ELITE ENDODONTICS KC
NOTICE OF PRIVACY PRACTICES
Effective Date: February 2026
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 Commitment to Your Privacy
Elite Endodontics KC is committed to maintaining the privacy of your protected health information (PHI). We are required by law to maintain the privacy of your health information and to provide you with this Notice of our legal duties and privacy practices in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
How We May Use and Disclose Your Health Information
Treatment
We may use and disclose your health information to provide, coordinate, or manage your endodontic care. This includes communication with your referring dentist, other treating providers, and dental laboratories.
Payment
We may use and disclose your health information to obtain payment for services rendered, including insurance claims processing, billing, and collections.
Healthcare Operations
We may use and disclose your health information for practice operations such as:
- Quality assessment and improvement
- Staff training and credentialing
- Licensing and accreditation
- Business management and administrative activities
Uses and Disclosures That Require Your Authorization
We will obtain your written authorization for uses and disclosures not otherwise permitted by law. You may revoke your authorization at any time in writing.
Special Protections for Substance Use Disorder (SUD) Records
Federal law provides special protections for certain records related to substance use disorder (SUD) diagnosis, treatment, or referral under 42 CFR Part 2.
To the extent Elite Endodontics KC receives or maintains such information:
- These records may be subject to heightened confidentiality protections.
- Certain disclosures may require your specific written authorization.
- Federal law may prohibit redisclosure of this information without your permission.
Elite Endodontics KC complies with all applicable federal and state requirements regarding the protection of substance use disorder records.
Your Rights Regarding Your Health Information
You have the right to:
- Inspect and obtain a copy of your health records
- Request an amendment to your records
- Request restrictions on certain uses or disclosures
- Request confidential communications
- Receive an accounting of certain disclosures
- Obtain a paper copy of this Notice upon request
To exercise any of these rights, please contact our office.
Our Responsibilities
Elite Endodontics KC is required to:
- Maintain the privacy and security of your protected health information
- Provide you with this Notice
- Follow the terms of the Notice currently in effect
- Notify you following a breach of unsecured PHI when required by law
We reserve the right to change the terms of this Notice and make the revised Notice effective for all health information we maintain.
You may file a complaint with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.
SMS / Text Message Consent
If you consent to receive SMS from Elite Endodontics KC, you agree to receive customer care text message SMS from us. Reply STOP to unsubscribe; Reply HELP for help; Msg & Data rates may apply; Messaging frequency may vary. Visit our Privacy Policy to see our privacy policy and terms and conditions.
No mobile opt-in message consent will be shared with third parties or affiliates for marketing purposes.
Contact Us
If you have any questions about this Notice or Privacy Policy, please contact us:
Elite Endodontics KC
4121 W 83rd St. Ste. 206
Prairie Village, KS 66208
Tel: (913) 396-7625
Email: office@eliteendokc.com