Elizabeth Hadley, MA, MFT
1308 E First St
Newberg, OR 97132-2928
Notice of Privacy Practices
This notice describes how your medical records information may be used and disclosed, and how you can get access to this information.
The law protects the privacy of information we create and obtain in providing care and services to you. Your protected health information includes your diagnoses, treatment, information from other providers, and billing and payment information relating to these services. Federal and state laws allow me to use and disclose protected health information for purposes of treatment and health care operations. State law requires me to get your authorization to disclose this information for payment purposes. I understand that your personal health information is very sensitive. I will not disclose your information to others unless you tell me to do so, or unless the law authorizes or requires me to do so. Domestic Violence Treatment Laws do require me to give some specific information to victims and authorities.
Your Health Information Rights
The healthcare and billing records I create and store are the property of Elizabeth Hadley MA, MFT. The protected health information in it belongs to you. You have a right to:
For help with these rights or to report a problem about your records during normal business hours, please contact me.
If you believe your privacy rights have been violated, you may discuss your concerns with me. You may also deliver a written complaint addressed to me. You may also file a complaint with the U.S. Secretary of Health and Human Services. I respect your right to file a complaint with me or with the U.S. Secretary of Health and Human Services. If you complain, I will not retaliate against you.
I am required to:
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