NOTICE OF PRIVACY PRACTICES
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.
If you have any questions about this Notice of Privacy Practices, please contact our office at 405-400-1152.
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your medical record
- You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
- We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your medical record
- You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
- We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential communications
- You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
- We will say “yes” to all reasonable requests.
Ask us to limit what we use or share
- You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
- If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
Get a list of those with whom we’ve shared information
- You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
Patients will be seen by appointment only. Same day appointments may be made available in the event of emergency. To schedule an appointment, call 405-400-1152. We ask that all minors have a parent and/or legal guardian present at all appointments.
After-Hours, Emergency, and Holiday Coverage
Our regular office hours are Monday-Friday 8am-5pm. If you are calling after-hours about a matter that does not necessitate immediate attention please leave a voicemail and we will return your call as soon as possible. However, if you are suicidal, fear that you will do harm to yourself or others, suspect you are having a severe allergic reaction to a medication, or face a life-threatening emergency, please call "911" or go to the nearest emergency room. You should instruct the emergency room to notify your provider. For the sake of continuity of care, we ask that you bring any discharge instructions or medication adjustments to your next appointment.
Use and Disclosure of Health Information for Treatment and Payment:
We may use or disclose health information in order to provide and coordinate your health care, or obtain payment for health care services.
Payment, including insurance copayments and deductibles, must be provided at the time of service. Please be aware that services provided may not be covered by your insurer, but you are ultimately responsible for payment of all services rendered. Any balance that remains outstanding for more than 90 days may be referred to a collections agency.