Hearing Professionals of Oregon

We understand that medical information about you and your health is personal. We are committed to protecting the confidentiality of your medical information. As part of our routine operations, we create a record of the care and services you receive. We need this record to provide you with quality care and to comply with certain legal requirements. Federal law requires us to:

1) Make sure that medical information that identifies you is kept private,

2) Give you this notice of our legal duties and privacy practices, and

3) Follow the terms of the notice that is currently in effect.

If the practices described in this notice meet your expectations, there is nothing you need to do. If you have any questions regarding this Privacy Notice, please contact our Privacy Officer, Shawn Feddersen, at 541-790-2004.

All employees of our company follow the terms of this notice. Some employees may share medical information with each other for purposes of treatment, payment or healthcare operations as described in this notice.

How We May Use and Disclose Medical Information About You

For Treatment. We may use medical information about you to provide you with products or services. We may disclose medical information about you to other employees in order to coordinate the different products and services we offer, such as lab personnel who may build and/or repair your hearing aid. We may also disclose medical information about you to people outside the facility who may be involved in your medical care, such as family members or others we use to provide services that are part of your care.

For Payment. We may use and disclose medical information about you so that treatment, products and services you received from us 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 insurance company about hearing aids you received from our company so your health plan will pay us or reimburse you for the products. We may also tell your health plan about a treatment or product you are going to receive to obtain prior approval or to determine whether your plan will cover the treatment.

For Health Care Operations. We may use and disclose medical information about you for facility operations. These uses and disclosures are necessary to run the facility and make sure that all of our clients receive quality care. For example, we may use medical information from a number of clients to review our products and services to see if we need to make changes, or to evaluate the performance of our staff in caring for you.

Your Rights Regarding Medical Information About You

You have the following rights regarding medical information we maintain about you.

Right to Inspect and Copy. You have the right to inspect and obtain a copy of medical information that may be used to make decisions about your care. If you request a copy of the information, we may charge a reasonable fee for the costs of copying, mailing and administration. We may deny your request to inspect and copy in certain very limited circumstances. Right to Amend. If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. As part of your written request to amend, you must provide a reason that supports your request. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. We may also deny your request if you ask us to amend information that: was not created by us, is not part of the medical information kept by our facility, is not part of the information which you would be permitted to inspect or copy, or if you ask us to amend information that is accurate and complete. Right to Request Restrictions. You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or healthcare operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care, like a family member or friend. Written requests for restrictions must tell us 1) what informationyou want to limit; 2) whether you want to limit our use, disclosure or both; and 3) to whom you want the limits to apply.We are not required to agree to your request.

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 certain locations, such as to contact you at home, and not at work. Written requests for confidential communications must specify how or where you wish to be contacted. We will not ask you the reason for your request. We will accommodate all reasonable requests.

Acknowledgement

We may ask you to acknowledge receipt of this Privacy Notice. Should you decline to acknowledge receipt of this notice, we may record in your medical records the date the notice was given to you.