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.

Our Legal Duty

  • Legal Requirements: We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, legal duties, and your rights. This Notice takes effect August 1, 2010, and remains in effect until we replace it.
  • Changes to This Notice: We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. Changes will apply to all health information we maintain. If we make a significant change, we will update this Notice and make the new one available upon request.

Uses and Disclosures of Health Information

  • Treatment, Payment, & Operations: We use and disclose your health information to provide treatment (e.g., sharing with another physician), obtain payment for services, and conduct healthcare operations (such as quality assessment, training, licensing, or credentialing).
  • Your Authorization: You may give us written authorization to use or disclose your health information for any purpose. You may revoke this authorization in writing at any time. Unless you give us written authorization, we cannot use or disclose your information for any reason except those described in this Notice.
  • Family, Friends, & Caregivers: We may disclose your info to a family member, friend, or other person helping with your care or payment, but only if you agree. In emergencies or cases of incapacity, we will use our professional judgment to disclose only the information directly relevant to the person's involvement in your care.
  • Marketing & SMS: We will not use your health information for marketing without your written authorization. SMS consent is not shared with third parties or affiliates for marketing purposes.
  • Legal & Safety Requirements: We may disclose your information when required by law, to avert a serious threat to health or safety, or to appropriate authorities if we reasonably believe you are a victim of abuse, neglect, or domestic violence. We may also disclose info for national security, military, or lawful intelligence purposes.
  • Appointment Reminders & Messaging: We may use your info to provide appointment reminders (voicemails, postcards, letters). By opting into SMS from a web form or other medium, you agree to receive SMS messages from Chada Endodontics for scheduling, reminders, post-visit instructions, lab notifications, and billing. Message frequency varies. Message and data rates may apply. See our privacy policy at www.chadaendo.com. Reply STOP to any message to opt out.
    Patient Rights
  • Access: You have the right to look at or get copies of your health information (requests must be in writing). We will charge a reasonable cost-based fee for expenses like copies and staff time.
  • Disclosure Accounting: You have the right to receive a list of instances where we disclosed your health information for purposes other than treatment, payment, or healthcare operations for the last 6 years (but not before April 14, 2003). Repeated requests within a 12-month period may incur a fee.
  • Restriction: You have the right to request additional restrictions on how we use or disclose your information. We are not required to agree, but if we do, we will abide by the agreement (except in emergencies).
  • Alternative Communication: You may request in writing that we communicate with you by alternative means or to alternative locations. You must specify the method/location and explain how payments will be handled.
  • Amendment: You have the right to request in writing that we amend your health information, including an explanation of why it should be amended. We may deny your request under certain circumstances.
  • Electronic Notice: If you receive this Notice on our website or by email, you are still entitled to receive a written paper copy.

Questions and Complaints

If you want more information about our privacy practices, have questions, or believe we may have violated your privacy rights, please contact us using the information listed at the bottom of this Notice.

You may also submit a written complaint to the U.S. Department of Health and Human Services (we will provide the address upon request). We support your right to the privacy of your health information and will not retaliate in any way if you choose to file a complaint.