Effective Date: February 16, 2026
HIPAA Omnibus Notice
This notice describes how health information about you may be used and disclosed, and how you can get access to this information. As a HIPAA-compliant endodontic practice, One Endodontics is committed to protecting the privacy of your personal health information. Please review it carefully.
One Endodontics · 313 Park Avenue, Suite #305 · 703-783-2345
Please review this Notice carefully.
We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information. We must follow the privacy practices that are described in this Notice while it is in effect.
This Notice takes effect February 16, 2026 and will remain in effect until we replace it. 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, and to make new Notice provisions effective for all protected health information that we maintain.
When we make a significant change in our privacy practices, we will change this Notice and post the new Notice clearly and prominently at our practice location, and we will provide copies of the new Notice upon request. You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of this Notice, please contact us using the information listed at the end of this Notice.
One Endodontics — 313 Park Avenue, Suite #305 | Effective Date: February 16, 2026 | 703-783-2345
We may use and disclose your health information for different purposes, including treatment, payment, and health care operations. For each of these categories, we have provided a description and an example. Some information, such as HIV-related information, genetic information, alcohol and/or substance use disorder treatment records, and mental health records may be entitled to special confidentiality protections under applicable state or federal law. We will abide by these special protections as they pertain to applicable cases involving these types of records.
We may use and disclose your health information for your treatment. For example, we may disclose your health information to a specialist providing treatment to you.
We may use and disclose your health information to obtain reimbursement for the treatment and services you receive from us or another entity involved with your care. Payment activities include billing, collections, claims management, and determinations of eligibility and coverage to obtain payment from you, an insurance company, or another third party. For example, we may send claims to your dental health plan containing certain health information.
We may use and disclose your health information in connection with our healthcare operations. For example, healthcare operations include quality assessment and improvement activities, conducting training programs, and licensing activities.
We may disclose your health information to your family or friends or any other individual identified by you when they participate in your care or in the payment for your care. Additionally, we may disclose information about you to a patient representative. If a person has the authority by law to make health care decisions for you, we will treat that patient representative the same way we would treat you with respect to your health information.
We may use or disclose your health information to assist in disaster relief efforts.
We may use or disclose your health information when we are required to do so by law.
We may disclose your health information for public health activities, including disclosures to:
We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counterintelligence, and other national security activities. We may disclose to a correctional institution or law enforcement official having lawful custody the protected health information of an inmate or patient.
We will disclose your health information to the Secretary of the U.S. Department of Health and Human Services when required to investigate or determine compliance with HIPAA.
We may disclose your protected health information to the extent authorized by and to the extent necessary to comply with laws relating to worker's compensation or other similar programs established by law.
We may disclose your protected health information for law enforcement purposes as permitted by HIPAA, as required by law, or in response to a subpoena or court order.
We may disclose your protected health information to an oversight agency for activities authorized by law. These oversight activities include audits, investigations, inspections, and credentialing, as necessary for licensure and for the government to monitor the health care system, government programs, and compliance with civil rights laws.
If you are involved in a lawsuit or a dispute, we may disclose your protected health information in response to a court or administrative order. We may also disclose your protected health information in response to a subpoena, discovery request, or other lawful process instituted by someone else involved in the dispute.
You have certain rights under federal privacy law regarding your protected health information. Below is a summary of those rights and how you may exercise them. To make a request or learn more, please contact our office using the information provided at the end of this notice.
You have the right to inspect and obtain a copy of the protected health information that we maintain about you, including medical and billing records. We may charge a reasonable fee for copies. You may request records in electronic format when the information is maintained electronically. We will provide access or notify you of our decision within 30 days of your request.
If you believe that health information we maintain about you is incorrect or incomplete, you may request that we amend the information. Your request must be in writing and must include a reason for the amendment. We may deny your request in certain circumstances, such as if the information was not created by us or if we determine the record is accurate and complete.
You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are not required to agree to these restrictions, but if we do agree, we will be bound by our agreement except when otherwise required by law, in emergencies, or when the information is necessary to treat you. You also have the right to request that we restrict disclosures to your health plan for services you paid for out-of-pocket in full.
You have the right to request that we communicate with you about your health information by alternative means or at alternative locations. For example, you may ask us to contact you at a specific phone number or mailing address. We will accommodate reasonable requests and will not ask you to explain the reason for your request.
You have the right to request an accounting of instances in which we or our business associates disclosed your health information for purposes other than treatment, payment, healthcare operations, and certain other activities. Your request must be in writing and must state a time period of no longer than six years. We will provide you with the first accounting you request in any 12-month period at no charge; we may charge a reasonable fee for additional requests within the same period.
You have the right to obtain a paper copy of this Notice of Privacy Practices from us upon request, even if you have agreed to receive the Notice electronically. Please contact our office to request a printed copy at any time.
If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the U.S. Department of Health and Human Services. To file a complaint with our practice, contact our Privacy Officer using the information at the end of this Notice. We will not retaliate against you for filing a complaint.
If you have questions about this Notice or our privacy practices, or if you believe your privacy rights have been violated, you have the right to file a complaint with our practice or with the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
To submit a privacy-related complaint or ask questions about this Notice, please contact our Privacy Officer directly:
You may also submit a complaint to the U.S. Department of Health and Human Services, Office for Civil Rights, if you believe your HIPAA privacy rights have been violated:
No Retaliation: We will not retaliate against you in any way for filing a complaint with our practice or with the Secretary of HHS. Filing a complaint will not affect your ability to receive care at One Endodontics.
This Notice is effective as of February 16, 2026. For additional copies of this Notice or for more information about our privacy practices, please contact us at any of our office locations.
Our team is here to help. If you have questions about your privacy rights or would like to request an appointment at any of our convenient locations, please don't hesitate to reach out.