Notice of privacy practices

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

Our Responsibilities
We are committed to protecting your health information. This notice applies to all records of your care generated or maintained by Olympia Endodontic Group. We are required by law to:

Maintain the privacy of your protected health information (PHI)
Provide you with this notice of our legal duties and privacy practices
Abide by the terms of this notice
Notify you in the event of a breach of your unsecured PHI

How We May Use and Disclose Your Health Information
We may use and share your information without your written permission for the following purposes:

Treatment
To provide you with dental and endodontic care, we may share information with referring dentists, dental labs, or other healthcare providers involved in your care.

Payment
To obtain payment for services, we may disclose your PHI to your insurance company, billing services, or collection agencies.

Healthcare Operations
We may use PHI for quality improvement, staff training, audits, and compliance activities.

Other Permitted Uses and Disclosures
We may also use or disclose your information in the following situations:

Public Health & Safety: For reporting adverse reactions, suspected abuse or neglect, or preventing serious threats to health or safety
Legal Requirements: When required by law, such as for law enforcement or court orders
Health Oversight Activities: For audits, inspections, and licensure
Workers’ Compensation: As required for work-related injury claims
Coroners, Funeral Directors, and Organ Donation: In the event of your death
Research: With special approval or your written authorization

Uses and Disclosures That Require Your Authorization
We will obtain your written authorization before using or disclosing your PHI for:

Marketing purposes
Sale of your health information

You may revoke your authorization at any time in writing.

Your Rights Regarding Your Health Information
You have the right to:

Request a copy of this Notice
Access your PHI: Request to inspect or get a copy of your records
Request amendments to your health information if you believe it’s incorrect or incomplete
Request restrictions on how we use or disclose your information (we are not required to agree)
Request confidential communications
Receive an accounting of disclosures made in the past 6 years (excluding disclosures for treatment, payment, or operations)
File a complaint if you believe your privacy rights have been violated

To exercise any of these rights, please contact our Privacy Officer:
Privacy Officer
Olympia Endodontic Group
Phone: 360-491-6945

Changes to This Notice
We reserve the right to change this notice at any time. Revised notices will be available in our office and on our website.

Olympia Endodontic Group
Endodontics

Patient Information

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Endodontic Retreatment

Teeth that last a lifetime

With the appropriate care, your teeth that have had endodontic treatment will last as long as other natural teeth. Yet, a small number of these teeth may develop symptoms again. Sometimes, there may be pain that occur months or years after initial endodontic therapy. If so, Dr. Rohila or Dr. Mah may need to perform Endodontic Retreatment. Once retreatment has been selected as a solution to your problem, the doctors will reopen your tooth to gain access to the root canal filling material. This restorative material will be removed to enable access to the root canal.