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Patient Registration

Create your account to book appointments and manage your dental care

Personal Information

First Name *

Middle Name

Last Name *

Suffix

Sex *

Birthdate *

Age

Mobile Number *

Contact & Address

Email Address *

Region *

Province *

City / Municipality *

Barangay *

Account Security

Password *

Password must contain:

At least 8 characters
One uppercase letter (A-Z)
One lowercase letter (a-z)
One number (0-9)
One special character (!@#$%^&*())

Confirm Password *

Terms and Conditions *

I accept the Terms and Conditions

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Welcome to TeethTalk Dental Clinic ("we," "our," or "the Clinic"). By creating an account and using this online system, you agree to the following terms. Please read them carefully before proceeding.

1. Use of the System & Eligibility

This platform allows patients to register, book appointments, view treatment history, and manage their billing summary online. You must be at least 18 years old—or have a parent or legal guardian register on your behalf—to create an account.

2. Account Responsibilities

You agree to provide accurate, current, and complete information during registration and to update your profile promptly if any details change.
You are responsible for maintaining the confidentiality of your password and for all activities under your account.
Notify the Clinic immediately if you suspect unauthorized access to your account.

3. Appointment Booking & Cancellation

Appointments booked through this system are subject to confirmation by the Clinic. A booking request does not guarantee a slot until confirmed.
Please cancel or reschedule at least 24 hours before your appointment time.
Repeated no-shows (three or more) may result in temporary suspension of your online booking privileges.

4. Payment & Billing

Billing summaries displayed in this system are for informational purposes only. Final charges are determined at the time of service and may vary depending on the procedure performed. Payment terms and accepted methods are communicated by the Clinic directly.

5. Medical Disclaimer

Information presented on this website or system—including service descriptions, treatment records, and educational content—is not a substitute for professional dental diagnosis, advice, or treatment. Always consult a licensed dentist for your specific dental concerns.

6. Patient Responsibilities

You agree to provide truthful and complete medical and dental history when requested.
Failure to disclose relevant medical conditions may affect the safety and outcome of your treatment.
Follow post-treatment instructions provided by the Clinic.

7. Clinic Rights

TeethTalk Dental Clinic reserves the right to:

Refuse or discontinue service to any user who provides false information, engages in abusive behavior toward staff, or commits fraud.
Suspend or terminate accounts involved in repeated no-shows or misuse of the system.
Modify clinic hours, available services, or pricing at its sole discretion.

8. Intellectual Property

All content on this platform—including the TeethTalk name, logo, design elements, and written materials—is the property of TeethTalk Dental Clinic and may not be reproduced, distributed, or used without prior written consent.

9. Limitation of Liability

To the maximum extent permitted by Philippine law, TeethTalk Dental Clinic shall not be held liable for any indirect, incidental, or consequential damages arising from the use or inability to use this system, including data loss, appointment scheduling errors, or system downtime.

10. Changes to These Terms

We may update these Terms of Service from time to time. Changes will be posted on this page with a revised "Last updated" date. Continued use of the system after changes constitutes your acceptance of the new terms.

11. Contact Us

If you have questions about these Terms, please contact us:

TeethTalk Dental Clinic
Email: info@teethtalk.com
Phone: +1 (555) 123-4567
Address: 123 Dental Street
Health City, HC 12345
United States

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TeethTalk Dental Clinic ("we," "our," or "the Clinic") is committed to protecting your personal data in accordance with the Republic Act No. 10173 (Data Privacy Act of 2012) of the Philippines. This policy explains what information we collect, how we use it, and your rights as a patient.

1. Information We Collect

When you register or use our system, we may collect the following:

Personal identifiers: Full name, email address, phone number, birthdate, sex, and home address
Emergency contact: Name and phone number of a designated contact person
Account credentials: Email and password (passwords are stored in hashed/encrypted form only)
Appointment data: Dates, times, selected services, and appointment status
Treatment records: Procedures performed, dentist notes, consultation history
Billing information: Invoice totals, payment status, and outstanding balance

2. Purpose of Collection

We collect and process your personal data strictly for the following purposes:

To manage your patient account and verify your identity
To schedule, confirm, and track dental appointments
To maintain accurate treatment and medical history records
To generate and display billing summaries
To send appointment reminders and clinic notifications (via email or SMS, if enabled)
To improve our services and system functionality

3. Data Sharing & Disclosure

Your personal information is accessible only to authorized Clinic staff (dentists, front desk personnel, and clinic administrators) on a need-to-know basis. We do not sell, rent, or trade your data.

We may share limited data with:

Third-party service providers: Such as email delivery or SMS gateway services, solely for sending appointment reminders. These providers are bound by confidentiality agreements.
Legal authorities: If required by Philippine law, a court order, or regulatory obligation.

4. Data Retention & Deletion

Patient records are retained for the duration of your relationship with the Clinic and for a reasonable period thereafter, in compliance with applicable healthcare record-keeping requirements.
You may request deletion of your personal data by contacting us in writing. Certain records may be retained as required by law (e.g., medical records retention under DOH guidelines).

5. Data Security

We implement appropriate security measures to protect your data, including:

Passwords stored using industry-standard one-way hashing (bcrypt)
CSRF token protection on all forms
Session timeout and login attempt throttling
Access restricted by role-based authentication (admin, front desk, patient)
Prepared SQL statements to prevent injection attacks

6. Cookies & Sessions

This system uses session cookies to maintain your login state. These cookies are essential for the system to function and are automatically deleted when you log out or close your browser. We do not use third-party tracking cookies or advertising cookies.

7. Your Rights as a Patient

Under the Data Privacy Act of 2012, you have the right to:

Access your personal data held by the Clinic
Correct inaccurate or outdated information via your profile page
Object to certain types of data processing
Erasure or blocking of your data, subject to legal retention requirements
Lodge a complaint with the National Privacy Commission (NPC) if you believe your data privacy rights have been violated

8. Changes to This Policy

We may update this Privacy Policy to reflect changes in our practices or legal requirements. Updates will be posted on this page with a revised "Last updated" date. We encourage you to review this page periodically.

9. Contact Us

For questions, concerns, or requests regarding your personal data, please contact:

TeethTalk Dental Clinic — Data Privacy Officer
Email: info@teethtalk.com
Phone: +1 (555) 123-4567
Address: 123 Dental Street
Health City, HC 12345
United States