Effective Date: January 1, 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.
At Advanced Root Canal Specialists, protecting your personal health information is a responsibility we take seriously. Please review this Notice carefully.
Federal law requires us to maintain the privacy of your protected health information, to inform you of our legal duties and privacy practices, and to notify you promptly following any breach of unsecured protected health information. We follow the privacy practices described in this Notice for as long as it remains in effect.
This Notice is effective as of the date listed above and remains in effect until we issue a revised version. We reserve the right to update our privacy practices and the terms of this Notice as permitted by applicable law. Any significant changes will be reflected in an updated Notice made available at our office and on our website. Your trust matters to us, and we are committed to transparency at every step of your care.
At Advanced Root Canal Specialists, 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 below. Some information, such as HIV-related information, genetic information, alcohol and substance use disorder treatment records, and mental health records may be entitled to special confidentiality protections under applicable state or federal law.
We may use and disclose your health information to provide endodontic treatment. For example, we may share your health information with your referring dentist, a specialist involved in your care, or a laboratory performing tests related to your treatment. We may also disclose information to other health care providers who are treating you or consulting on your case.
We may use and disclose your health information so that we can bill for the treatment and services you receive and collect payment from you, your insurance company, or a third-party payer. For example, we may need to provide information to your insurance company to receive pre-approval for a planned procedure such as root canal therapy, or to verify your coverage and benefits.
We may use and disclose your health information for our health care operations purposes. These activities include quality assessment, staff review, training, licensing, and conducting or arranging other business activities. For example, we may use your health information to evaluate the performance of our endodontic team in caring for you.
We may use or disclose your health information when we are required to do so by federal, state, or local law. For example, we may disclose health information when required by a court order in a legal proceeding, or to report certain types of wounds or diseases as required by public health authorities in Maryland.
We may disclose your health information for public health activities, including reporting disease, injury, vital events such as births, and conducting public health surveillance and investigations. We may also disclose information to a person who may have been exposed to a communicable disease or who may otherwise be at risk of contracting or spreading a condition, when authorized by law.
As a patient of Advanced Root Canal Specialists, 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 at (410) 772-9600 or visit us at 5840 Banneker Rd, Suite 120, Columbia, MD 21044.
You have the right to inspect and obtain a copy of the protected health information 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.
You have the right to request that we amend your protected health information if you believe it is incorrect or incomplete. We may deny the request in certain circumstances, but we will provide a written explanation if we do so.
You have the right to request a list of disclosures we have made of your protected health information. This accounting will not include disclosures made for treatment, payment, or health care operations, or disclosures you authorized in writing.
You have the right to request that we restrict how we use or disclose your health information for treatment, payment, or health care operations. We are not required to agree to your request, but if we do, we will abide by the agreed-upon restrictions except in emergency situations.
You have the right to request that we communicate with you about your health information in a specific way or at a specific location. For example, you may ask that we send correspondence to a particular address or contact you only by mail. We will accommodate all reasonable requests.
You have the right to obtain a paper copy of this Notice upon request, even if you have previously agreed to receive it electronically. You may request a copy at any time by contacting our office at (410) 772-9600 or stopping by 5840 Banneker Rd, Suite 120, Columbia, MD 21044.
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.
Fax: (410) 772-0830
5840 Banneker Rd, Suite 120
Columbia, MD 21044
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights:
www.hhs.gov/ocr/privacy/hipaa/complaints
(800) 368-1019
200 Independence Avenue, S.W.
Washington, D.C. 20201
Our team of board-certified endodontists is here to help you save your natural tooth and get out of pain. If you have questions or are ready to schedule, reach out to Advanced Root Canal Specialists in Columbia, MD today.
Book Appointment5840 Banneker Rd # 120, Columbia, MD 21044, United States
