Oregon law requires that all health care providers (Pregnancy Medical Centers) protect health records in our possession, If you receive services through Pregnancy Center of the Illinois Valley federal law, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), also protects your health information. In addition, HIPAA requires that we provide you this notice of Privacy Rights. It lets you know how we may use and disclose your health information and your rights regarding the health information we have in our possession.
• your name and (if different) the name and relationship of the person receiving treatment.
• your billing address
• your telephone number
• your (or the patient’s, if different) condition that brings you here to the Pregnancy Center of the Illinois Valley
• the date the doctor reviewed your chart with you
• clinical findings related to the condition such as results of pregnancy tests and any other diagnostic or monitoring test to ensure your safety
You have the right to:
• request restrictions on certain uses and disclosures
• receive communications of protected health information by alternative means or at alternative locations
• inspect, copy and amend your protected health information held at the Pregnancy Center of the Illinois Valley, and receive an accounting of certain disclosures (of your protected health information)
• receive a paper copy of this notice even if you have received it electronically
We only use or disclose your health information as state and federal laws require or permit. In some cases, the law requires that you authorize the disclosure. In other cases, the law allows us to disclose your health information without your authorization.
Treatment: We may use your health information for our treatment activities, such as disclosing it to other healthcare providers as is helpful to treat you.
Healthcare Operations: We may use and disclose your health information to manage our program operations, such as reviewing the quality of services you receive.
Business Associates: We may disclose your health information to organizations that help us with our work, such as the billing service we use to process claims to your health insurance company. We have a written agreement that requires these organizations to use your health information for only the reasons necessary to do the work, and protect it from other uses or disclosures, just like we do.
To Contact You: We may use the information in your health records to contact you if we have information about treatment or other health-related benefits and services that may be of interest to you.
HIPAA specifically permits us to use or disclose your health information for other purposes without your consent or authorization. In our experience such disclosures are rare, and the limited information we maintain is generally not applicable. However, when authorized by law, and to the extent we may have the information, HIPAA permits us to disclose it to:
• comply with the requirements of federal, state, or local laws, court orders or other lawful process and for administrative or court proceedings
• report a public health authority for the purpose of preventing or controlling disease, injury, or disability
• report to the FDA for the quality, safety or effectiveness of FDA-regulated products or activities
• notify a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition
• report abuse, neglect or domestic violence to a government authority
• provide necessary information to a health oversight agency for activities such as audits, investigations, inspection, licensure of the healthcare system, government benefit programs and regulated entities
• a law enforcement official for specified law enforcement purposes
• coroners or medical examiners for identification or determining cause of death
• funeral directors to carry out their duties with respect to the decedent
• organ procurement organizations for facilitating donations and transplantation
• researchers conducting studies approved by an Institutional Review Board
• prevent or lessen a serious and imminent threat to the health of safety pf a person or the public
• authorized federal officials for specialized government functions such as military and veterans activities; national security and intelligence activities; protective services for the president; medical suitability determinations; correctional institutions; government entities providing public benefits, and comply with worker’s compensation laws
Other uses and disclosures or your personal information require your written authorization. You may revoke your authorization at any time by doing so in writing.
If you want additional information about our privacy practices or if you believe Pregnancy Center of the Illinois Valley has violated your privacy rights, you may file a complaint by contacting the Pregnancy Center of the Illinois Valley HIPAA Privacy/Compliance Officer at: 319 S Redwood Hwy., PO Box 993, Cave Junction, OR 97523
Pregnancy Center of the Illinois Valley does not retaliate against people who file a complaint.
• confidential HIV related information for which additional protections are provided by state law
• alcohol or substance abuse treatment information for which additional protections are provided by state law
• mental health treatment information for with additional protections are provided by state law