Effective May 12, 2026

Notice of Privacy Practices

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.

Your Rights

• Ask to see or receive a paper or electronic copy of your medical record.
• Ask us to correct health information you believe is incorrect or incomplete.
• Ask us to contact you in a specific way or at a different address.
• Ask us to limit certain uses or disclosures of your health information.
• Ask for a list of certain disclosures we have made.
• Receive a paper copy of this notice.
• Choose someone to act for you when legally authorized.
• File a complaint if you believe your privacy rights have been violated.

Your Choices

You may tell us your preferences about sharing information with family members, friends, or others involved in your care or payment for care. We will follow your instructions when required by law. In some situations, such as serious threats to health or safety, we may share information when permitted or required by law.

Our Uses and Disclosures

We may use or share health information to:

• Treat you and coordinate care with other health professionals.
• Run the practice, improve care, and contact you when necessary.
• Bill for services and obtain payment from health plans or other entities.
• Help with public health and safety issues, including required disease, abuse, or neglect reporting.
• Comply with law, court orders, audits, government requests, workers' compensation, or other lawful processes.
• Respond to medical examiner, coroner, organ donation, research, or emergency situations when allowed by law.

Oregon Minor Privacy

Oregon law gives minors certain rights to consent to and keep confidential some health services. These rules can vary by age, service type, safety concern, and reporting requirement. Teen patients and parents are encouraged to ask the office how confidentiality applies before care is provided.

Our Responsibilities

• We are required by law to maintain the privacy and security of protected health information.
• We will let you know if a breach occurs that may have compromised your information.
• We must follow the duties and privacy practices described in this notice while it is in effect.
• We will not use or share your information other than as described here unless you tell us we can in writing.

Contact and Complaints

Privacy contact: Northwest Pediatrics & Adolescent Medicine, 541.386.2300, [email protected], 810 13th St, Hood River, OR 97031.

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.