Notice of Privacy Practices
This Notice Describes How Information About You May Be Used And Disclosed And How You Can Get Access To This Information. Please Review It Carefully.
If you have any questions about this notice, please contact our clinic manager at (503) 227-3666.
Who Will Follow This Notice
This notice describes the information privacy practices followed by our employees, staff and other office personnel.
Your Health Information
This notice applies to the information and records we have about your health, health status, and the health care services you receive at this office.
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.
Understanding Your Health Record/Information
Each time you visit the clinic, a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information, often referrede to as your health or medical record, serves as a:
- Basis for planning your care and treatment.
- Means of communication among the many health professionals who contribute to your care.
- Legal document describing the care you received.
- Means by which you or a third-party payer can verify that services billed were actually provided.
- A tool in educating health professionals.
- A source of data for medical research.
- A source of information for public health officials charged with improving the health of the nation.
- A source of data for facility planning and marketing.
- A tool with which we can assess and continually work to improve the care we render and the outcomes we achieve.
- Understanding what is in your record and how your health information is used helps you to:
- Ensure its accuracy.
- Better understand who, what, when, where, and why others may access your health information.
- Make more informed decisions when authorizing disclosure to others.
Your Health Information Rights
Although your health record is the physical property of the PDX E.N.T., the information belongs to you. You have the right to:
- Request a restriction on certain uses and disclosures of your information.
- Obtain a paper copy of the notice of Privacy Practices upon request.
- Inspect and obtain a copy of your health records.
- Request amendment of your health records.
- Obtain an accounting of disclosurers of your health information.
- Request communications of your health information by alternative means or at alternative locations.
- Revoke your authorization to use or disclose health information except to the extent that action has already been taken.
- Be provided acces to your health information for review or request for amendment.
- Control who has access to your health information by specific authorization.
PDX E.N.T. is required to:
- Maintain the privacy of your health information.
- Provide you with a notice as to our legal duties and privacy practices with respect to information we collect and maintain about you.
- Abide by the terms of this notice.
- Notify you if we are unable to agree to a requested restriction.
- Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.
We reserve the right to change this notice as, 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.
There are some services provided in our clinic through contacts with business associates. Examples of this include certain laboratory tests. When these services are contracted, we may disclose your health information to the lab so that they can perform the job we’ve asked them to do and bill you or your third-party payer for services rendered. To protect your health information, however, we require the business associate (lab) to appropriately safeguard your information.
For More Information or to Report a Problem
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 PDX E.N.T. Office Manager. You will not be penalized for filing a complaint.
How We May Use and Disclose Health Information About You
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 physician may be treating you for a certain health condition and may need to know if you have other health problems that could complicate your treatment. The Physician may use your medical history to decide what treatment is best for you. The Physician may also tell another health care professional about your condition so that the health care professional 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.
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: A bill may be sent to you or a third-party payer. The information on or accompanying the bill may include information that identifies you or any covered family member, as well as the diagnosis, procedures, and supplies used.
For Health Care Operations
We may use and disclose health information about you in order to run the office and make sure that you and our other patrients 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 contact you as a reminder that you have an appointment for treatment or medical care at our office.
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 that you do not wish to receive such communications, we will not use or disclose your information for these purposes.