To receive a copy and/or inspect your medical and billing records, please fill out this Release of Information Form and mail, email, or fax it to the Health Information Department at The Center.
Attention: Health Information Dept.
2200 NE Neff Road, Suite 200
Bend, Oregon 97701
Office hours are Monday through Friday, 8:00 a.m. to 5:00 p.m.
PRIVACY AND SECURITY
Your personal health information is absolutely secure – even more than a paper chart. Electronic records are protected by HIPAA compliant safety measures including system security, strict user permissions, and passwords. An electronic health record makes sharing information easier, but only with those who are authorized to receive the information. This provides continuity of care to patients and the system, and includes safety features that ensures only those participants in your care have access to your information. If you have questions please contact the Privacy Officer at 541-322-2329.
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)
This federal law addresses the right of patients to have their medical information kept private and confidential. HIPAA applies to all clinics, providers, and staff affiliated with The Center. Under HIPAA, any electronic, written, or oral health information that can identify a specific patient is considered Protected Health Information (PHI). Your health care information is a personal matter and we are committed to protecting its confidentiality.
NOTICE OF PRIVACY PRACTICES
As a requirement of HIPAA, you will receive a complete copy of our Notice of Privacy Practices at your first appointment with the clinic. This document provides detailed information about your rights regarding your personal and health information and how that information may be used and disclosed by The Center.