Notice of Privacy Practices

Template notice. This is a template provided for convenience and is not legal advice. Have all legal, privacy, and HIPAA documents reviewed by a qualified attorney before use.

Effective date: July 19, 2026

This Notice of Privacy Practices describes how Birth & Beyond Care, LLC (the “Practice”) may use and disclose your protected health information (PHI) to carry out treatment, payment, and healthcare operations, and the rights you have regarding that information. This Notice applies to clients who receive care services from the Practice in Oklahoma.

Your privacy matters. Protected health information for enrolled clients is handled through secure channels, including our client portal. The public contact form on this website is not for sharing medical or health details — please do not include clinical information there.

1. Our Responsibilities

We are required by law to maintain the privacy and security of your PHI. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. We must follow the duties and privacy practices described in this Notice and give you a copy of it. We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing.

2. How We May Use and Disclose Your Health Information

a. For Treatment

We may use and disclose your PHI to provide, coordinate, and manage your care. For example, we may share information among caregivers on your care team, with your physician or other healthcare providers involved in your treatment, with laboratories conducting tests, or with pharmacies filling prescriptions as part of your care. We may also disclose PHI to referral partners and specialists when needed for your care.

b. For Payment

We may use and disclose your PHI so that the services you receive can be billed and payment collected from you, an insurance company, or a third-party payer. For example, we may need to give your health plan information about a service you received so they will pay us for it. We may also tell your health plan about a treatment you are going to receive to obtain prior approval or to determine whether your plan will cover it.

c. For Healthcare Operations

We may use and disclose your PHI for our practice operations. These uses are necessary to run the Practice and to make sure all of our clients receive quality care. For example, we may use PHI to review the care we provide and to evaluate the performance of our staff. We may also combine PHI with information from other providers to compare how we are doing and to see where we can improve. We may remove identifying information so the combined data can be used for research or quality reporting without identifying you.

3. Other Permitted Uses and Disclosures

We may also use or disclose your PHI in the following situations without your written authorization:

4. Uses and Disclosures Requiring Your Authorization

The following uses and disclosures of your PHI will be made only with your written authorization:

If you provide authorization, you may revoke it at any time by submitting a written request to the contact listed in Section 7. Disclosures made prior to revocation are not affected.

5. Your Rights Regarding Your Health Information

When it comes to your health information, you have the following rights:

Right to access and obtain a copy

You have the right to inspect and obtain a copy (in paper or electronic form) of your PHI that we maintain in a designated record set. You must submit your request in writing. We may charge a reasonable, cost-based fee for the costs of copying, mailing, or other supplies associated with your request.

Right to amend

If you feel that PHI we have is incorrect or incomplete, you may ask us to amend it. Your request must be in writing and include a reason. We may deny your request if the information was not created by us, is not part of the records you are permitted to inspect, or is already accurate and complete.

Right to an accounting of disclosures

You have the right to request a list of certain disclosures we have made of your PHI for purposes other than treatment, payment, healthcare operations, and certain other authorized exceptions. The first list you request within a 12-month period is free; we may charge a reasonable fee for additional lists.

Right to request restrictions

You have the right to request a restriction or limitation on the PHI we use or disclose for treatment, payment, or operations. We are not required to agree to your request, with one exception: 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 operations with your health insurer, and we will honor that request.

Right to request 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. For example, you can ask that we contact you at work rather than at home. We will accommodate all reasonable requests.

Right to a paper copy of this Notice

You have the right to receive a paper copy of this Notice at any time, even if you previously agreed to receive it electronically. You may also obtain an electronic copy from our website.

Right to breach notification

You have the right to receive written notification if there is a breach of your unsecured PHI, in accordance with applicable law.

6. Complaints

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

To file a complaint with the Practice, contact the Privacy Officer listed in Section 7. All complaints must be submitted in writing.

To file a complaint with the federal government:

U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, DC 20201
https://www.hhs.gov/ocr/privacy/hipaa/complaints/

7. Contact for Privacy Officer

If you have questions about this Notice, wish to exercise any of the rights described above, or wish to file a complaint, please contact:

Birth & Beyond Care, LLC
Attn: [Privacy Officer]
Phone: (918) 401-0175
Fax: (918) 900-0065
Email: info@birthandbeyondcare.com
Website: https://birthandbeyondcare.com

8. Changes to This Notice

We reserve the right to change the terms of this Notice at any time. We reserve the right to make the revised or changed Notice effective for PHI we already have as well as any information we receive in the future. We will post the current Notice on our website and provide a copy upon request. The effective date at the top of this Notice indicates when it takes effect.

9. Acknowledgment of Receipt

Clients will be asked to sign an acknowledgment of receipt of this Notice as part of intake. Refusal to sign the acknowledgment does not prevent the Practice from using or disclosing PHI for treatment, payment, or healthcare operations as permitted by law.

10. Other Uses of Health Information

Other uses and disclosures of PHI not covered by this Notice or the laws that apply to us will be made only with your written authorization. If you authorize a use or disclosure, you may revoke it at any time in writing, except to the extent we have already acted on it.

If this is an emergency, call 911. This Notice and the contact form are not monitored for emergencies.