Notice of Privacy Practices

Effective Date: 07/15/2026

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

The privacy of your health information is important to us. Endodontic Studio | Oakton is required by applicable federal and state law to maintain the privacy of your protected health information and to provide you with this Notice of our legal duties and privacy practices.

Our Legal Duty

We are required to maintain the privacy of your protected health information, provide this Notice, follow the terms of the Notice currently in effect, and notify affected individuals following a breach of unsecured protected health information when required by law.

We may change the terms of this Notice at any time, as permitted by law. Any revised Notice will apply to all protected health information we maintain. A current copy will be available upon request and may be posted on our website.

Uses and Disclosures of Health Information

We may use and disclose your health information for treatment, payment, and healthcare operations.

Treatment

We may use or disclose your health information to provide, coordinate, or manage your dental care. For example, we may share information with your referring dentist, another dental specialist, physician, pharmacy, or other healthcare provider involved in your care.

Payment

We may use and disclose your health information to obtain payment for services we provide. For example, we may submit claims to your dental insurance company, verify benefits, obtain pre-authorizations, or provide information needed for billing and collections.

Healthcare Operations

We may use and disclose your health information for healthcare operations. These may include quality assessment, staff training, credentialing, licensing, compliance, business planning, appointment management, and other activities necessary to operate our practice.

Appointment Reminders and Communications

We may use or disclose your health information to contact you about appointments, treatment, follow-up care, billing, insurance, forms, or other office-related matters. These communications may occur by phone, voicemail, mail, email, or text message, depending on the contact information and preferences you provide.

Persons Involved in Your Care

We may disclose relevant health information to a family member, friend, personal representative, or other person involved in your care or payment for your care, when you agree, when we reasonably infer that you do not object, or when permitted by law.

Business Associates

We may disclose health information to third-party business associates who perform services for our practice, such as practice management software, billing services, imaging systems, communication platforms, payment processors, consultants, or IT support. These business associates are required to protect your information according to applicable law.

Required by Law

We may use or disclose your health information when required to do so by federal, state, or local law.

Public Health and Safety

We may disclose health information for public health activities, reporting certain diseases or injuries, preventing or controlling disease, reporting abuse or neglect, or preventing a serious threat to health or safety, as required or permitted by law.

Health Oversight Activities

We may disclose health information to health oversight agencies for activities authorized by law, such as audits, investigations, inspections, licensing, or disciplinary actions.

Legal Proceedings and Law Enforcement

We may disclose health information in response to a court order, subpoena, discovery request, law enforcement request, or other lawful process, when required or permitted by law.

Workers’ Compensation

We may disclose health information as authorized by and to the extent necessary to comply with laws related to workers’ compensation or similar programs.

Marketing and Sale of Information

We will not use or disclose your protected health information for marketing purposes without your written authorization when such authorization is required by law. We will not sell your protected health information without your written authorization.

Your Written Authorization

Other uses and disclosures not described in this Notice will be made only with your written authorization. If you give us written authorization, you may revoke it in writing at any time, except to the extent we have already relied on it.

Your Rights

You have the following rights regarding your protected health information.

Right to Access

You have the right to inspect or receive a copy of your health information, with certain limited exceptions. Requests must be made in writing. We may charge a reasonable, cost-based fee as permitted by law.

Right to Request an Amendment

You have the right to request that we amend health information you believe is incorrect or incomplete. Requests must be made in writing and explain the reason for the request. We may deny your request under certain circumstances.

Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures of your health information made by our practice. This does not include disclosures for treatment, payment, healthcare operations, or certain other disclosures excluded by law.

Right to Request Restrictions

You have the right to request additional restrictions on how we use or disclose your health information. We are not required to agree to all requested restrictions, except in certain situations required by law.

Right to Request Confidential Communications

You have the right to request that we communicate with you in a certain way or at a certain location. We will accommodate reasonable requests when possible.

Right to a Paper Copy

You have the right to receive a paper copy of this Notice, even if you have agreed to receive it electronically.

Right to File a Complaint

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

Contact Information

For questions about this Notice, to request a copy, or to exercise your rights, please contact:

Privacy Officer: Endodontic Studio | Oakton
Endodontic Studio | Oakton
2936 Chain Bridge Rd, Suite 240
Oakton, VA 22124
Email: info@endostudiooakton.com
Phone: 703-589-9958