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Effective date: May 1, 2022
Your Rinse Dental practice (“Rinse,” “we, “us,” or “our”) operates the online platforms and mobile applications that link to this Privacy Policy and other services that link to this Privacy Policy (collectively, the “Services”). Our Services include the provision of oral healthcare services and various oral hygiene products to provide you with a hassle-free, personalized, and straightforward dentist experience. Rinse values and respects the privacy of its customers and visitors (“user,” “you,” or “your”). The purpose of this Privacy Policy is to provide you with information about Rinse’s policies regarding the collection, processing, use, storage, and disclosure of information when you use our Services. This Privacy Policy also describes the choices you can make about our use of your information.
We may update or modify this Privacy Policy at any time, by posting the amended version including the effective date of the updated version. Please review this Privacy Policy periodically for any updates or changes. This Privacy Policy is binding on all those who access, visit, and/or use our Services, whether acting as an individual or on behalf of an entity, including you and all persons, entities, or digital engines of any kind that harvest, crawl, index, scrape, spider, or mine digital content by an automated or manual process or otherwise. Please read this Privacy Policy carefully. Your continued use of the Services is considered your acceptance of these terms, and you agree to the terms of this Privacy Policy and the collection and use of information in accordance with this Policy. If you do not agree to be bound by this Privacy Policy or any subsequent modifications, you should not access or use our Services or disclose any personal information through our Services. This Privacy Policy is incorporated into our Terms of Use, Cookie Policy, Mobile Terms and Conditions.
You can update your preferences and information by updating your contact information through our Services or contacting us at the e-mail address or phone number below. Additionally, if you have any questions or concerns about our use of your Personal Information (defined below), please do not hesitate to contact us through any of the methods below.
Phone: (415) 707-0412 Email: privacy@rinse.dental
Mail: Attn: Privacy Policy 2261 Market Street #4502 San Francisco, CA 94114
While using our Services, we may ask you to provide us with certain personally identifiable information (“Personal Information”). Personal Information is information that identifies, relates to, describes, can reasonably be associated with, or can reasonably be linked to a particular individual or household. We collect information from you both when you provide it voluntarily and also automatically when you use our Services. We may also collect Personal Information from other sources, as described below.
We collect Personal Information from you and any devices (including mobile devices) you use when you: use our Services, register for an account with us, make a purchase, create an appointment, subscribe to a newsletter, contact us via phone, email, postal mail, or other means, connect with us via our Services or one of our social media pages, or respond to our communications to you (e.g., surveys, requests for feedback). Please remember that any information that is disclosed in public comments, forums or other areas enabling other users to submit comments (“Forums”) becomes public information, is not maintained or treated as confidential, and you should exercise caution when deciding to disclose your Personal Information.
In addition, we also collect Personal Information about you from third parties in connection with our Services, including from the following sources:
We may collect the following categories of Personal Information from you, depending on your interactions with our Services and the choices you make, as further described in the chart below:
a. Identifiers. Your name, email address, postal address, social media usernames, telephone number, organization name, unique personal identifier, and Internet Protocol (IP) address.
b. Financial Information. Your name, billing address, and payment information, including credit card or debit card information.
c. Interactions. Records of products or services purchased, obtained, or considered, or other purchasing or consuming histories, and other information you post or otherwise submit to the Services, including emails or other communications you provide to us.
d. Internet or other electronic network activity information. For example:
e. Protected Health Information. When you schedule an appointment and in the course of providing Services to you, we will obtain and process Protected Health Information (“PHI”) as defined by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). We are required to comply with applicalbe federal healthcare privacy and security rules, including HIPAA, when receiving and processing your PHI. Our use and disclosure of PHI is governed by HIPAA as described in our Notice of Privacy Practices. You can learn more about our PHI data practices and obligations under our Notice of Privacy Practices. PHI should only be submitted through the Services as permitted or required for use of the Services.
f. Demographic data. Data about you such as your gender, age, nationality, ethnic origin, business or company information, professional experience, educational background, professional or personal reference contact information, social media URLs, and other data reflecting your preferences, characteristics, psychological trends, predispositions, behavior, attitudes, intelligence, abilities, and aptitudes.
g. Third-Party Social Networking Service(s). If you choose to access, visit, and/or use any third-party social networking service(s) that may be integrated with our Services, we may receive your Personal Information and other information about you and your computer, mobile, or other device that you have made available to those social networking services, including information about your contacts through those services. For example, some social networking services allow you to push content from our Services to your contacts or to pull information about your contacts so you can connect with them on or through our Services. Some social networking services also will facilitate registration or enhance or personalize your experience on our Services. This includes if you “follow,” “like,” or link your social networking account to our Services. Your decision to use a social networking service in connection with our Service is voluntary. However, you should make sure you are comfortable with the information your third-party social networking services may make available by reviewing privacy policies of those providers and/or modifying your privacy settings directly with those networking services.
If we combine or associate information from other sources with Personal Information that we collect through the Services, we will treat the combined information as Personal Information in accordance with this Privacy Policy.
We generally process your information when we need to do so to fulfill a contractual obligation or where we or someone we work with needs to use your personal information for a reason related to their business. These legitimate interests are further detailed in the “How We Use Information” section in the table below. We only process Personal Information for these interests after considering the potential risks to your privacy.
Information collected through use of our Services
a. Account Information
i. Description
ii. How We Use Information:
b. Newsletter Subscription Information
i. Description
ii. How We Use Information:
c. Protected Health Information
i. Description:
This includes any PHI that you provide when you register for an account with us or schedule an appointment via our Services. You can learn more about our PHI data practices and obligations under our Notice of Privacy Practices.
ii. How We Use Information:
d. Appointment Information
i. Description:
ii How We Use Information:
e. Consultation and Customer Service Information
i. Description:
ii. How We Use Information:
f. Surveys, Sweepstakes, Contests, Giveaways
i. Description:
ii. How We Use Information:
g. Payment and Purchasing Information
i. Description:
ii. How We Use Information:
h. Returns Data
i. Description:
ii. How We Use Information:
i. Demographic Data
i. Description:
ii. How We Use Information:
j. Third Party Data
i. Description:
ii. How We Use Information:
k. Location Information
i. Description:
ii. How We Use Information:
l. Usage Information
i. Description:
ii. How We Use Information:
m. Anonymized Information
i. Description:
ii. How We Use Information:
We share non-Personal Information with third parties at our discretion. In connection with our Services, we may share your Personal Information with certain third parties who we engage to help us run our business and perform the Services, including under the following circumstances:
a. Service providers that help us to administer and provide the Services (for example, a web hosting company whose services we use to host our platform).
b. Software and service providers we use to manage and process your information, for example, providers of payment processing software (e.g., payment processing software).
c. Corporate affiliates, including corporate parents, subsidiaries, other affiliated entities and associated entities, and customers
d. Product-related service providers, such as our delivery providers, vendors, and manufacturers of our products.
e. Google Analytics, a service provided by Google, Inc., to gather information about how you and other users engage with our Services. For more information about Google Analytics, please visit www.google.com/policies/privacy/partners.
f. Marketing service providers we use to communicate with you.
g. Advertising service providers we use to assist us in providing personalized advertising on third-party websites.
h. Business partners, including promotional partners who are helping us run a joint promotion or who provide a product or service in partnership or collaboration with us in participating regions.
i. Third parties in the event of any reorganization, merger, sale, joint venture, assignment, transfer or other disposition of all or any portion of our business, assets or stock (including in connection with any bankruptcy or similar proceedings).
j. Internal Revenue Service and Other Taxing Authorities (e.g., if your earnings from a sweepstakes or contest exceed a certain threshold and we are required to disclose such earnings under applicable law.
k. Other third parties that you expressly request or authorize us to share your Personal Information with.
Additionally, we will share your Personal Information with third parties where required by law, where it is necessary in connection with our Services or products, where it is necessary to respond to requests from courts, law enforcement agencies, regulatory agencies, and other public and government authorities, where necessary to protect our rights, privacy, safety or property, and/or that of our affiliates, you, or others, where necessary to detect, prevent, or otherwise address fraud, security, or technical issues, or where we have another legitimate interest in doing so.
Most of the third parties with whom we share your Personal Information are located and store your information in the United States, although some may be located or store your information outside of the United States.
Any Personal Information or non-Personal Information that you voluntarily disclose for posting to the Services becomes available to the public. This Personal Information and non-Personal Information may be controlled by privacy or website customization settings.
To the extent that you provide or transmit any information, including, but not limited to, any Personal Information, any information that identifies any other individual (including without limitation name, email address and/or telephone number) and/or PHI, to Rinse or our third-party service or data providers, licensors, or distributors (“Representatives”) through the Services, you warrant that (a) you are providing or obtaining only your own information or the information of others which you are authorized to provide to third parties and/or obtain from third parties on their behalf; and (b) the use of such information by Rinse and its Representatives will not infringe upon or misappropriate the intellectual property rights or otherwise violate the rights of any third parties.
The security of your data is important to us but remember that no method of transmission over the Internet or method of electronic storage is 100% secure. While we strive to use commercially acceptable means to protect your Personal Information, we cannot guarantee its absolute security. Any transmission of Personal Information is at your own risk. By using our Services, you acknowledge and accept these risks. As a result, we cannot guarantee or warrant the security of any information you disclose or transmit to us or that are otherwise provided to us and we cannot be responsible for the theft, destruction, or inadvertent disclosure of information. It is your responsibility to safeguard any passwords, ID numbers, or other special access features associated with your use of the Services. Any transmission of information is at your own risk.
We will retain your Personal Information only for as long as you use our Services or as necessary for the legitimate business purposes set out in this Privacy Policy. We will retain and use your Personal Information to the extent necessary to comply with our legal, accounting, or reporting obligations (for example, if we are required to retain your data to comply with applicable laws), resolve disputes and enforce our legal agreements and policies. Additionally, we may continue to store your Personal Information contained in our standard back-ups. Following termination or deactivation of your account, we may retain your Personal Information for a reasonable amount of time for archival purposes. Furthermore, we may retain and continue to indefinitely use your Personal Information contained in your communications to other users or posted in public or semi-public areas of the Site.
We also will retain Usage Information for internal analysis purposes. Usage Information is generally retained for a shorter period of time, except when Usage Information is used to strengthen the security or to improve the functionality of our Services or products, or we are legally obligated to retain Usage Information for longer periods.
Marketing Preferences. You can opt out from receiving future marketing communications from us at any time by using the unsubscribe function in the email you receive from us, or contacting us as set forth under “How to Contact Us” above. Please allow sufficient time for your preferences to be processed. Even if you opt out of receiving marketing messages, we may still contact you for transactional purposes like confirming or following up on an order or service request, asking you to review a product or service you have ordered, or notifying you of product recalls. If you later opt back into getting marketing communications from us, we will remove your information from our opt-out databases.
Personalized Advertising. If you do not wish to participate in our advertising personalization programs, you can opt-out by following the directions provided within the applicable advertisement, or through disabling ad cookies through your browser settings. If you would like help in managing your advertising preferences, you can contact us at privacy@rinse.dental. You may also opt out of receiving interest-based ads from Amazon, Facebook, Google, and TikTok. You will continue to see ads on each platform, but they will not be personalized as a result of your actions on our website. Please visit the links below if you wish to opt out or update your preferences:
As noted above in “The Information We Collect About You,” you can choose whether to accept cookies by changing the settings on your browser or device. However, if you choose to disable cookies, your experience with our Services may be impaired and some features may not work as they were intended.
Additionally, Do Not Track is a preference you can set in your web browser to inform websites that you do not want to be tracked. You can enable or disable Do Not Track by visiting the preferences or settings page of your web browser. However, these features are not yet uniform, so we do not currently respond to such features or signals. Therefore, if you select or turn on a “do not track” feature in your web browser, we and our third-party providers may continue collecting information about your online activities as described in this Privacy Policy.
You may change, edit, update, or delete the information that you provided when you set up your account, when you purchased a product, set up an appointment, or joined our mailing list by sending a request to our email address, privacy@rinse.dental.
You can choose to limit the data that third party services (e.g., social media platforms) share with us using the options provided to you by the applicable third party service (for example, the options provided by a third party social media platform when you connect your social media account with our Services). You can also disconnect your use of our Services from the third-party service at any time using the options provided to you by the applicable third-party service. Please note, however, that if you disconnect from the third-party service, that will not delete the data we may have previously collected while you were connected.
Only you, or someone legally authorized to act on your behalf, may make a verifiable consumer request related to your Personal Information. Please understand that we are required to verify your request and may require you to provide some information to enable us to carry out such verification. We cannot respond to your request or provide you with Personal Information if we cannot verify your identity or authority to make the request and confirm the Personal Information relates to you.
Making a verifiable consumer request does not require you to create an account with us. We will only use Personal Information provided in a verifiable consumer request to verify the requestor's identity or authority to make the request.
Your information, including Personal Information, may be transferred to – and maintained on – computers located outside of your state, province, country or other governmental jurisdiction where the data protection laws may differ from those of your jurisdiction. Your consent to this Privacy Policy followed by your submission of such information represents your agreement to that transfer. Services are provided solely to individuals located in the United States. By using the Services, you represent that you are located in the United States and you consent to the general use and disclosure of your Personal Information in the United States.
We will take all the steps reasonably necessary to ensure that your data is treated securely and in accordance with this Privacy Policy and no transfer of your Personal Information will take place to an organization or a country unless there are adequate controls in place including the security of your data and other Personal Information.
Our Services are not created for anyone under the age of 13 (“Children” or “Child”). By using the Services, you represent that you are at least 13 years old. If you do not meet this age requirement, then you must not access or use our Services.
We do not knowingly collect personally identifiable information from anyone under the age of 14, and we do not target the Services to Children. If you are a parent or guardian and you are aware that your Child has provided us with Personal Information, please contact us though one of the methods listed under “How to Contact Us” above. If we become aware that we have collected Personal Information from Children without verification of parental consent, we take reasonable steps to remove that information from our servers.
For more information about the Children’s Online Privacy Protection Act (“COPPA”), which applies to websites that direct their services to children under the age of thirteen (13), please visit the Federal Trade Commission’s website https://www.ftc.gov/tips-advice/business-center/guidance/complying-coppa-frequently-asked-questions.
Our Services may contain links to third-party websites that are not operated or maintained by Rinse. If you click on one of those links, you will be taken to websites we do not control. By providing a link to a third-party website, we are not endorsing or attempting to associate with any other entity, their content or services, or the persons or entities associated with those websites. This Privacy Policy does not apply to the information practices of those third-party websites. You should read the privacy policies of third-party websites carefully. We are not responsible for the content, privacy policies, actions or security of third-party websites.
This Privacy Policy shall be construed and governed under the laws of the United States and State of California (without regard to rules governing conflicts of laws provisions). You agree that venue for all actions, arising out of or relating in any way to your use of our Services, shall be in the United States District Court Middle District of California and of any California state court sitting in San Francisco county.. Each party waives any objections based on forum non conveniens and waives any objection to venue of any action instituted hereunder to the extent that an action is brought in the courts identified above. Each party consents to personal jurisdiction in the courts identified above.
I consent to the treating Doctor performing the Recommended Treatment, and any additional procedure(s) that may be considered necessary for a proper outcome. I understand the nature and purpose of the Recommended Treatment and am aware that no guarantee can be made as to the result.
Alternative methods of treatment have been explained to me, and I wish to proceed with the Recommended Treatment as described above.
I understand the risks associated with the administration of medications and performance of the Recommended Treatment. These risks include, but are not limited to: drug reactions, post operative pain or bruising, damage to adjacent teeth, nerve injury, infection, and unsatisfactory cosmetic results, and may require further treatment.
This Cookie Notice describes how Rinse Dental, Inc. (“Rinse,” “we,” “us,” or “our”), uses cookies and other technologies to collect and store information when a user (“user(s),” “you,” or “your”) uses the rinse.dental website, our online store, or our online patient portal (collectively, “Services”). For additional information about our data processing activities, please review:
As with most online services, when you use our Services, we automatically collect and store certain information. This may include your Internet Protocol (“IP”) address, device ID, operating system, browser type and version, the dates and times that you visit the Services, the pages of the Services that you visit and the time spent on those pages, and location data sufficient to identify your country, state and city.
A cookie is a small data file sent from a website or application and stored on your computer or device. Cookies allow us to recognize your browser when you return to our Services and to remember your login information. Cookies also allow us to serve certain features, to better understand how you interact with our Services, and to review aggregated usage.
We use cookies to administer the Services, analyze and improve our Services and tailor our Services to our user’s needs for example, to remember a user has already given a user name and password, so that they do not need to input these every time they move to different pages in the Services, estimate our total audience size and traffic and to target advertisements to users in a specific geolocation.
Web beacons are tiny graphics with a unique identifier that may be included on our Services for several purposes, including to deliver or communicate with cookies, to track and measure the performance of our Services, and to monitor how many visitors view our Services, and if emails sent to users are opened. Unlike cookies, which are stored on the device, web beacons are typically embedded invisibly on web pages or in an email.
We use a variety of third-parties to collect, track and analyze usage and statistical information from users, such as the user’s browser type, operating system, browsing behavior and demographic information.
Users may be given the option to receive push notifications while using our Services. Depending on the type of device you are using to access Rinse, we may need to collect your IP address and a device identifier in order to serve push notifications. You can turn off push notifications off in your device settings.
Overall, we use the information we receive from cookie-related data to monitor how the Services are being used and how they perform, to analyze and administer the Services. Our Services may place both session and persistent cookies on your computer or device. Session cookies typically last for as long as you are using your browser, while persistent cookies will remain even after you close your browser. The length of time that these cookies remain is detailed below.
Some of our cookies, described as first-party cookies, are placed by us, and are used to help us operate functioning and effective Services. Other cookies, referred to as third-party cookies, are placed by companies that we work with to provide, maintain, analyze and in some cases advertise on the Services. The legal basis for the collection of information through third party cookies depends on the type of cookie, as described below.
The details, including our legal basis for collection and processing of the information collected through the cookies is as follows:
On our rinse.dental website, we also include advertising cookies. These cookies allow us to do some of the things that we do with analytics cookies, and also to targeted advertisements tailored to your interests. We do not include advertising cookies on the app products. If you disable such advertising cookies you will not receive a customized website experience or targeted advertising. The legal basis for the collection of such information by analytics and targeting/advertisement cookies is your consent.
Be advised that you may change your cookie settings from within your browser by going to the “help” function on most browsers. If you choose to have your browser refuse cookies, then it is likely that some areas of the rinse.dental website will not function properly when you use or visit them. The instructions for these vary from browser to browser and they may change from time to time as new versions are released. Here are some links to instructions for the most common browsers:
Microsoft Internet Explorer [https://support.microsoft.com/en-us/help/17442/windows-internet-explorer-delete-manage-cookies]
Mozilla Firefox [https://support.mozilla.org/en-US/kb/enable-and-disable-cookies-website-preferences]
Google Chrome [https://support.google.com/chrome/answer/95647?hl=en]
Safari [https://support.apple.com/en-gb/guide/safari/sfri11471/mac]
For other browsers, try searching for “managing cookies in (browser name)”
If you have any questions or concerns about our use of cookies and other tracking technologies, please send us an e-mail at privacy@rinse.dental. To learn more about your Privacy Policy, please read the policy here.
There are several different ways to opt out of having cookies placed on your device. We have provided a link to some of them above. In addition, most web browsers allow you to control some cookies through the browser settings. You may use your browser tools to refuse the use of cookies or to delete cookies that have been placed on your device. However, if you disable cookies, you may not be able to use the full functionality of Rinse.
Contact us
For further information on our use of cookies, please contact us at:
By email: privacy@rinse.dental By regular mail: Attn: Privacy Request - Cookies, 2261 Market Street #4502 San Francisco, CA 94114
Mobile Terms and Conditions Effective Date: May 1, 2022
Rinse Dental, Inc. (“Rinse,” “we,” “us,” or “our”), has developed these Mobile Terms and Conditions (“Text Policy”) to inform users (“user,” “you,” or “your”) about our appointment reminder text messages, promotions and advertising text messages, and all related short message services. Read this Text Policy carefully.
When you text SMILE to 48363 , opt-in online, or otherwise provide your mobile phone number to us through our website, rinse.dental, in an e-mail, in a written letter, or by some other means or manner, you agree to this Text Policy and give your prior, express, and written consent to receive text messages containing information, related to offers, deals, promotions, and special opportunities, from us. You will not receive more than four (4) text messages per week with appointment reminders, alerts, or promotional offers.
Message and data rates may apply. By signing up, you are confirming you are over the age of 13.
Text STOP to 48363 to stop receiving text messages from Rinse (after texting STOP, you will receive a confirmation message from us). For additional information, text HELP to 48363 or contact 888-898-3686.
YOU UNDERSTAND AND AGREE THAT THE TEXT MESSAGES SENT TO YOUR MOBILE DEVICE MAY BE GENERATED BY USING AUTOMATIC TELEPHONE DIALING SYSTEMS (AUTO-DIALER). YOUR CONSENT TO RECEIVE TEXT MESSAGES IS NOT REQUIRED TO MAKE A PURCHASE OR TO ORDER A SERVICE.
Supported carriers are: AT&T, Sprint, T-Mobile®, Verizon Wireless, Boost, Cricket, MetroPCS, U.S. Cellular, Virgin Mobile, Google Voice, ACS Wireless, Advantage Cellular (DTC Wireless), Appalachian Wireless, Atlantic Tele-Network International (ATN), Bandwidth, Bluegrass Cellular, Buffalo Wireless, CableVision, Carolina West Wireless, Cellcom, Copper Valley, C-Spire Wireless (formerly Cellsouth), Cellular One of East Central Illinois, Chariton Valley Cellular, Cross (dba Sprocket), Duet IP, Element Mobile, EpicTouch, GCI Communications, Golden State, Hawkeye (Chat Mobility), Hawkeye (NW Missouri Cellular), i Wireless (IOWA Wireless), Illinois Valley Cellular, Immix (Keystone Wireless / PC Management), Inland Cellular, Mobi PCS (Coral Wireless LLC), Mosaic, MTA Communications, MTPCS / Cellular One (Cellone Nation), Nex-Tech Wireless, Panhandle Telecommunications, Peoples Wireless, Pine Belt Wireless, Pine Cellular, Pioneer, Plateau, Revol Wireless, RINA, SI Wireless/Mobile Nation, SouthernLinc, SRT Wireless, Thumb Cellular, Union Wireless, United, Viaero Wireless, West Central Wireless, Leaco, Nemont/Sagebrush. T-Mobile is not liable for delayed or undelivered messages.
Please visit here to review our Privacy Policy.
You acknowledge and agree to the following:
You consent to receive treatment from a Rinse Dental affiliated dental practice (“Practice”) during the COVID-19 outbreak.
You understand there is much to learn about the newly emerged COVID-19, including how it spreads and is transmitted.
You understand that, based on what is currently known about COVID-19, the spread is thought to occur mostly from person-to-person via respiratory droplets during close contacts.
You understand that close contact can occur from being within approximately 6 feet of someone with COVID-19 for a period of time, or by having direct contact with infectious secretions from someone with COVID-19.
You understand that carriers of COVID-19 may not show symptoms but may still be highly contagious.
You understand that due to the unknowns of this virus; the number of other patients that have been in the Practice; and the nature of the procedures performed here; that you have an increased risk of contracting the virus by being in, and by receiving treatment at, the Practice.
You understand that even with the Practice following all the CDC and ADA guidelines for infection control of COVID-19 in providing emergency dental treatments, that you are still at risk for possible infection with receiving such treatment at the Practice at this time.
You understand that dental procedures have the potential to include aerosol-generating procedures as well as anticipated splashes and sprays, which are some of the ways that COVID-19 can be spread.
You understand that the symptoms listed below are representative of COVID-19:
You confirm that you, and those who live with you, have not displayed, or currently have, any of the symptoms that are representative of COVID-19, which are outlined above.
You confirm that, to the best of your knowledge, in the past 14 days you have not come into close contact with anyone who appeared to you as displaying, or having, any of the symptoms that are representative of COVID-19, which are outlined above.
You confirm, to the best of your knowledge, that you have not had close contact with an individual diagnosed with COVID-19 in the past 14 days. You understand that all travelers arriving from a country or region with widespread ongoing transmissions should stay home for 14 days to practice social distancing and monitor their health after their arrival.
You confirm that I, and those who live with you, have not returned in the last 14 days from traveling to any of the countries or regions with widespread ongoing transmissions, including all European countries, China, Korea, and Latin America.
You release, that is, you give up and forever relinquish any and all claims, complaints and any legal actions in any court of law, or in any other proceedings before any governmental entity, that you became infected with the coronavirus, or that you suffered any other personal, physical or any other injury as a result of the dental treatment you have received from the Practice and from all the professional and technical providers who treated you at the Practice. You understand this release means that you can never bring any claim for any money damages, nor for any other legal remedy/relief against the Practice and any of the professional and technical providers at the Practice.
You acknowledge that you have read and understand this Release and that you knowingly and voluntarily have signed it as a condition of the Practice agreeing to provide treatment for you.
You are responsible for paying your co-pay, any non-covered portions, any deductible you have not covered, and any other applicable costs and fees. If your insurance company does not pay for the services offered by Rinse, you agree that you will pay for all services rendered to you by Rinse. You further agree that by providing us with your credit card or debit card (“credit card”) information, you have authorized Rinse to charge your credit card for any portion of costs and fees not otherwise covered by your insurance provider.
By attending an online appointment with Rinse, you acknowledge and agree that your image and voice may be recorded, photographed or otherwise digitally obtained by Rinse to provide you with healthcare treatment and for training purposes. You hereby waive and release Rinse from all liabilities and claims directly or indirectly arising from or relating to the creation and use of such recordings for these purposes as a condition of Rinse providing you with services online.
I give permission for Rinse to take and use photographs of me for use in promotional materials. Examples include but are not limited to display of the photographs on the rinse.dental website, in social media, in printed or electronic advertising, in other printed or electronic communications, and in presentations to other patients. I give permission for the photographs to be used and edited by Rinse in any way it may consider appropriate. I understand the photographs may identify or present a recognizable likeness of me. I authorize the use of the photographs without compensation to me. I agree that all negatives, prints, and digital reproductions shall be the property of Rinse. I understand I may revoke this authorization any time but the revocation must be in writing and will not apply to any photographs that have already been released by Rinse with my permission.
