The following explains how patient Protected Health Information is utilized. Please note that this notice applies once you enroll as a patient. Information transmitted via email is not HIPAA-compliant.

Medical Information Notice of Privacy Practices

Effective August 1, 2023

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

We are required by law to protect the privacy of your health information. We are also required to provide you this notice, which explains how we may use information about you, and when we can give out or "disclose" that information to others. You have rights regarding your health information that are described in this notice. We are required by law to abide by the terms of this notice.

The terms “information” or “health information” in this notice include any information we maintain that reasonably can be used to identify you and that relates to your physical or mental health condition, the provision of health care to you, or the payment for such health care. We will comply with the requirements of applicable privacy laws related to notifying you in the event of a breach of your health information.

We have the right to change our privacy practices and the terms of this notice. If we make a material change to our privacy practices, we will post a copy of the revised notice on this website. The notice will also be available upon request. We reserve the right to make any revised or changed notice effective for information we already have and for information that we receive in the future.

How We Collect, Use, and Disclose Information

We collect, use, and disclose your health information to provide that information:

To you or someone who has the legal right to act for you (your personal representative) in order to administer your rights as described in this notice; and
To the Secretary of the Department of Health and Human Services, if necessary, to make sure your privacy is protected.

We have the right to collect, use, and disclose health information for your treatment, to bill for your health care and to operate our business. For example, we may collect, use, and disclose your health information:

For Payment. We may collect, use, and disclose health information to obtain payment for health care services. For example, we may collect information from, or disclose information to, your health plan in order to obtain payment for the medical services we provide to you. We may ask you for advance payment.
For Treatment. We may collect, use, and disclose health information to aid in your treatment or the coordination of your care.
For Health Care Operations. We may collect, use, and disclose health information as necessary to operate and manage our business activities related to providing and managing your health care. For example, we might analyze data to determine how we can improve our services. We may also de-identify health information in accordance with applicable laws. After that information is de-identified, it is no longer subject to this notice, and we may use it for any lawful purpose.
To Provide You Information on Health-Related Programs or Products such as alternative medical treatments and programs or about health-related products and services, subject to limits imposed by law.
For Reminders. We may collect, use, and disclose health information to send you reminders about your care, such as appointment reminders with providers who provide medical care to you, or reminders related to medicines prescribed for you.
For Communications to You. We may communicate, electronically or via telephone, these treatment, payment, or health care operation messages using telephone numbers or email addresses you provide to us.

We may collect, use, and disclose your health information for the following purposes under limited circumstances:

As Required by Law. We may disclose information when required to do so by law.
To Persons Involved with Your Care. We may collect, use, and disclose your health information to a person involved in your care or who helps pay for your care, such as a family member, when you are incapacitated or in an emergency, or when you agree or fail to object when given the opportunity. If you are unavailable or unable to object, we will use our best judgment to decide if the disclosure is in your best interests. Special rules apply regarding when we may disclose health information to family members and others involved in a deceased individual’s care. We may disclose health information to any persons involved, prior to the death, in the care or payment for care of a deceased individual, unless we are aware that doing so would be inconsistent with a preference previously expressed by the deceased.
For Public Health Activities such as reporting or preventing disease outbreaks to a public health authority. We may also disclose your information to the Food and Drug Administration (FDA) or persons under the jurisdiction of the FDA for purposes related to safety or quality issues, adverse events or to facilitate drug recalls.
For Reporting Victims of Abuse, Neglect or Domestic Violence to government authorities that are authorized by law to receive such information, including a social service or protective service agency.
For Health Oversight Activities to a health oversight agency for activities authorized by law, such as licensure, governmental audits and fraud and abuse investigations.
For Judicial or Administrative Proceedings such as in response to a court order, search warrant or subpoena.
For Law Enforcement Purposes. We may disclose your health information to a law enforcement official for purposes such as providing limited information to locate a missing person or report a crime.
To Avoid a Serious Threat to Health or Safety to you, another person, or the public, by, for example, disclosing information to public health agencies or law enforcement authorities, or in the event of an emergency or natural disaster.
For Specialized Government Functions such as military and veteran activities, national security and intelligence activities, and the protective services for the President and others.
For Workers’ Compensation as authorized by, or to the extent necessary to comply with, state workers compensation laws that govern job-related injuries or illness.
To Correctional Institutions or Law Enforcement Officials if you are an inmate of a correctional institution or under the custody of a law enforcement official, but only if necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety and security of the correctional institution.
To Business Associates that perform functions on our behalf or provide us with services if the information is necessary for such functions or services. Our business associates are required, under contract with us and pursuant to federal law, to protect the privacy of your information and are not allowed to collect, use, and disclose any information other than as specified in our contract and permitted by law.
Additional Restrictions on Use and Disclosure. Certain federal and state laws may require special privacy protections that restrict the use and disclosure of certain health information, including highly confidential information about you. Such laws may protect the following types of information:
- Alcohol and Substance Abuse
- Biometric Information
- Child or Adult Abuse or Neglect, including Sexual Assault
- Communicable Diseases
- Genetic Informatio
- HIV/AIDS
- Mental Health
- Minors Information
- Prescriptions
- Reproductive Health
- Sexually Transmitted Diseases

If a use or disclosure of health information described above in this notice is prohibited or materially limited by other laws that apply to us, it is our intent to meet the requirements of the more stringent law.

Except for uses and disclosures described and limited as set forth in this notice, we will use and disclose your health information only with a written authorization from you. This includes, except for limited circumstances allowed by federal privacy law, not using or disclosing psychotherapy notes about you, selling your health information to others, or using or disclosing your health information for certain promotional communications that are prohibited marketing communications under federal law, without your written authorization. Once you give us authorization to release your health information, we cannot guarantee that the recipient to whom the information is provided will not disclose the information. You may take back or "revoke" your written authorization at any time in writing, except if we have already acted based on your authorization. To find out how to revoke an authorization, use the contact information below under the section titled “Exercising Your Rights.”

What Are Your Rights

The following are your rights with respect to your health information:

You have the right to ask to restrict uses or disclosures of your information for treatment, payment, or health care operations. You also have the right to ask to restrict disclosures to family members or to others who are involved in your health care or payment for your health care. Please note that while we will try to honor your request and will permit requests consistent with our policies, we are not required to agree to any restriction other than with respect to certain disclosures to health plans as further described in this notice.
You have the right to request that we not send health information to health plans in certain circumstances if the health information concerns a health care item or service for which you or a person on your behalf has paid us in full. We will agree to all requests meeting the above criteria and that are submitted in a timely manner.
You have the right to ask to receive confidential communications of information in a different manner or at a different place (for example, by sending information to a P.O. Box instead of your home address). We will accommodate reasonable requests. In certain circumstances, we will accept your verbal request to receive confidential communications; however, we may also require you confirm your request in writing. In addition, any request to modify or cancel a previous confidential communication request must be made in writing. Mail your request to the address listed below.
You have the right to see and obtain a copy of certain health information we maintain about you such as medical records and billing records. If we maintain a copy of your health information electronically, you will have the right to request that we send a copy of your health information in an electronic format to you. You can also request that we provide a copy of your information to a third party that you identify. In some cases, you may receive a summary of this health information. You must make a written request to inspect or obtain a copy your health information or have your information sent to a third party. Mail your request to the address listed below. In certain limited circumstances, we may deny your request to inspect and copy your health information. If we deny your request, you may have the right to have the denial reviewed. We may charge a reasonable fee for any copies.
You have the right to ask to amend certain health information we maintain about you such as medical records and billing records if you believe the information is wrong or incomplete. Your request must be in writing and provide the reasons for the requested amendment. Mail your request to the address listed below. If we deny your request, you may have a statement of your disagreement added to your health information.
You have the right to receive an accounting of certain disclosures of your information made by us during the six years prior to your request. This accounting will not include disclosures of information made: (i) for treatment, payment, and health care operations purposes; (ii) to you or pursuant to your authorization; and (iii) to correctional institutions or law enforcement officials; and (iv) other disclosures for which federal law does not require us to provide an accounting. We may charge you a reasonable fee if you request more than one accounting in any 12-month period.
You have the right to a paper copy of this notice. You may ask for a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice.

Exercising Your Rights

Contacting your Provider. If you have any questions about this notice or want information about exercising any of your rights, please call 541-871-3417.
Submitting a Written Request. You can mail your written requests to exercise any of your rights, including modifying or cancelling a confidential communication, requesting copies of your records, or requesting amendments to your record, to us at the following address:
Lucia Kilday
175 West B Street, Bldg B-1
Springfield, OR 97477
Filing a Complaint. If you believe your privacy rights have been violated, you may file a complaint with us at the address listed above.

You may also notify the Secretary of the U.S. Department of Health and Human Services at 200 Independence Avenue. S.W. Washington, D.C. 20201 or by calling (202) 619-0257. We will not retaliate against you for filing a complaint.

Client Rights and Responsibilities

Client Rights

I have the right to receive information about my managed care companies’ services and treatment providers, clinical guidelines, and client’s rights and responsibilities.
I have the right to be treated with respect and dignity.
I have the right to privacy and confidentiality.
I have the right to fair treatment. This is regardless of race, religion, gender, ethnicity, age, disability, or source of payment.
I have the right to the rights and privileges granted by State and Federal Law.
I have the right to participate with my treatment provider in decision-making regarding treatment planning.
I have the right to voice a complaint or appeal should a dispute arise over treatment or claims.
I have the right to make recommendations regarding client rights and responsibilities policies that may be implemented.
I have the right to a candid discussion of appropriate or medically necessary treatment options for my condition(s), regardless of cost or benefit coverage.

Client Responsibilities

I have the responsibility to provide, to the extent possible, information that my provider(s) need in order to care for me.
I have the responsibility to follow the plans and instructions for care that I have agreed upon with my treatment provider.
I have the responsibility to participate, to the degree possible, in understanding my behavioral health problem(s) and developing mutually agreed-upon treatment goals.
I have the responsibility to inform my provider of changes in my address and insurance coverage.
I have the responsibility to keep scheduled appointments and comply with my treatment provider’s cancellation policy.
* I have read or had this read to me. I understand what it means and agree to participate in the treatment.

Website Privacy Statement

At New Page Psychiatric Services, we respect your privacy and are dedicated to protecting your personal information. This Privacy Statement explains how we collect, use, and safeguard your information when you visit our website or use our services. By accessing our site, you agree to the practices outlined below.

Information We Collect

Personal Information: We may collect details you provide directly to us, such as your name, email address, mailing address, or phone number.

Demographic Information: We may also collect non-identifiable information such as your ZIP code, age, gender, preferences, or interests.

Technical Data: Our website automatically gathers certain information about your device and browsing activity. This may include your IP address, browser type, access times, and the site you visited before ours. This data helps us improve our services and monitor site performance.

Please note: If you choose to share personal details on public forums or message boards, that information may be visible to and used by others outside of our control.

Links to Other Websites

Our website may contain links to external sites. Please be aware that we are not responsible for the privacy practices or content of those sites. We encourage you to read the privacy policies of any site you visit.

How We Use Your Information

We use your information to:

Provide and improve our services
Respond to your inquiries or requests
Communicate with you about updates, offerings, or feedback opportunities
Conduct internal research to better understand our client's needs

We may share your information with trusted service providers who assist us with tasks such as communication, data analysis, or customer support. These partners are required to safeguard your information and may only use it for the purposes outlined by our practice.

We do not sell, lease, or rent your personal information to third parties. Sensitive information such as race, religion, or political affiliation will never be shared without your explicit consent.

We may disclose information if required by law, regulation, or court order.

Our website may use “cookies” to enhance your browsing experience. Cookies are small text files stored on your device that help remember your preferences and improve site functionality. Cookies cannot run programs or deliver viruses. You can disable cookies through your browser settings if you prefer.

Security

We use industry-standard security measures to protect your information from unauthorized access, use, or disclosure. Personal data is stored in secure environments, and sensitive transmissions (such as payment details) are encrypted using technologies like Secure Socket Layer (SSL).

Updates to This Privacy Statement

We may update this Privacy Statement from time to time to reflect changes in our practices or legal requirements. Updates will be posted on this page with a new effective date. We encourage you to review this policy periodically.

If you have questions, concerns, or requests regarding this Privacy Statement, please contact us at:

541-871-3417

admin@newpagepsychiatry.com