Steven M. Carlson, D.D.S. | Privacy Statement
Steven M. Carlson, D.D.S. | Dental care for your family Steven M. Carlson, D.D.S.
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Privacy Statement

Privacy Statement

Your privacy is important to us, and we take it seriously.


Notice of Privacy Practices

This Notice of Privacy Practices presents the information that federal law requires us to give our patients regarding our privacy practices.

Beginning April 14, 2003, we must provide this Notice to each patient beginning no later than the date of our first service delivery to the patient, including service delivered electronically. We must make a good-faith attempt to obtain written acknowledgement of receipt of the Notice from the patient. We must also have the Notice available at the office for patients to request to take with them.

You may view and print a copy of this Notice of Privacy Practices form as well as the Acknowledgement of Receipt of the Notice forms from this website. If you wish, you may also fill out the printed Acknowledgement of Receipt of Notice form and bring it with you at your next appointment. For our patients with dependent children, you may list all their names on the one form and sign it. That one form will be sufficient for all your dependent children listed on the form.

Adobe Acrobat Reader is required to view these files.


This Website

Steven M. Carlson, D.D.S. is sensitive to privacy issues on the Internet and is committed to protecting your privacy on our Website. Steven M. Carlson, D.D.S. takes reasonable precautions to keep all information obtained from our online visitors secure against unauthorized access and use and we periodically review our security measures. We have established the following guidelines to explain the way in which we use information gathered from visitors to our Website.

In general, you can visit Steven M. Carlson, D.D.S. on the Web to access information while remaining anonymous and not revealing any personal information. There may be times, however, that we will ask you to provide certain information (such as your name and email address) so that we may understand you better and provide you with information that you might be interested in. Steven M. Carlson, D.D.S. does not rent or sell the patient information entered on this site. Our Web server may also collect the domain names, but not the e-mail addresses, of visitors to our Web site. We may use this information to monitor and assist us in improving the content on our Website.

Note that our Website contains links to other non-Steven M. Carlson, D.D.S. Websites. Although we try to link only to Websites that share our concern for patient information privacy, we are not responsible for their content or their privacy practices.


150 West Second Street | Delphos, Ohio 45833 | 419.692.7873

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