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Starbuck Medical LLC
Effective Date: April 30, 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.
If you have questions about this Notice or your privacy rights, please contact:
Crystal Starbuck, Privacy Officer
Starbuck Medical LLC
8341 Wolf Lake Drive, Piedmont, OK 73078
(405) 633-3996
Starbuck Medical LLC (“the Practice”) provides medical care through virtual visits, in-home visits, and mobile care delivered at homes, offices, and other facilities that permit such services. Because care is delivered in a variety of settings, the use and disclosure of your Protected Health Information (PHI) may occur in connection with telehealth platforms, mobile devices, and locations you choose for your care.
The Practice is committed to protecting the privacy and confidentiality of your health information. We are required by federal and state law to maintain the privacy of your PHI, to provide you with this Notice describing our legal duties and privacy practices, and to follow the terms of the Notice currently in effect. Each time you receive care from us, we create a record that typically includes your symptoms, examination findings, assessments, treatment provided, and plans for future care. The record itself belongs to the Practice; the information in it belongs to you.
We may use and disclose your PHI in the following ways without specific authorization from you:
Treatment. To provide, coordinate, and manage your medical care, including consulting with or referring you to other healthcare providers.
Payment. To bill and collect payment for services, including verifying insurance eligibility, submitting claims, and pursuing collections when necessary.
Healthcare Operations. For quality improvement, business planning, training, audits, and other internal operations.
Business Associates. We contract with third-party vendors that support our clinical, communication, billing, scheduling, and IT operations. All vendors that handle your PHI operate under HIPAA-compliant Business Associate Agreements with the Practice.
Telehealth and Virtual Care. When you receive virtual care, your PHI may be transmitted through secure video, audio, and messaging platforms. We use platforms that meet HIPAA security requirements.
In-Home and Mobile Care. When care is provided in your home, office, or another non-clinical location, your PHI may be discussed or documented in environments where other people may be present. You are responsible for choosing a setting you consider appropriate for your care.
Appointment Reminders and Follow-Up. To contact you about appointments, results, and care coordination by phone, voicemail, text, or email.
Family and Friends Involved in Your Care. Limited disclosure to a person you identify as involved in your care or payment, when relevant and when you have not objected.
Required by Law. When disclosure is required by federal, state, or local law.
Public Health Activities. Including disease prevention and control, reporting births and deaths, child abuse or neglect, FDA-regulated product safety, and exposure notifications.
Health Oversight, Judicial, and Law Enforcement. In response to subpoenas, court orders, or other lawful processes, and to authorized oversight agencies.
Workers’ Compensation. To the extent authorized by and necessary to comply with workers’ compensation laws.
Research, De-identified Data, and Limited Data Sets. Where permitted by law and with appropriate safeguards.
Serious Threats to Health or Safety. To prevent or lessen a serious and imminent threat to a person or the public.
All other uses and disclosures of your PHI — including most marketing communications, the sale of PHI, and disclosures of psychotherapy notes — require your written authorization. You may revoke any authorization in writing at any time, except to the extent we have already acted in reliance on it.
Right to Access and Copy. You may inspect and obtain a copy of your medical and billing records, in paper or electronic form. We may charge a reasonable, cost-based fee.
Right to Request Amendment. You may request that we amend information you believe is incorrect or incomplete. Requests must be in writing and include a reason. We may deny requests under limited circumstances.
Right to an Accounting of Disclosures. You may request a list of certain disclosures we have made of your PHI, generally for the prior six years (excluding disclosures for treatment, payment, healthcare operations, and certain other categories).
Right to Request Restrictions. You may request that we restrict how we use or disclose your PHI. We are not required to agree, except that we must agree to restrict disclosure to a health plan when you have paid in full out of pocket for the related service.
Right to Confidential Communications. You may request that we contact you in a specific way (for example, only by email, or only at a particular phone number).
Right to a Paper Copy of This Notice. You may request a paper copy at any time, even if you have agreed to receive it electronically.
Right to Notice of a Breach. We will notify you in the event of a breach of your unsecured PHI, as required by law.
Right to File a Complaint. You may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights, without retaliation.
We are required by law to maintain the privacy of your PHI, provide this Notice, follow its terms, and notify you of breaches of unsecured PHI. We reserve the right to change this Notice and to make the changes effective for all PHI we maintain. The current Notice is available at our office, on request from the Privacy Officer, and at starbuckmedical.com.
If you believe your privacy rights have been violated, you may file a written complaint with our Privacy Officer at the contact information above, or with the U.S. Department of Health and Human Services, Office for Civil Rights, online at hhs.gov/ocr/complaints. You will not be penalized for filing a complaint.
We may revise this Notice at any time. Revised versions apply to all PHI we maintain. The most current version will be posted at starbuckmedical.com and is available on request. The effective date of this Notice is shown at the top of the first page.
Envíenos sus preguntas en su idioma nativo a hello@starbuckmedical.com y nosotros traduciremos sus inquietudes y responderemos en español. También contamos con un traductor disponible para sus citas.