Eugene Chiropractic

Notice of Patient Privacy Policy - Health Insurance and Portability and Accountability Act

Dr. Matt Freedman and staff are dedicated to preserving your "Protected Health Information" (PHI). We are required by law to protect your health information and to provide you with a notice describing how your medical information may be used and disclosed and how you can access this information. This notice of Privacy Practices describes your rights and the duties of Eugene Chiropractic in regards to your protected health information.

• Dr. Matt Freedman or staff may use or disclose your PHI for the purpose of diagnosing or providing treatment, obtaining payment for health care bills or to conduct health care operations.

• We may be required by law to use and disclose your medical information for other purposes without your consent or authorization.

• Your PHI means health information, including your demographic information, collected by other health care providers, a health care clearinghouse, an employer, or us. This protected health information relates to your past, present, or future physical or mental health or condition and identifies you, or there is a reasonable basis to believe the information may identify you.

• You are provided the right to inspect and receive a copy of your medical information that we maintain, amending or correcting that information, obtaining and accounting of our disclosures of your medical information, requesting that we communicate with you confidentially, request that we restrict certain uses and disclosures of your health information, and file a complaint if you believe your rights have been violated. All requests and complaints must be made in writing.

• We have available a detailed NOTICE OF PATIENT PRIVACY POLICY (long form) which fully explains your rights and our obligation under the law. You have the right to receive a copy of our most current NOTICE in effect, please ask the front desk and we will provide you with a copy

. • As per the 2012 HIPAA mega rule, we will request authorization before disclosing for marketing purposes or the selling of your PHI. We will also give you the option to opt out of receiving fundraising communications. You also have the right to restrict the disclosure of your PHI in certain situations. If there is a breach in your unsecured PHI, you will receive notification of said breach. As the Provider uses or maintains EHR, the individual has the right to obtain a copy of PHI in an electronic format; an individual may request this record be sent to another office. Request must be made in writing by the patient.

We may revise our notice from time to time. The Effective Date: September 30, 2013 indicates the date of the most current NOTICE in effect. If you have any questions, concerns or complaints about the NOTICE or your medical information, please contact our Compliance Officer: Dr. Matt Freedman at 541) 844-6924. Or contact: https://oishhs.qov re.