Notice of Privacy Practices
Our Patient Privacy Policy
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.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that health care records and other individually identifiable health information used or disclosed by us in any form, electronic, paper, or oral, be kept confidential. This law gives you rights to understand and control how your health information is used. HIPAA provides penalties for covered entities that misuse personal health information. As required by law, we have prepared this notice explaining how we maintain the privacy of your health information and how we may use and disclose it.
Uses and Disclosures for Treatment, Payment, and Health Care Operations
We may use and disclose your health information without written authorization for treatment, payment, and health care operations.
- Treatment
Providing, coordinating, or managing care by one or more providers. For example, sharing information with specialists or laboratories. - Payment
Obtaining reimbursement, confirming coverage, billing, collections, and utilization review. For example, submitting claims to your dental plan. - Health Care Operations
Business and administrative activities such as quality assessment, training, licensing, and audits. - Uses and Disclosures Required or Permitted by Law
We may disclose your information when required or permitted by law, including for public health reporting, health oversight activities, law enforcement requests, abuse or neglect reporting, court orders, and other legal proceedings. We must disclose information to the U.S. Department of Health and Human Services upon request for compliance review.
Special Protections for Substance Use Disorder (SUD) Information
Some information may relate to substance use disorder. Certain SUD records receive additional protections under federal law. Where applicable, we will use or disclose such information only as permitted by law, including for treatment, payment, and health care operations when allowed. In some situations, your written consent may be required.
Redisclosure
Redisclosure of SUD information may be restricted under federal or state law.
Involvement in Your Care and Appointment Reminders
Unless you request otherwise, we may share information with a family member, friend, or personal representative involved in your care or payment. We may contact you for appointment reminders or information about treatment using postcards, phone calls, texts, or emails.
We will not use or disclose your information for marketing purposes or sell your information without your written authorization.
Other uses and disclosures not described in this notice will be made only with your written authorization.
Your Rights Regarding Protected Health Information
Requests must be submitted in writing to our Privacy Officer.
You have the right:
- To request restrictions on certain uses and disclosures. We are not required to agree, but if we do, we will honor it
- To request confidential communications by alternative means or locations
- To access, inspect, and receive copies of your information, including electronic copies when available
- To request amendments
- To receive an accounting of disclosures as permitted by law
- To obtain a paper copy of this notice upon request
Our Duties
We are required by law to maintain the privacy of your information and provide this notice. We are also required to notify you if a breach of your unsecured protected health information occurs.
Changes to This Notice
This notice is effective February 1, 2026. We reserve the right to change this notice at any time. New terms will apply to all information we maintain. Updated notices will be posted in the office and available upon request.
Complaints
You may file a complaint with us or with the U.S. Department of Health and Human Services if you believe your privacy rights have been violated. No retaliation will occur for filing a complaint.
Contact Information
Privacy Officer
Shannon Yount
c/o Walker & Krause PLLC
1105 4th Ave East Suite B
Olympia, WA 98506
(360) 754-5363
Federal Contact
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue SW
Washington, DC 20201
1 (877) 696-6775