The following policies describe our privacy practices. We have separated this page into two sections, one discussing our privacy policy in connection with your personal health information, and the other discussing our privacy policy in connection with your use of this website. Please review these policies carefully.

Personal Health Information

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. PLEASE REVIEW THIS INFORMATION CAREFULLY.

If you have any questions about this notice, please contact Patti Davis at our corporate office at (503) 943-2340. Our mailing address is 1200 Naito Parkway, suite 200, Portland, OR 97209.

Who will follow this notice

This notice describes the information privacy practices followed by our employees, staff and other office personnel. The practices described in this notice will also be followed by physicians you consult with by telephone (when your regular physician from our office is not available) who provide “call coverage” for your physician.

Your health information

We are required by law to give you this notice. It will tell you about the ways in which we may use and disclose health information about you and describes your rights and our obligations regarding the use and disclosure of that information. This notice applies to the information and records we have about your health, health status, and the health care and services you receive at this office.

How we may use and disclose health information about you

We must have your written, signed Consent to use and disclose health information for the following purposes:

  • For treatment. We may use health information about you to provide you with medical treatment or services. We may disclose health information about you to doctors, nurses, technicians, office staff or other personnel who are involved in taking care of you and your health.For example, your doctor may be treating you for a heart condition and may need to know if you have other health problems that could complicate your treatment. The doctor may use your medical history to decide what treatment is best for you. The doctor may also tell another doctor about your condition so that doctor can help determine the most appropriate care for you.Different personnel in our office may share information about you and disclose information to people who do not work in our office in order to coordinate your care, such as phoning in prescriptions to your pharmacy, scheduling lab work and ordering x-rays. Family members and other health care providers may be part of your medical care outside this office and may require information about you that we have.
  • For payment. We may use and disclose health information about you so that the treatment and services you receive at this office may be billed to and payment may be collected from you, an insurance company or a third party. For example, we may need to give your health plan information about a service you received here so your health plan will pay us or reimburse you for the service. We may also tell your health plan about a treatment you are going to receive to obtain prior approval, or to determine whether your plan will cover the treatment. But see below your “Right to request restrictions.”
  • For health care operations. We may use and disclose health information about you in order to run the office and make sure you and our other patients receive quality care.For example, we may use your health information to evaluate the performance of our staff in caring for you. We may also use health information about all or many of our patients to help us decide what additional services we should offer, how we can become more efficient, or whether certain new treatments are effective.

We may use or disclose your health information in the following ways unless you object:

  • Appointment reminders. We may contact you about or recommend possible treatment options or alternatives that may be of interest to you.
  • Treatment alternatives. We may tell you about or recommend possible treatment options or alternatives that may be of interest to you.
  • Health-related products and services. We may tell you about health-related products or services that may be of interest to you.Please notify us if you do not wish to be contacted for appointment reminders, or if you do not wish to receive communications about treatment alternatives or health-related products and services. If you advise us in writing (at the address listed at the top of this Notice) that you do not wish to receive such communications, we will not use or disclose your information for these purposes.  You may revoke your Consent at any time by giving us written notice. Your revocation objection will be effective when we receive it, but it will not apply to any uses and disclosures which occurred before that time.
  • Family and friends. We may disclose health information about you to your family members or friends if we obtain your verbal agreement to do so or if we give you an opportunity to object to such a disclosure and you do not raise an objection. We may also disclose health information to your family or friends if we can infer from the circumstances, based on our professional judgment that you would not object. For example, we may assume you agree to our disclosure of your personal health information to your spouse when you bring your spouse into the exam room during treatment or while treatment is discussed.

In situations where you are not capable of giving consent (because you are not present or due to your incapacity or medical emergency), we may, using our professional judgment, determine that a disclosure to your family member or friend is in your best interest. In that situation, we will disclose only health information relevant to the person’s involvement in your care. For example, we may inform the person who accompanied you to the emergency room that you suffered a heart attack and provide updates on your progress and prognosis. We may also use our professional judgment and experience to make reasonable inferences that it is in your best interest to allow another person to act on your behalf to pick up, for example, filled prescriptions, medical supplies, or X-rays.

If you do revoke your Consent we will not be permitted to use or disclose your information for purposes of treatment, payment, or health care operations, and we may therefore choose to discontinue providing you with health care treatment and services.

Special situations

We may use or disclose health information about you without your permission for the following purposes, subject to all -applicable legal requirements and limitations:

  • To avert a serious threat to health or safety. We may use and disclose health information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.
  • To avert a serious threat to health or safety. We may use and disclose health information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.
  • Required by law. We will disclose health information about you when required to do so by federal, state or local law.
  • Research. We may use and disclose health information about you for research projects that are subject to a special approval process. We will ask you for your permission if the researcher will have access to your name, address or other information that reveals who you are, or will be involved in your care at the office.
  • Organ and tissue donation. If you are an organ donor, we may release health information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ donation bank, as necessary to facilitate such donation and transplantation.
  • Military, veterans, national security and intelligence. If you are or were a member of the armed forces, or part of the national security or intelligence communities, we may be required by military command or other government authorities to release health information about you. We may also release information about foreign military personnel to the appropriate foreign military authority.
  • Workers’ compensation. We may release health information about you for workers’ compensation or similar programs. These programs provide benefits for work-related injuries or illness.
  • Public health risks. We may disclose health information about you for public health reasons in order to prevent or control disease, injury or disability; or report births, deaths, suspected abuse or neglect, non-accidental physical injuries, reactions to medications or problems with products.
  • Health oversight activities. We may disclose health information to a health oversight agency for audits, investigations, inspections, or licensing purposes. These disclosures may be necessary for certain state and federal agencies to monitor the health care system, government programs, and compliance with civil rights laws.
  • Lawsuits and disputes. If you are involved in a lawsuit or a dispute, we may disclose health information about you in response to a court or administrative order. Subject to all applicable legal requirements, we may also disclose health information about you in response to a subpoena.
  • Law enforcement. We may release health information if asked to do so by a law enforcement official in response to a court order, subpoena, warrant, summons or similar process, subject to all applicable legal requirements, or in other limited circumstances for purposes of identifying or locating suspects, fugitives, material witnesses, missing persons, or crime victims.
  • Coroners, medical examiners and funeral directors. We may release health information about you to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death.
  • Information not personally identifiable. We may use or disclose health information about you in a way that does not personally identify you or reveal who you are.
  • Family and friends. We may disclose health information about you to your family members or friends if we obtain your verbal agreement to do so or if we give you an opportunity to object to such a disclosure and you do not raise an objection. We may also disclose health information to your family or friends if we can infer from the circumstances, based on our professional judgment that you would not object. For example, we may assume you agree to our disclosure of your personal health information to your spouse when you bring your spouse into the exam room during treatment or while treatment is discussed.
  • In situations where you are not capable of giving consent (because you are not present or due to your incapacity or medical emergency), we may, using our professional judgment, determine that a disclosure to your family member or friend is in your best interest. In that situation, we will disclose only health information relevant to the person’s involvement in your care. For example, we may inform the person who accompanied you to the emergency room that you suffered a heart attack and provide updates on your progress and prognosis. We may also use our professional judgment and experience to make reasonable inferences that it is in your best interest to allow another person to act on your behalf to pick up, for example, filled prescriptions, medical supplies, or X-rays.

Other authorized uses and disclosures of health information

We will not use or disclose your health information for any purpose other than those identified in the previous sections of this notice without your specific, written Authorization. We must obtain your Authorization to use or separate from any Consent we may have obtained from you. If you give us Authorization to use or disclose health information about you, you may revoke that Authorization, in writing, at any time. If you revoke your Authorization, we will no longer use or disclose information about you for the reasons covered by your written Authorization, but we cannot take back any uses or disclosures already made with your permission.

If we have HIV or substance abuse information about you, we cannot release that information without a special signed, written authorization (different than the Authorization and Consent mentioned above) from you. In order to disclose these types of records for purposes of treatment, payment or health care operations, we will have to have both of your signed Consent and special written authorization that complies with the law governing HIV or substance abuse.

Your rights regarding health information about you

You have the following rights regarding health information we maintain about you:

  • Right to inspect and copy. You have the right to inspect and copy your health information, such as medical and billing records, that we use to make decisions about your care. You must submit a written request to your physicianus in order to inspect and/or copy your health information. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other associated supplies.  If health information used to make decisions about you is contained in an electronic health record, then we will provide a copy to you in electronic format.  If you wish an electronic record sent to a third party, then you must make your written Authorization clear, conspicuous, and specific on that point.  We may charge our reasonable labor costs for retrieving and forwarding an electronic health record.We may deny your request to inspect and/or copy in certain very limited circumstances. If you are denied access to your health information, you may ask that the denial be reviewed. If such a review is required by law, we will select a licensed health care professional to review your request and our denial. The person conducting the review will not be the person who denied your request, and we will comply with the outcome of the review.
  • Right to amend. If you believe health information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment as long as the information is kept by this office. To request an amendment, complete and submit a MEDICAL RECORD AMENDMENT/CORRECTION FORM. to your physician.nWe may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:
    • We did not create, unless the person or entity that created the information is no longer available to make the amendment.
    • Is not part of the health information that we keep.
    • You would not otherwise be permitted to inspect and copy.
    • Is accurate and complete.
  • Right to an accounting of disclosures. You have the right to request an “accounting of disclosures.” This is a list of the disclosures we made of medical information about you for purposes other than treatment, payment and health care operations. To obtain this list, you must submit your request in writing to your physician. It must state a time period, which may not be longer ago than six years and may not include dates before April 14, 2003. Your request should indicate in what form you want the list (for example, on paper, electronically). The first list you request within a 12-month period will be free. For additional lists, we may charge you for the actual costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
  • Right to request restrictions. You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the health information we disclose about you to someone who is involved in your care or the payment for it, like a family member or friend. For example, you could ask that we not use or disclose information about a surgery you had. We are not required to agree to your request, unless it is a request not to disclose information to your health plan about medical services you paid for entirely yourself. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.To request restrictions, you may complete and submit the REQUEST FOR RESTRICTION ON USE/DISCLOSURE OF MEDICAL INFORMATION to your physician.
  • Right to request confidential communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. To request confidential communications, you may complete and submit the REQUEST FOR RESTRICTION ON USE/DISCLOSURE OF MEDICAL INFORMATION AND/OR CONFIDENTIAL COMMUNICATION to medical personnel. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.
  • Right to a paper copy of this notice. You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive it electronically, you are still entitled to a paper copy. To obtain such a copy, contact our Front Desk at 503-229-7554.

Changes to this notice

We reserve the right to change this notice, and to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a summary of the current notice in the office with its effective date in the top right hand corner. You are entitled to a copy of the notice currently in effect.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. To file a complaint with our office, contact Sally Sparling at 503-219-8575. You will not be penalized for filing a complaint.


Online privacy policy

The following policy (the “Policy”) applies only to information collected through the use of our website (the “Site”).  For information regarding our privacy policies concerning your personal health information, please see our Personal Health Information privacy notice set forth above.

We are committed to protecting the privacy and security of users of the Site.  This Policy will advise you as to what information we collect, how we use the information, and what choices you have concerning our use of such information.

Personally identifiable information

We do not actively collect personally identifiable information as part of your use of the Site.

However, you may subscribe to the Site by clicking the “Subscribe via email” link on the right hand side of the page.  The “Subscribe via email” feature of the Site is not controlled by us but is instead powered by Feedburner™, a service provided by Google, Inc. (“Google”).  As part of using the Feedburner™ service, you are required to provide your email address to Google, subject to Google’s privacy policies.  To unsubscribe from the Feedburner™ service, you must follow the procedures and policies outlined by Google.

Although we do not actively collect personally identifiable information through the Site, if you identify yourself to us by sending us email with questions or comments, we may use your personal information to respond to your questions or comments. We may file your comments for future reference, or we may discard the information after we have reviewed it. We will not sell, rent, or otherwise distribute your email address to any outside entity or organization.

Non-personal identification information (aggregate data)

Our Site uses Google Analytics, a web analytics service provided by Google.  Google Analytics uses “cookies,” which are text files placed on your computer, to analyze how users use the Site. The information generated by the cookie about your use of the Site (including your IP address) will be transmitted to and stored by Google on servers in the United States. Google will use this information for the purpose of evaluating your use of the Site, compiling reports on website activity, and providing other services relating to website activity and internet usage.  Google may also transfer this information to third parties where required to do so by law, or where such third parties process the information on Google’s behalf. Google will not associate your IP address with any other data held by Google.

We may, from time to time, access and receive information from Google concerning the use of the Site.  We use such information in “aggregate” form to better understand how our users, as a group, use our Site. “Aggregate” information means information from a group of individuals that has been collected and processed so that no one individual’s information can be isolated.

You may refuse the use of cookies by selecting the appropriate settings on your browser; however, please note that if you do this you may not be able to use the full functionality of the Site.  By using the Site, you consent to the processing of data about you by Google in the manner and for the purposes set forth above.

We do not otherwise collect non-personal identification information except as described herein.

Third party sites

The Site contains links to websites (the “linked websites”) that are not operated or controlled by us.  We offer these links for your convenience; however, we take no responsibility for linked websites.  We make no representations regarding the content or accuracy of the linked websites and your use of the linked websites is at your own risk and subject to terms and conditions for using the linked websites. By providing links on our Site to the linked websites, we do not endorse the goods or services featured on the linked websites.

Security

Your security is important to us.  To that end, we strive to maintain appropriate physical, electronic, and administrative protections to secure any information we collect online.  We use secure server software that encrypts information, ensuring that all internet communications remain private.

Children’s Online Privacy Protection Act of 1998 (COPPA)

We do not intend that Site be directed to children less than thirteen (13) years of age nor do we intend to collect personal information from children.

Changes to this policy

This Policy replaces all previous disclosures we may have provided you about our personal information practices. We will update this Policy if our practices change or if laws or regulations require that we change it. If we decide to disclose personal information in a way that is materially different from that which was stated in this Policy at the time personal information was collected, we will notify you by posting notice of the change on our site and on this page for a reasonable period before we implement that change and, if feasible, will give you an opportunity to opt out of the proposed use of personal information.