HIPAA Notice of Privacy Practices
Effective Date: June 1, 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.
Our Duties
Ebenezer Telehealth (“we,” “us,” or “our”) is required by law to maintain the privacy of your protected health information (PHI), to provide you with notice of our legal duties and privacy practices with respect to PHI, and to notify you following a breach of unsecured PHI.
We are required to abide by the terms of this Notice while it is in effect. We reserve the right to change the terms of this Notice and make the new Notice effective for all PHI we maintain. If we revise this Notice, we will post the revised version on our website.
How We May Use and Disclose Your Health Information
The following categories describe different ways we use and disclose your health information. Not every use or disclosure in a category will be listed; however, all of the ways we are permitted to use and disclose information will fall within one of the categories.
Treatment
We may use or disclose your PHI to provide you with telehealth treatment and related services. For example, we may share information about your condition with a specialist or pharmacist as part of coordinating your care.
Payment
We may use or disclose your PHI for payment purposes. For example, we may share information necessary to process billing and receive payment for services you have received.
Health Care Operations
We may use and disclose your PHI for our health care operations, including quality assessment, training, accreditation, and other business activities necessary for running our practice.
As Required by Law
We will disclose your PHI when required to do so by federal, state, or local law.
Public Health Activities
We may disclose your PHI for public health activities, including to report communicable diseases or to respond to public health emergencies, as permitted or required by law.
Health Oversight Activities
We may disclose your PHI to health oversight agencies for activities authorized by law, such as audits, investigations, and inspections.
Judicial and Administrative Proceedings
We may disclose your PHI in response to a court or administrative order, subpoena, discovery request, or other lawful process.
Serious Threats to Health or Safety
To the extent permitted by applicable law, we may use or disclose your PHI to prevent or lessen a serious and imminent threat to your health or safety or the health or safety of the public or another person.
Uses and Disclosures Requiring Your Authorization
Other uses and disclosures of your PHI not covered by this Notice will be made only with your written authorization, including:
- Most uses and disclosures of psychotherapy notes
- Uses and disclosures of PHI for marketing purposes
- Sales of PHI
- Other uses and disclosures not described in this Notice
You may revoke any authorization you provide to us at any time, in writing. After you revoke your authorization, we will no longer use or disclose your PHI for the purposes described in the authorization, except to the extent we have already relied on the authorization.
Your Rights Regarding Your Health Information
Right to Access
You have the right to inspect and obtain a copy of your PHI that we maintain in a designated record set. We may charge a reasonable fee for copies. To request access, please contact us in writing.
Right to Amend
You have the right to request that we amend your PHI in a designated record set if you believe the information is incorrect or incomplete. We may deny your request in certain circumstances.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures we have made of your PHI during the six years prior to your request, to whom, and for what purpose.
Right to Request Restrictions
You have the right to request restrictions on how we use or disclose your PHI for treatment, payment, or health care operations. We are not required to agree to your request, except as provided by law.
Right to Confidential Communications
You have the right to request that we communicate with you about health matters in a certain way or at a certain location. We will accommodate reasonable requests.
Right to a Copy of This Notice
You have the right to request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
Right to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights. We will not retaliate against you for filing a complaint.
Contact Our Privacy Officer
To exercise any of your rights, request information, or file a complaint, please contact us:
Ebenezer Telehealth — Privacy Officer
Oklahoma City, OK
Phone: (405) 349-8188
Email: contact@ebenezertelehealth.com
You may also submit a complaint to the U.S. Department of Health and Human Services, Office for Civil Rights, at hhs.gov/ocr.
For information about how we handle your personal data more broadly (outside of your protected health information), please review our Privacy Policy.