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Serving the Tri-Cities Area
Pasco WA
5960 Burden Blvd. Pasco WA 99336
Mon-Fri: 08:00AM - 05:00 PM
Sat: 08:00 AM - 03:00 PM
Sat: 08:00 AM - 03:00 PM
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.
Please review this Notice carefully.
Tri City Endodontics, Root Canal and Microsurgery Specialists is 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 on the date listed above 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 update this Notice and make the revised version available at our office located at 5960 Burden Blvd, Pasco, WA 99301, and on our website at tricity-endo.com.
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 for your treatment. For example, we may share your health information with a referring dentist, a specialist involved in your care, or a laboratory performing diagnostic tests. 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 endodontic procedure 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 clinical 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.
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.
Federal privacy law grants you specific rights over your protected health information. Below is a summary of those rights and how to exercise them. To submit a request or ask questions, contact Tri City Endodontics at (509) 219-3636 or visit our office at 5960 Burden Blvd, Pasco, WA 99301.
You have the right to inspect and obtain a copy of the protected health information we maintain about you, including dental treatment and billing records. A reasonable fee may apply for copies. When records are maintained electronically, you may request them in electronic format.
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 under 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 does 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 limit how we use or disclose your health information for treatment, payment, or health care operations. We are not required to agree to every request, but if we do agree, we will honor the restriction except in emergency situations.
You have the right to request that we contact 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 reach you only by phone. We will accommodate all reasonable requests.
You have the right to receive a paper copy of this Notice at any time, even if you previously agreed to receive it electronically. Contact our office at (509) 219-3636 or stop by 5960 Burden Blvd, Pasco, WA 99301 to request your copy.
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.
(509) 219-3636
tricity-endo.com
5960 Burden Blvd
Pasco, WA 99301
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 at Tri City Endodontics is here to help. Whether you are experiencing tooth pain, have been referred by your dentist, or need emergency endodontic care, we are ready to see you. Call us at (509) 219-3636 or request an appointment online.
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