We wish to inform you that we will release no information about you without your consent. By agreeing to this consent, you permit the release of any information to or from your health care practitioners as required including a full report of examination findings, diagnosis and treatment program to any referring or treating dentist or physician. You understand that you are financially responsible for all charges whether or not paid by insurance. Please be aware that our fees do not reflect the suggested ODA fee guide. We protect your information according to the Health Privacy Rights in Ontario.