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Notice of Privacy Practices

Notice of Privacy Practices


As a customer of Oklahoma SleepSource, you are entitled to certain services provided under the direction of your physician. In the course of providing these services to you, we may receive and exchange medical information necessary in the continuation of care. Federal law requires us to protect the privacy of your medical information, which includes, but may not be limited to, information that identifies you and relates to your past, present, or future health or condition, the provision of health care to you, or payment for services received by you. Oklahoma SleepSource may exchange Protected Health Information (PHI) with other companies (Business Associates) to assist in providing these services to you.

Federal law requires us to provide you with this notice about our privacy practices and legal duties regarding your medical information. This notice explains how, when and why Oklahoma SleepSource may use and disclose your medical information. We may change our privacy practices and the terms of this notice at any time. Changes will be effective for your entire PHI. If privacy practices change, we will mail you a new notice of privacy practices that incorporates any changes within sixty (60) days.

Certain uses and disclosures do not require your written permission. Oklahoma SleepSource may use and disclose your medical information without your written permission for the following purposes:

  • For services and/or treatment
  • To obtain payment for services and/or treatment
  • For health care operations
  • To you and your personal representative
  • When a disclosure is required by law
  • To Business Associates

For other uses and disclosures permitted by law:

  • To public health authorities for public health purposes
  • To state agencies handling cases of abuse, neglect, or domestic violence
  • To a government agency authorized to oversee the health care system or government programs
  • To comply with legal proceedings, such as a court or administrative order or a subpoena
  • To law enforcement officials for limited law enforcement purposes
  • To a coroner, medical examiner, or funeral director about a deceased person
  • To an organ procurement organization in limited circumstances
  • To avert a serious threat to your health or safety or the health or safety of others
  • To military authorities, if you are a member of the armed forces or a veteran of the armed forces
  • To federal officials for lawful intelligence, counterintelligence, and other national security purposes
  • To an executor or administrator of your estate
  • To any other persons and or entities authorized under law to receive medical information


Any other use or disclosure of your medical information by Oklahoma SleepSource requires your written permission. You may cancel your written permission for the use and disclosure of any and/or all of your medical information, however, we may complete any action initiated prior to revocation, and which rely on release/exchange of PHI for completion.


You may make a written request for us to do one or more of the following concerning your PHI received by us or our Business Associates: 

  • Add additional limitations on the uses and disclosures of your medical information
  • Choose how we send PHI to you
  • See and get copies of your PHI
  • Get a list of certain uses and disclosures of your PHI
  • Get a copy of this notice
  • File a complaint if you think we have violated your privacy rights regarding your PHI 

Although Oklahoma SleepSource will utilize its best efforts to comply with your request, we may legally deny your request in certain circumstances. We will notify you of the reason for the denial and you will get a chance to respond. We may not deny a request to communicate with you in confidence by a different means or location if the current means or location used by us endangers you. Your request to communicate by a different means or location must be in writing, include a statement of disclosure of all or part of the PHI by the current means that could endanger you, and specifically state the different means or location by which you would like us to communicate with you. If you believe your privacy or security rights have been violated, you can file a complaint with the OSS Privacy & Compliance Officer or with the US Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint to the following addresses:

Oklahoma SleepSource Privacy & Compliance Officer
4350 Will Rogers Pkwy #102
Oklahoma City, Oklahoma 73108
(405) 839-3001
[email protected]

US Department of Health and Human Services
200 Independence Ave. SW
Washington, DC 20201
(877) 696-6775

139 Weston Oaks Ct.
Cary, NC 27513
(855) 937-2242
[email protected]