Our fees are based on the current year’s fee schedule from the Ontario Dental Association.Fees must be paid on the day of treatment. For your convenience, we do accept Visa, MasterCard, Debit, and cash. Do not hesitate to discuss fees with us should you have any questions.We are happy to submit insurance claims on your behalf, but it is your responsibility to be aware of your coverage details. Each insurance policy has its own rules of coverage, for example: for new patient complete examinations and panoramic x-rays, the coverage period can range between 3 to 5 years for a new submission. However, any procedure not covered by insurance is your responsibility to pay.Appointment times are reserved exclusively for you. We require 2 business days’ notice for any cancellations or changes to your scheduled time. While we make our best efforts to remind patients of their dental appointments, it is ultimately your responsibility to document and keep your scheduled appointment time.

We value your privacy and personal information.Dental records are collections of sensitive personal information compiled to allow dentists and other dental health care providers to provide dental treatment, continuity of care, and maintain optimal standards of care. Original dental records compiled by a dentist are the legal property of the dentist. Patients have a legal right to examine and to control the use and dissemination of the information contained in their records. Dentists require patients to provide complete, accurate, and intimate health details in order to provide safe and effective treatment. Therefore, ownership of original dental records obligates the security and confidentiality of this information contained therein, which may be developed only with the permission of the patient, except when otherwise required by law.Patients have the right to control disclosure of their dental records to others. Release of information:Must be informed, specific, and for a one-time event.Must afford the patient an opportunity to review the information requested and being released prior to the transfer.Must provide an opportunity to withdraw prior to consent.Must not be used for any purpose other than the primary and specific use requested.Must be with the patient’s permission, preferably in writing.Patients are entitled to receive dental care in a confidential setting, free of third-party intrusion. Release of patient information to third parties must adhere to the basic principles of confidentiality and patient rights outlined above, with the intention of enabling patients to review any and all third-party benefits to which they may be entitled. Patients may be unaware of the information third parties may have access to under the broad-based consents to release dental records, and the scope of this information may exceed the needs of the third party to determine benefits. It becomes the responsibility of the dentist, and all other dental health providers, to protect the confidentiality and privacy of their patients.Where a third party has received patient permission to use the information from the patient’s dental records for financial audits, all patient identity and unrelated information (e.g., health history, personal information) shall first be removed from the records. No third party can demand access to patient dental records (including financial records) except with specific patient consent in writing, by legal statute, or by court order.Patient Consent: I have reviewed the above information, and agree that Baseline Family Dental Care may collect, use, and disclose my personal information as set out above in the office privacy policy.