Health Insurance Portability and Accountability
Act (HIPAA) Notice of Privacy Practices

Notice of Privacy Practices

Effective Date: March 1, 2018 (Updated May 2024)

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.

Elite Pain & Health, PC uses and discloses health information about you for treatment, to obtain payment for treatment, for administrative purposes, and to evaluate the quality of care that you receive. This notice describes our privacy practices and your rights concerning your medical information. You can request a copy of this notice at any time. For more information about this notice or our privacy practices and policies, please contact our Privacy Officer listed below.

Uses and Disclosures of Health Information

Treatment: We are permitted to use and disclose your medical information to those involved in your treatment. For example, we may request that your primary care physician share your medical information with us or provide your primary care physician with information about your condition for continued care.

Payment: We are permitted to use and disclose your medical information to bill and collect payment for the services provided to you. For example, submitting claims to your insurer requires information about the medical services provided.

Health Care Operations: We are permitted to use or disclose your medical information for activities that support Elite Pain & Health, PC and help deliver quality care to you, such as compliance reviews or quality assessments.

Disclosures Without Your Authorization: There are situations where we may disclose your medical information without your written authorization or opportunity to object, such as for public health purposes, reporting abuse or neglect, health oversight activities, judicial and administrative proceedings, law enforcement purposes, and others as required by law.

Public Health, Abuse or Neglect, and Health Oversight: We may disclose your medical information to public health authorities for activities such as controlling disease, injury, or disability, and to report abuse, neglect, or domestic violence as required by law.

Legal Proceedings and Law Enforcement: We may disclose your medical information in response to legal proceedings or to law enforcement officials under certain conditions, such as complying with a court order or legal process.

Specialized Government Functions: We may disclose your medical information for military and veterans activities, national security and intelligence activities, and for protective services for the President and others.

Research, Organ Donation, Coroners, Medical Examiners, and Funeral Directors:We may use and disclose your medical information for research purposes, organ donation facilitation, and in certain circumstances to coroners, medical examiners, and funeral directors.

Your Rights Under HIPAA

Access to Your Information: You have the right to inspect and obtain a copy of your medical information. Requests must be in writing, and we may charge a reasonable fee for copies.

Amendment of Your Information: You may request an amendment to your medical information if you believe it is incorrect or incomplete. Requests must be in writing, and we will respond within 60 days.

Accounting of Disclosures: You have the right to receive an accounting of certain disclosures of your medical information made by us. Your first request in a 12-month period is free; additional requests may incur a fee.

Requesting Restrictions: You may request restrictions on how your information is used or disclosed for treatment, payment, or health care operations. We are not required to agree, except in certain circumstances involving out-of-pocket payments.

Confidential Communications: You may request that we communicate with you about medical matters in a specific manner or at a specific location. We will accommodate reasonable requests.

Notification of Breach: You have the right to be notified in writing if there is a breach involving your protected health information.

Complaints: If you believe your privacy rights have been violated, you can file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Contact Information:

Elite Pain & Health, PC – Privacy Officer

Attn: Dana Manion

13100 N. Western Ave

Oklahoma City, OK 73114


Changes to This Notice: We reserve the right to change our privacy practices and this notice. Updated notices will be available through our Privacy Officer.

Privacy Policy

We respect your privacy and want to assure you that any information we collect is secure and protected from misuse. Any personal information you submit to the Elite Pain and Health website will not be sold or disclosed to a third party for marketing purposes. We do not collect any personally identifiable information about you unless you provide it to us voluntarily. If you have already submitted this information and would like us to correct it or remove it from our records, please contact us and we will make reasonable efforts to update or delete your information from our existing files.

Data Security

To prevent unauthorized access, maintain data accuracy, and ensure the correct use of information, we have put in place appropriate physical, electronic, and administrative procedures to safeguard and secure the information we collect online.

Children’s Privacy

Elite Pain and Health does not collect or maintain information on our website from individuals known to be under the age of 13, and no part of our website is structured to attract anyone under 13.

Third-Party Service Providers

Elite Pain and Health may use certain third-party service providers to collect data. We have verified that all third-party service providers protect this information against misuse. Elite Pain and Health uses Google to analyze traffic on this website. For more details, refer to the Google Privacy Policy at

How We Use the Information

We use the information you provide to communicate with you about the services at Elite Pain and Health, including sending SMS notices for appointment reminders, updates, and important information. We do not share this information with outside parties except to the extent necessary to manage those communications. We never use or share personally identifiable information provided online in ways unrelated to the ones described without providing you an opportunity to opt-out.

This policy update ensures compliance with HIPAA regulations and includes provisions for SMS notices. For more detailed information on HIPAA regulations, you can visit the HHS website​ (​.