Protecting Your Privacy

Dear Patients,

Pope Dental is committed to protecting your privacy. We have never shared nonpublic personal information, except as permitted by law, and we will continue to protect your privacy. We do not share information with outside companies for purposes of selling their products and services to you. The following policy serves as a standard for all Pope Dental employees for collection, use, retention, and security of nonpublic personal information.

What Information We Collect

We may collect nonpublic personal information about you from the following sources:

• Information we receive from you on health, insurance, and account forms
• Information we receive from third parties, such as insurance companies

“Nonpublic personal information” is nonpublic information about you that we obtain in connection with providing dental treatment and service to you. For example, nonpublic personal information includes information regarding your health history, dental health, account balance, and payment history.

What Information We Disclose

We do not disclose any nonpublic personal information about our patients or former patients to anyone, except as permitted by law.

Our Security Procedures

We restrict access to your personal and account information to those employees who need to know that information to provide the proper dental services to you. We maintain physical, electronic, and procedural safeguards that comply with federal standards to guard your nonpublic personal information.

Our Pledge To You

• Your trust is the cornerstone of our relationship.
• We will work diligently to safeguard your privacy.
• We have no intention of selling personal information about our customers.

Sincerely,
Dr. Scott Pope and staff at Pope Dental