This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Our Responsibilities
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
- Notify you if there is a breach of your unsecured PHI
- Follow the terms of this notice currently in effect
How We May Use Your Information
We may use and disclose your PHI for the following purposes:
- Treatment: To provide, coordinate, or manage your healthcare and related services.
- Payment: To obtain payment for your healthcare services from insurance companies or other payers.
- Healthcare Operations: For quality assessment, training, licensing, and other administrative activities.
Special Protections for Substance Use Disorder Records (42 CFR Part 2)
Certain substance use disorder (SUD) treatment records are protected under federal regulation 42 CFR Part 2 and receive protections beyond those provided to other PHI. Effective February 16, 2026, if we create, receive, or maintain any records covered by Part 2, the following applies:
- We will generally obtain your written consent before using or disclosing Part 2 records, including for treatment, payment, and healthcare operations, except where the regulation permits disclosure without consent.
- Consistent with recent federal updates aligning Part 2 with HIPAA, you may provide a single written consent for all future uses and disclosures of your Part 2 records for treatment, payment, and healthcare operations, which you may revoke in writing at any time.
- Part 2 records disclosed to a recipient may not be re-disclosed without your written consent unless the regulation otherwise permits it.
- Part 2 records may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you without your written consent or a court order that meets Part 2 requirements.
- You have the right to request an accounting of certain disclosures of your Part 2 records and to file a complaint if you believe these protections have been violated, without retaliation.
Your Rights
You have the right to:
- Receive a copy of this notice
- Request restrictions on how we use or disclose your PHI
- Request confidential communications
- Inspect and obtain a copy of your medical records
- Request amendments to your medical records
- Receive an accounting of disclosures
- File a complaint if you believe your privacy rights have been violated
Contact Information
For questions about this notice or to exercise your rights, contact our Privacy Officer:
Hope Endodontics
Attn: Privacy Officer
7054 E Cochise Rd, Suite B-115
Scottsdale, AZ 85253
Phone: (480) 943-1900
Email: office@hopeendo.com
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.