reader. If you don't have Adobe Acrobat Reader, you can download a free copy by clicking here. )

WEB PRIVACY STATEMENT

Your privacy is very important to us. personally identifiable information will not be collected from you without your knowledge and approval. And we will make every reasonable effort to safeguard any information we collect.

How will information collected about me be used?

Any personal information that you provide through this mobile channel is used for the purpose for which you provide it. Word of Mouth Family Dentistry does not disclose personal information that you provide to us outside of Word of Mouth Family Dentistry except with the following exceptions:

  • Upon your authorization
  • When such disclosure is necessary to allow Word of Mouth Family Dentistry and its contractors or agents to carry out treatment, payment or health care operations
  • When required or permitted by law

What if I don’t want information about me to be collected over the web?

Providing personal information through this mobile channel is an option; hardcopy, printed forms are always available on this site or in our office if you prefer.

Linking to Other Sites

From time to time we will provide links to web sites not owned or controlled by Word of Mouth Family Dentistry. We do this because we think this information might be of interest or use to you. While we do our best to ensure your privacy, we cannot be responsible for the privacy practices of other sites. A link to a non-Word of Mouth Family Dentistry web site does not constitute or imply endorsement by Word of Mouth Family Dentistry. Additionally, we cannot guarantee the quality or accuracy of information presented on non-Word of Mouth Family Dentistry web sites. We encourage you to review the privacy practices of any web site you visit.

Use of electronic mail

We may provide email links through our mobile channel to further facilitate communication between us and you. Unless otherwise noted, electronic mail through our mobile channel is not a completely secure and confidential means of communication. Non-encrypted electronic communications may be accessed and viewed by other Internet users without your knowledge and permission while in transit to us.

If you have questions regarding this policy or if you would like to review or change any of your personal information we have on file, please contact the Word of Mouth Privacy Officer.