HIPAA Notice of Privacy Practices

Last Updated: 05/01/2026

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.

Your Rights

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 a copy of your health and claims records

You can ask to see or get a copy of your health and pharmacy records and other health information we maintain about you. Ask us how to do this.

We will provide a copy or a summary of your health information, usually within the time required by law. We may charge a reasonable, cost-based fee where permitted by law.

Ask us to correct your health information

You can ask us to correct health information about you that you believe is incorrect or incomplete. Ask us how to do this.

We may say no to your request in certain circumstances, but we will tell you why in writing if we do.

Request confidential communications

You can ask us to contact you in a specific way, such as at home or office, or to send mail to a different address.

We will accommodate 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 decline if the law permits or requires us to do so.

Get a list of those with whom we have shared information

You can ask for an accounting of certain disclosures we have made of your health information.

We will include disclosures made for the period required by law, except for disclosures that do not have to be included under HIPAA, such as certain disclosures for treatment, payment, and health care operations.

Get a copy of this privacy notice

You can ask for a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

Choose someone to act for you

If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your health information, consistent with applicable law.

We will make sure the person has this authority and can act for you before we take action.

File a complaint if you believe your rights have been violated

You can complain if you believe we have violated your rights by contacting us using the information at the end of this Notice.

You can also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions where required by law.

In some situations, such as marketing or disclosures not otherwise permitted by law, we will ask for your written authorization before using or sharing your information. If you give us authorization, you may revoke it in writing at any time. We will stop using or sharing your information after we receive your revocation, except to the extent we have already acted in reliance on it.

Our Uses and Disclosures

We typically use or share your health information in the following ways:

Treatment

We can use your health information and share it with professionals who are treating you or helping provide your pharmacy care.

Example: We use your information to dispense prescriptions and may share information with pharmacists, prescribers, or others involved in your care as permitted by law.

Payment

We can use and share your health information to bill and receive payment from health plans, insurers, or other payors.

Example: We share information with your health insurance plan so it will pay for your medications or pharmacy services.

Health Care Operations

We can use and share your health information to run our organization, improve your care, manage our services, and contact you when appropriate.

Example: We may use information about you to manage pharmacy operations, improve service quality, and send refill reminders or other communications related to your care, as permitted by law.

How Else Can We Use or Share Your Health Information?

We are allowed or required to share your information in other ways, usually in ways that contribute to the public good or meet legal obligations. We must meet the conditions in the law before we can share your information for these purposes.

Help with public health and safety issues

We can share health information about you for certain public health and safety purposes, such as:

• preventing or controlling disease, injury, or disability;
• reporting reactions to medications or problems with products;
• notifying people of recalls;
• notifying a person who may have been exposed to a disease or may be at risk of spreading a disease or condition;
• reporting suspected abuse, neglect, or domestic violence, when permitted or required by law;
• helping avert a serious threat to health or safety.

Comply with the law

We will share information about you if state or federal law requires it, including with the Department of Health and Human Services if it wants to see that we are complying with federal privacy law.

Respond to oversight activities

We can share health information with health oversight agencies for activities authorized by law, such as audits, investigations, inspections, and licensure actions.

Respond to lawsuits and legal actions

We can share health information about you in response to a court or administrative order, and in response to a subpoena or other lawful process when allowed by law.

Address law enforcement and certain government requests

We may share health information when permitted or required for certain law enforcement purposes, with correctional institutions in appropriate circumstances, for specialized government functions, or for national security purposes.

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• 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 by notifying us in writing.

Changes to the Terms of This Notice

We may change the terms of this Notice, and the changes will apply to all information we have about you. The new Notice will be available upon request, in our pharmacy, and on our website if we post it online.

Contact Information

If you have questions about this Notice or would like additional information, please contact:

Privacy Officer / Compliance Officer
Prairie Gardens Pharmacy
12301 N Western Ave, Ste 106
Oklahoma City, OK 73114
Phone: (405) 768-1818
Email: [support@prairiegardenspharmacy.com](mailto:support@prairiegardenspharmacy.com)

If you believe your privacy rights have been violated, you may file a complaint with us at the contact information above or with the U.S. Department of Health and Human Services, Office for Civil Rights.