HIPAA 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.

Our Commitment to Your Privacy

Pain Diagnosis & Treatment Center, PLLC ("PDTC") is required by the Health Insurance Portability and Accountability Act (HIPAA) to maintain the privacy of your Protected Health Information (PHI), provide you with this notice of our legal duties and privacy practices with respect to PHI, and to notify affected individuals following a breach of unsecured PHI.

How We May Use and Disclose Your PHI

Treatment. We may use and disclose your PHI to provide, coordinate, or manage your medical care, including consultations with and referrals to other healthcare providers.

Payment. We may use and disclose your PHI to obtain payment for treatment and services, including billing your insurance, verifying coverage, and collecting unpaid balances.

Healthcare Operations. We may use and disclose your PHI for activities that are necessary to operate our practice, including quality assessment, staff training, licensing, accreditation, and business management.

Appointment Reminders and Related Services. We may contact you to remind you of appointments or to inform you of treatment alternatives or other health-related benefits and services.

As Required by Law. We will disclose your PHI when required by federal, state, or local law, including for public health activities, abuse or neglect reporting, health oversight activities, judicial and administrative proceedings, law enforcement, and workers' compensation.

Your Rights Regarding Your PHI

Right to Inspect and Copy. You have the right to inspect and receive a copy of PHI we maintain in your medical and billing records.

Right to Amend. You have the right to request an amendment of PHI you believe is incorrect or incomplete.

Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures we made of your PHI.

Right to Request Restrictions. You have the right to request restrictions on certain uses and disclosures of your PHI.

Right to Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.

Right to a Paper Copy of this Notice. You have the right to a paper copy of this notice at any time, even if you have agreed to receive it electronically.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the Secretary of the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

Changes to This Notice

We reserve the right to change this notice and make the revised notice effective for PHI we already have about you as well as any information we receive in the future.

Contact Us

For questions about this notice or to exercise your rights, please contact our Privacy Officer:

Pain Diagnosis & Treatment Center
8556 E 101st St, Ste A
Tulsa, OK 74133
Phone: (918) 369-5511
Email: intake.pdtc@gmail.com