Fort Wayne Oral Maxillofacial Surgery & Implant Center

Fort Wayne Oral and Maxillofacial Surgery is committed to protecting your privacy and providing transparent information about our policies. Please review the following disclosures carefully.

Website Privacy Policy

Fort Wayne Oral and Maxillofacial Surgery ("we," "our," or "the practice") respects your privacy and is committed to protecting your personal information. This Website Privacy Policy describes how we collect, use, and protect information gathered through our website, fortwayneoralsurgery.com.

Information We Collect

When you visit our website, we may collect the following types of information:

  • Information you provide: When you fill out a contact form, request an appointment, or submit information through our website, we may collect your name, phone number, email address, and any details you include in your message.
  • Automatically collected information: Our web server and analytics tools may automatically collect technical data such as your IP address, browser type, operating system, referring website, pages visited, and the date and time of your visit. This information is used to analyze website performance and improve your experience.
  • Cookies: Our website may use cookies (small text files stored on your device) to improve functionality and analyze site traffic. You may disable cookies through your browser settings, though some features of the site may not function properly without them.

How We Use Your Information

  • To respond to your inquiries and appointment requests
  • To improve our website content and user experience
  • To analyze website traffic and usage patterns
  • To communicate with you about your care, when applicable

Information Sharing

We do not sell, rent, or trade your personal information to third parties for marketing purposes. We may share your information only in the following circumstances:

  • With trusted service providers who assist us in operating our website and conducting our business, provided they agree to keep your information confidential
  • When required by law, regulation, or legal process
  • To protect the rights, safety, or property of our practice, our patients, or others

Online Payments

Our website provides a link to make online payments through Converge by Elavon, a trusted third-party payment processor. When you click the payment button, you are redirected to a secure payment page hosted by Elavon at convergepay.com. All payment card data is encrypted and processed entirely on Elavon's PCI DSS-compliant servers. Fort Wayne Oral and Maxillofacial Surgery does not collect, transmit, process, or store your credit card information at any time.

Security

We take reasonable precautions to protect your personal information. Our website is secured with a Premium SSL Certificate issued by Sectigo, using 4096-bit encryption. All data transmitted between your browser and our website is encrypted using HTTPS. However, no method of electronic transmission or storage is 100% secure, and we cannot guarantee absolute security.

Third-Party Links

Our website may contain links to third-party websites, such as our patient forms portal, payment processor, or social media profiles. We are not responsible for the privacy practices or content of these external sites. We encourage you to review the privacy policies of any third-party site you visit.

Children's Privacy

Our website is not directed at children under the age of 13. We do not knowingly collect personal information online from children under 13. If you believe a child under 13 has submitted personal information through our website, please contact us so we can take appropriate steps.

Changes to This Policy

We reserve the right to update this Website Privacy Policy at any time. Changes will be posted on this page with an updated effective date. Your continued use of the website after changes are posted constitutes your acceptance of the revised policy.

HIPAA Notice of Privacy Practices

Federal law requires Fort Wayne Oral and Maxillofacial Surgery to maintain the privacy of your protected health information (PHI) and to provide you with a Notice of Privacy Practices describing our legal duties and privacy practices.

Our Notice of Privacy Practices describes:

How health information about you may be used and disclosed, how you can get access to this information, your rights regarding your health information, and our legal duties regarding your protected health information.

Our complete HIPAA Notice of Privacy Practices is available for download below. Printed copies are also available at any of our office locations upon request.

Download Notice of Privacy Practices (PDF)

Summary of Key Points

We use and disclose your health information for treatment, payment, and healthcare operations. We may also disclose your information to family members involved in your care (with your agreement), as required by law, and in certain other situations described in our full Notice.

You have the right to request access to your health records, request amendments, request restrictions on certain uses, receive an accounting of disclosures, and file a complaint if you believe your privacy rights have been violated.

Privacy Officer

Mulokozi K. Lugakingira, DMD, DDS, MS

2121 E. Dupont Rd. #C

Ft. Wayne, IN 46825

Phone: (260) 490-2013

Fax: (260) 490-1081

Email:

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

Insurance and Financial Policy

Please review our financial policies below. By scheduling an appointment and receiving treatment at Fort Wayne Oral and Maxillofacial Surgery, you acknowledge and agree to these terms.

Insurance

  • Fort Wayne Oral and Maxillofacial Surgery does not participate (in-network) with any insurance company.
  • We are not a Medicaid or Medicare provider.
  • Our office will file your dental insurance claims as a courtesy to you, but is not obligated to do so.
  • Our office cannot accept responsibility for collecting your insurance claim or for negotiating a settlement on a disputed claim. Your insurance contract has been negotiated between you and your carrier and does not involve this office.

Payment Responsibility

  • Payment is due in full at the time services are rendered, unless other financial arrangements have been made in advance.
  • You are responsible for payment for all procedures and anesthetics rendered, whether requested by you or performed in the doctor's professional judgment for your benefit.
  • If a balance remains on your account, you agree to pay promptly upon receipt of a statement.
  • In the event of default, you agree to pay collection costs and reasonable attorney fees as may be required to effect collection.

Online Payments

  • Online payments are processed in U.S. Dollars (USD) through Converge by Elavon, a secure third-party payment processor.
  • Online payments are applied to your outstanding account balance.
  • All online payments are final. If you believe a payment was made in error, please contact our office to resolve the issue.
  • Online payments are not a substitute for insurance claims. If you have questions about your balance or insurance coverage, please call our office before submitting a payment.

This financial policy remains valid and enforceable for any and all services rendered at any point in time. A signed copy of our complete Insurance Payment Policy and Financial Responsibility form is provided to patients at the time of their visit.

Terms of Use

By accessing and using the Fort Wayne Oral and Maxillofacial Surgery website (fortwayneoralsurgery.com), you agree to the following terms and conditions.

Website Content

The content on this website, including text, images, videos, and other materials, is provided for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your oral surgeon or other qualified health care provider with any questions you may have regarding a medical condition or treatment.

No Doctor-Patient Relationship

Use of this website, including submitting a contact form or appointment request, does not establish a doctor-patient relationship. A doctor-patient relationship is only established through an in-person consultation and mutual agreement to proceed with treatment.

Accuracy of Information

While we make reasonable efforts to keep the information on our website current and accurate, we make no warranties or representations about the completeness, reliability, or accuracy of the content. We reserve the right to modify, update, or remove content at any time without notice.

Intellectual Property

All content on this website, including text, images, logos, graphics, videos, and design elements, is the property of Fort Wayne Oral and Maxillofacial Surgery or its content providers and is protected by applicable copyright and trademark laws. You may not reproduce, distribute, modify, or republish any materials from this website without our prior written consent.

Third-Party Links

This website may contain links to external websites that are not operated or controlled by our practice. We are not responsible for the content, privacy policies, or practices of any third-party websites. Inclusion of a link does not imply endorsement.

Limitation of Liability

Fort Wayne Oral and Maxillofacial Surgery, its doctors, staff, and affiliates shall not be liable for any damages arising from the use of or inability to use this website, or from any information, services, or materials provided on or through this website.

Governing Law

These Terms of Use are governed by and construed in accordance with the laws of the State of Indiana. Any disputes arising from the use of this website shall be resolved in the courts of Allen County, Indiana.

Changes to These Terms

We reserve the right to modify these Terms of Use at any time. Changes will be effective immediately upon posting to this page. Your continued use of the website constitutes acceptance of the revised terms.

Notice of Nondiscrimination

Fort Wayne Oral and Maxillofacial Surgery complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Fort Wayne Oral and Maxillofacial Surgery provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, and other formats). We also provide free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.

If you need these services, please contact our office. If you believe that Fort Wayne Oral and Maxillofacial Surgery has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you may file a grievance with our Privacy Officer at the contact information listed above. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

Accessibility Statement

Fort Wayne Oral and Maxillofacial Surgery is committed to ensuring that our website is accessible to all visitors, including individuals with disabilities. We strive to comply with the Web Content Accessibility Guidelines (WCAG) 2.1 and the Americans with Disabilities Act (ADA) to provide an inclusive experience for all users.

We are continually working to improve the accessibility of our website. If you experience difficulty accessing any content or functionality on our site, or if you have suggestions for improvement, please contact our office by phone at (260) 490-2013 or by email at . We will make reasonable efforts to accommodate your needs and provide the information you seek through an alternative method.

Contact Us

Southwest Office 4011 W. Jefferson Blvd, Suite 300
Fort Wayne, IN 46804
(260) 459-2860
Northwest Office 2121 E. Dupont Road, Suite C
Fort Wayne, IN 46825
(260) 490-2013
Columbia City Office 642 Opportunity Dr. #102
Columbia City, IN 46725

General Inquiries

Email: