At CMF Surgeons, we support your rights and would like you to understand your responsibilities as a patient, client, or family member. The information provided below is to help you understand your rights, responsibilities, and understand some of our policies as you consider a visit with us or as part of your treatment journey.
Welcome to CMF Surgeons. By accessing our website (https://www.cmfsurgeons.com) or utilizing our services, you agree to comply with and be bound by these Terms of Service. If you do not agree with these terms, please refrain from using our website and services.
Contact Information
For questions or concerns regarding these Terms of Service, please contact us at:
Any person whose rights under this section are violated may bring, in addition to any other action allowed by law or regulation, a civil action under Sections 60B to 60E, inclusive, of Chapter 231. Any person whose rights under this section are violated may file a grievance by contacting the facilities Director at 617-286-5780 ext. 1007 or the following state regulatory agencies, Massachusetts Board of Registration in Medicine, Massachusetts Department of Public Health, US Department of Health and Human Services.
HIPAA Privacy and Release of Information Authorization I, _________________________, hereby authorize CMF Surgeons and its affiliates, its employees and agents, to use and disclose protected health information (e.g., information relating to the diagnosis, treatment, claims payment, and health care services provided or to be provided to me and which identifies my name, address, social security number, Member ID number) for the purpose of helping me to resolve claims and health benefit coverage issues. I understand that any personal health information or other information released to the person or organization identified above may be subject to re-disclosure by such person/organization and may no longer be protected by applicable federal and state privacy laws. I understand that I have a right to revoke this authorization by providing written notice to. However, this authorization may not be revoked if its employees or agents have taken action on this authorization prior to receiving my written notice. I also understand that I have a right to have a copy of this authorization. I understand that information used or disclosed pursuant to this authorization may be disclosed by the recipient and may no longer be protected by federal or state law. I further understand that this authorization is voluntary and that I may refuse to sign this authorization. My refusal to sign will not affect my eligibility for benefits or enrollment or payment for or coverage of services. I have been advised of this practice’s Privacy Practices, Release of Billing Information policy, Assignment of Benefits policy, and grant the practice Medication History Authority. If applicable, Legal Representatives sign below: By signing this form, I represent that I am the legal representative of the Member identified above and will provide written proof (e.g., Power of Attorney, living will, guardianship papers, etc.) that I am legally authorized to act on the Member’s behalf with respect to this authorization form.
Notice to Website Viewers
This website is provided for information and education purposes only. No doctor/patient relationship is established by your use of this site. No diagnosis or treatment is being provided. The information contained here should be used in consultation with a doctor of your choice. No guarantees or warranties are made regarding any of the information contained within this website. This website is not intended to offer specific medical, dental, or surgical advice to anyone. Further, this website and CMF Cranio-Maxillofacial Surgery Associates take no responsibility for websites hyper-linked to this site and such hyperlinking does not imply any relationships or endorsements of the linked sites.
Personal Information
By entering your full name, email address, and phone number, you are providing personal information that will be used by CMF Cranio-Maxillofacial Surgery Associates for the sole purpose of returning your request to be contacted by us. We will only use this information to contact you in order to assist you in scheduling an appointment to be seen by Dr. Osborn, and/or to answer any questions you may have indicated in the comments section. Our intention is to only use your personal information to return your request for contact regarding a dental appointment, and/or a dental-related question.
Opt-Out Option
Please contact us if you wish to opt-out/unsubscribe from receiving any future communication.
Log Files
Like many other Web sites, https://www.cmfsurgeons.com makes use of log files. The information inside the log files includes internet protocol ( IP ) addresses, type of browser, Internet Service Provider ( ISP ), date/time stamp, referring/exit pages, and number of clicks to analyze trends, administer the site, track user’s movement around the site, and gather demographic information. IP addresses and other such information are not linked to any information that is personally identifiable.
Accessibility
We strive to make the CMF Cranio-Maxillofacial Surgery Associates website universally accessible and we are continuously working to improve the accessibility of content on our website. If this website does not meet your needs, please contact us at CMF Cranio-Maxillofacial Surgery Associates Phone Number 617-286-5780 for assistance.