This Notice describes how health and medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. The privacy of your health and medical information is important to us.

About the OHCA

An organized health care arrangement (OHCA) is a clinically integrated care setting in which patients receive health care from more than one provider. An OHCA can be formed between covered entities that present themselves to the public as part of a joint arrangement. An OHCA allows legally separate covered entities to use and disclose protected health information for the joint operation of the arrangement.

This Notice of Privacy Practices applies to the following entities, which are members of an OHCA and are referred to collectively as “we” throughout this Notice:

• Endodontic Associates of Illinois, P.C.
• Endodontic Associates of Illinois, Naperville, P.C.
• Camelot Endodontics Ltd.

Our Responsibilities

We understand that medical information about you and your health is personal. Applicable federal and state law requires us to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect.

This Notice takes effect 09/04/2025 and will remain in effect until we replace it.

• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We reserve the right to change our privacy practices and the terms of this Notice at any time, as permitted by law. Changes may apply to all health information we maintain, including information created or received before the changes.
• Before making a significant change, we will update this Notice and make the new Notice available upon request. You may request a copy at any time.

Uses & Disclosures of Health Information

We may use and disclose health information about you for treatment, payment, and health care operations. Examples include:

Treatment

We can use or disclose your health information to a physician or other health care provider who is providing treatment to you.

Billing and Payment

We can use and disclose your health information to obtain payment for services we provide to you.

Health Care Operations

We can use and disclose your health information in connection with our health care operations, which include quality assessment and improvement activities, reviewing the competence or qualifications of health care professionals, evaluating practitioner and provider performance, conducting training programs, and accreditation, certification, licensing, or credentialing activities.

Appointment Reminders

We may use and disclose your health information to provide appointment reminders.

Your Authorization

In addition to the uses and disclosures described above, you may give us written authorization to use or disclose your health information to anyone for any purpose. You may revoke an authorization in writing at any time, which will not affect any use or disclosure permitted by your authorization while it was in effect. Unless you give us a written authorization, we cannot use or disclose your health information for any reason except as described in this Notice.

To Your Family and Friends

We must disclose your health information to you as described in the Patient Rights section of this Notice. We may disclose your health information to a family member, friend, or another person to the extent necessary to help with your health care or payment for your health care, but only if you agree that we may do so.

Persons Involved in Care

We may use or disclose health information to notify (or assist in notifying) a family member, your personal representative, or another person responsible for your care, of your location, general condition, or death.

If you are present, we will provide an opportunity to object before such uses or disclosures. In the event of your incapacity or an emergency, we will use our professional judgment to disclose only the information directly relevant to the person's involvement in your care. We may make reasonable inferences in your best interest to allow a person to pick up prescriptions, medical supplies, X-rays, or other similar forms of health information.

Marketing Health-Related Services

We will not use your health information for marketing purposes without your written permission.

Required by Law

We may use or disclose your health information when required to do so by state or federal law, including to the U.S. Department of Health and Human Services (HHS) to determine our compliance with federal privacy law.

Abuse or Neglect

We may disclose your health information to appropriate authorities if we reasonably believe you are a victim of abuse, neglect, domestic violence, or other crimes. We may disclose information to avert a serious threat to your health or safety or that of others.