Notice of Privacy Practices
Effective Date: July, 14 2025
Physicians Choice – Wilsonville, Oregon
📍 9126 SW Ridder Rd, Wilsonville, OR 97070
📞 (503) 308-4060
✉️ info@physicianschoice.com
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Our Responsibilities
Physicians Choice is required by law to:
- Maintain the privacy and security of your protected health information (PHI)
- Provide you with this Notice of our legal duties and privacy practices
- Abide by the terms of this Notice currently in effect
- Notify you promptly if a breach occurs that may have compromised the privacy or security of your PHI
Your Rights
You have the right to:
- Get a copy of your medical record
- Request corrections to your medical record
- Request confidential communications (e.g., ask us to contact you only at a specific number or address)
- Ask us to limit what we use or share
- Receive a list (accounting) of those with whom we’ve shared your information
- Choose someone to act on your behalf (e.g., a healthcare proxy or legal guardian)
- File a complaint if you believe your rights have been violated
To exercise any of these rights, please contact our Privacy Officer at:
📞 (503) 308-4060
✉️ info@physicianschoice.com
How We May Use and Share Your Health Information
We are permitted or required to use and share your PHI in the following ways:
- For Treatment – Sharing information with doctors, nurses, or specialists involved in your care
- For Payment – Submitting information to Medicare, Medicaid, or your insurance provider for reimbursement
- For Healthcare Operations – Internal operations such as quality assurance, staff training, licensing, and audits
Other Ways We May Share Your Information
We may also disclose your PHI:
- As required by federal, Oregon state, or local law
- For public health and safety (e.g., disease reporting, child or elder abuse, domestic violence)
- For health oversight activities (e.g., inspections, investigations, licensure)
- In response to a court order, subpoena, or law enforcement request
- To medical examiners or funeral directors when necessary
- For organ and tissue donation purposes
- For research purposes, with your authorization or under an approved waiver
- For workers’ compensation or similar claims
- To avert a serious threat to health or safety
- For certain government functions (e.g., military, national security, protective services)
Disclosures That Require Your Authorization
We will not use or disclose your PHI for the following without your written authorization:
- Marketing purposes
- Sale of your PHI
- Most disclosures of psychotherapy notes
- Certain disclosures of substance use disorder treatment records (42 CFR Part 2)
You may revoke your authorization at any time in writing, unless we have already acted based on it.
Our Duties in the Event of a Breach
If a breach compromises the privacy or security of your PHI, we are required by law to notify you without unreasonable delay in accordance with the HIPAA Breach Notification Rule.
Your Oregon Privacy Rights
In addition to federal HIPAA protections, Oregon law may provide additional privacy rights, such as:
- Enhanced protections for mental health, genetic, HIV/AIDS, and substance use disorder information
- Additional restrictions on the use and disclosure of certain types of sensitive health information
- Stricter rules about disclosing medical information to third parties without your written consent
Changes to This Notice
We reserve the right to change this Notice at any time. Changes will apply to all PHI we maintain, past and present. An updated copy will be posted on our website and available upon request.
Questions or Complaints
If you have questions or believe your privacy rights have been violated, you may file a complaint:
With Us:
Physicians Choice
Attn: Privacy Officer
📍 9126 SW Ridder Rd, Wilsonville, OR 97070
📞 (503) 308-4060
✉️ info@physicianschoice.com
With the U.S. Department of Health & Human Services:
Visit www.hhs.gov/ocr/privacy/hipaa/complaints/
You will not be retaliated against for filing a complaint.