Your Privacy Is Our Concern
The Health Insurance Portability & Accountability Act of 1996 (“HIPAA”) regulates how we collect, use, and disclose a patient’s personal health information. Princeton Endodontics does not sell or otherwise disclose any nonpublic personal information about our patients to anyone outside of the office. We collect only information that is necessary or relevant to Princeton Endodontics. All reasonable efforts are made to ensure that your information is accurate and complete.
You do not need to take any action to assert your rights. This notice is solely for your information.
We may use and disclose any records of personal information we collect only for each of the following purposes: treatment, payment and health care operations.
Treatment: We may use or disclose your personal information to a dentist or other healthcare provider that is involved in your treatment. Health and procedure information may be necessary for the means to provide treatment, to coordinate treatment, or to manage your treatment and related services.
Payment: It may be necessary to release personal information to invoice or collect fees, to obtain insurance reimbursement, or to confirm insurance coverage. Information that is needed may be acquired from you or outside sources. This includes, but is not limited to, your insurance company, other financial institutions, credit reports, court records or other public records.
Health Care Operations: This would include the normal course of running the business side of our practice. Usage and disclosure of information may be necessary for practice improvement, to conduct quality assessment, for auditing, and for efficiency analysis.
Your written authorization is required for us to use and disclose your personal information for any other reason. However, we may create and distribute information by removing all references to your personal and individually identifiable information.
You have the right to know what kind of information we keep in our files about you, to have reasonable access to it, and to receive a copy. When you write us, please provide your complete name, address, and the information you seek. You also have the right to request restrictions on the use and disclosure of your personal health information to certain persons. These persons may include family, friends, or any other person you designate. By law, we are not required to abide by your requested restriction. However, should we agree to a restriction, we must abide by it unless you discharge the request in writing.
For more information about HIPAA or to file a complaint:
You may write to us at:
601 Ewing Street Suite A10, Suite A-10
Princeton, NJ 08540
Attn: Privacy Officer
The U.S. Department of Health & Human Services
Office of Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Toll Free: 1-877-696-6775