The services provided to each individual patient that are provided my me and my staff are held with utmost confidentiality. Your health information is protected, your treatment and care are respected here in our office. My staff is fully trained and educated to abide by the terms of the Notices of Privacy Practices.
NOTICE OF PRIVACY PRACTICES
This Notice of Privacy Practices describes how the Portland Plastic Sugeon, Dr. Vu,
may use and disclose your protected health information to carry out treatment,
payment or health care operations and for other purposes that are permitted or
required by law. Protected health information is information about you, including
demographic information, that may identify you and that relates to your past,
present or future physical or mental health or condition and related health care
services. This notice also describes your rights with respect to the Personal
Health Information and how you can exercise those rights.
We are required to abide by the terms of this Notice of Privacy Practices. We
may change the terms of our notice, at any time. The new notice will be
effective for all protected health information that we maintain at that time. If the
notice changes, you may contact us and request that a revised copy be sent to
you in the mail or you may ask for one at the time of your next appointment.
1. USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION
Your protected health information may be used and disclosed Dr. Vu and office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and
disclosed to pay your health care bills and to support the operation of the
The following examples include types of uses and disclosures of your protected
health care information that Dr. Vu is permitted to make. These examples are not meant to be exhaustive, but to give comprehensive information on the types of uses and disclosures that may be made by our office.
Your protected health information will be used by us for providing, coordinating
or managing your health care and any related services. This includes the
coordination or management of your health care with a third party that has
already obtained your permission to have access to your protected health
information. For example, we would disclose your protected health information,
as necessary, to a recovery facility that provides care to you. We will also
disclose protected health information to other physicians who may be treating
you when we have the necessary permission from you to disclose your protected
health information. For example, your protected health information may be
provided to a physician to whom you have been referred, to ensure that the
physician has the necessary information to diagnose or treat you.
In addition, we may disclose your protected health information from time-to-time
to another physician or health care provider (e.g., a specialist or laboratory) who,
at the request of your physician, becomes involved in your care by providing
assistance with your health care diagnosis or treatment to your physician.
Your protected health information will be used, as needed, to obtain payment for
your health care services. This may include certain activities that your health
insurance plan may undertake before it approves or pays for the health care
services we recommend for you such as; making a determination of eligibility or
coverage for insurance benefits, reviewing services provided to you for medical
necessity, and undertaking utilization review activities. For example, obtaining
approval for a hospital stay may require that your relevant protected health
information be disclosed to the health plan to obtain approval for the hospital
We may use or disclose, as needed, your protected health information in order to
support the business activities of your physician’s practice. These activities
include, but are not limited to, quality assessment activities, employee review
activities, training of medical students, licensing, marketing and fundraising
activities, and conducting or arranging for other business activities.
For example, we may disclose your protected health information to medical
school students that see patients at our office. In addition, we may use a sign-in
sheet at the registration desk where you will be asked to sign your name and
indicate your physician. We may also call you by name in the waiting room when
Dr. Vu is ready to see you. We may use or disclose your protected health information, as necessary, to contact you to remind you of your appointment.
We will share your protected health information with third party “business
associates” that perform various activities (e.g., billing, transcription services) for
the practice. Whenever an arrangement between our office and a business
associate involves the use or disclosure of your protected health information, we
will have a written contract that contains terms that will protect the privacy of
your protected health information.
We may use or disclose your protected health information, as necessary, to
provide you with information about treatment alternatives or other health-related
benefits and services that may be of interest to you. We may also use and
disclose your protected health information for other marketing activities. For
example, your name and address may be used to send you a newsletter about
our practice and the services we offer. We may also send you information about
products or services that we believe may be beneficial to you. You may contact
our Privacy Contact to request that these materials not be sent to you.
We may use or disclose your demographic information and the dates that you
received treatment from your physician, as necessary, in order to contact you for
fundraising activities supported by our office. If you do not want to receive these
materials, please contact our Privacy Contact and request that these fundraising
materials not be sent to you.
USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION
BASED UPON YOUR WRITTEN AUTHORIZATION
Other uses and disclosures of your protected health information will be made
only with your written authorization, unless otherwise permitted or required by
law as described below. You may revoke this authorization, at any time, in
writing, except to the extent that your physician or the physician’s practice has
taken an action in reliance on the use or disclosure indicated in the authorization.
OTHER PERMITTED AND REQUIRED USES AND DISCLOSURES THAT MAY
BE MADE WITH YOUR AUTHORIZATION OR OPPORTUNITY TO OBJECT
We may use and disclose your protected health information in the following
instances. You have the opportunity to agree or object to the use or disclosure of
all or part of your protected health information. If you are not present or able to
agree or object to the use or disclosure of the protected health information, then
Dr. Vu may, using professional judgement, determine whether
the disclosure is in your best interest. In this case, only the protected health
information that is relevant to your health care will be disclosed.
Others Involved in Your Healthcare
Unless you object, we may disclose your protected health information to a
member of your family, a relative, a close friend or any other person you identify
when it directly relates to that person’s involvement in your health care. If you
are unable to agree or object to such a disclosure, we may disclose such
information as necessary if we determine that it is in your best interest based on
our professional judgment. We may use or disclose protected health information
to notify or assist in notifying a family member, personal representative or any
other person that is responsible for your care of your location, general condition
or death. Finally, we may use or disclose your protected health information to an
authorized public or private entity to assist in disaster relief efforts and to
coordinate uses and disclosures to family or other individuals involved in your
We may use or disclose your protected health information in an emergency
treatment situation. If Dr. Vu or another physician in the
practice is required by law to treat you, he or she may still use or disclose your
protected health information.
OTHER PERMITTED AND REQUIRED USES AND DISCLOSURES THAT MAY BE MADE WITHOUT YOUR AUTHORIZATION OR OPPORTUNITY TO OBJECT
We may use or disclose your protected health information in the following situations without your authorization. These situations include:
Required By Law
We may use or disclose your protected health information to the extent that the
use or disclosure is required by law. The use or disclosure will be made in
compliance with the law and will be limited to the relevant requirements of the
law. You will be notified, as required by law, of any such uses or disclosures.
We may disclose your protected health information for public health activities
and purposes to a public health authority that is permitted by law to collect or
receive the information. The disclosure will be made for the purpose of
controlling disease, injury or disability. We may also disclose your protected
health information, if directed by the public health authority, to a foreign
government agency that is collaborating with the public health authority.
We may disclose your protected health information, if authorized by law, to a
person who may have been exposed to a communicable disease or may
otherwise be at risk of contracting or spreading the disease or condition.
We may disclose protected health information to a health oversight agency for
activities authorized by law, such as audits, investigations, and inspections.
Oversight agencies seeking this information include government agencies that
oversee the health care system, government benefit programs, other
government regulatory programs and civil rights laws.
Abuse or Neglect
We may disclose your protected health information to a public health authority
that is authorized by law to receive reports of child abuse or neglect. In addition,
we may disclose your protected health information if we believe that you have
been a victim of abuse, neglect or domestic violence to the governmental entity
or agency authorized to receive such information. In this case, the disclosure will
be made consistent with the requirements of applicable federal and state laws.
Food and Drug Administration
We may disclose your protected health information to a person or company
required by the Food and Drug Administration to report adverse events, product
defects or problems, biologic product deviations, track products; to enable
product recalls; to make repairs or replacements, or to conduct post marketing
surveillance, as required.
We may disclose protected health information in the course of any judicial or
administrative proceeding, in response to an order of a court or administrative
tribunal (to the extent such disclosure is expressly authorized), in certain
conditions in response to a subpoena, discovery request or other lawful process.
We may also disclose protected health information, for law enforcement
purposes, so long as applicable legal requirements are met. These law
enforcement purposes include legal processes and otherwise required by law,
limited information requests for identification and location purposes, pertaining to
victims of a crime, suspicion that death has occurred as a result of criminal
conduct, in the event that a crime occurs on the premises of the practice, and
medical emergency (other than on the Practice’s premises) and it is likely that a
crime has occurred.
Coroners, Funeral Directors, and Organ Donation
We may disclose protected health information to a coroner or medical examiner
for identification purposes, determining cause of death or for the coroner or
medical examiner to perform other duties authorized by law. We may also
disclose protected health information to a funeral director, as authorized by law,
in order to permit the funeral director to carry out their duties. We may disclose
such information in reasonable anticipation of death. Protected health
information may be used and disclosed for cadaveric organ, eye or tissue
We may disclose your protected health information to researchers when their
research has been approved by an institutional review board that has reviewed
the research proposal and established protocols to ensure the privacy of your
protected health information.
Consistent with applicable federal and state laws, we may disclose your
protected health information, if we believe that the use or disclosure is necessary
to prevent or lessen a serious and imminent threat to the health or safety of a
person or the public. We may also disclose protected health information if it is
necessary for law enforcement authorities to identify or apprehend an individual.
Military Activity and National Security
When the appropriate conditions apply, we may use or disclose protected health
information of individuals who are Armed Forces personnel for activities deemed
necessary by appropriate military command authorities; for the purpose of a
determination by the Department of Veterans Affairs of your eligibility for
benefits, or to foreign military authority if you are a member of that foreign
military services. We may also disclose your protected health information to
authorized federal officials for conducting national security and intelligence
activities, including for the provision of protective services to the President or
others legally authorized.
Your protected health information may be disclosed by us as authorized to
comply with workers’ compensation laws and other similar legally-established
We may use or disclose your protected health information if you are an inmate
of a correctional facility and your physician created or received your protected
health information in the course of providing care to you.
Required Uses and Disclosures
Under the law, we must make disclosures to you and when required by the
Secretary of the Department of Health and Human Services to investigate or
determine our compliance with the requirements of Section 164.500 et. seq.
2. YOUR RIGHTS
Following is a statement of your rights with respect to your protected health
information and a brief description of how you may exercise these rights.
YOU HAVE THE RIGHT TO INSPECT AND COPY YOUR PROTECTED HEALTH INFORMATION.
This means you may inspect and obtain a copy of protected health information
about you that is contained in a designated record set for as long as we maintain
the protected health information. A “designated record set” contains that Dr. Vu uses for making decisions about you.
Under federal law, however, you may not inspect or copy the following records;
psychotherapy notes; information compiled in reasonable anticipation of, or use
in, a civil, criminal, or administrative action or proceeding, and protected health
information that is subject to law that prohibits access to protected health
information. Depending on the circumstances, a decision to deny access may be
reviewable. In some circumstances, you may have a right to have this decision
reviewed. Please contact our Privacy Contact if you have questions about
access to your medical record.
YOU HAVE THE RIGHT TO REQUEST A RESTRICTION OF YOUR PROTECTED HEALTH INFORMATION.
This means you may ask us not to use or disclose any part of your protected
health information for the purposes of treatment, payment or healthcare
operations. You may also request that any part of your protected health
information not be disclosed to family members or friends who may be involved
in your care or for notification purposes as described in this Notice of Privacy
Practices. Your request must state the specific restriction requested and to whom
you want the restriction to apply.
Dr. Vu is not required to agree to a restriction that you may
request. If your physician believes it is in your best interest to permit use and
disclosure of your protected health information, your protected health information
will not be restricted. If Dr. Vu does agree to the requested restriction, we may not use or disclose your protected health information in violation of that restriction unless it is needed to provide emergency treatment. With this in mind, please discuss any restriction you wish to request with Dr Vu. Restriction requests must be made in writing, to our practice, at 9555 SW Barnes Rd, Suite 275, Portland, Oregon 97225
YOU HAVE THE RIGHT TO REQUEST TO RECEIVE CONFIDENTIAL COMMUNICATIONS FROM US BY ALTERNATIVE MEANS OR AT AN ALTERNATIVE LOCATION.
We will accommodate reasonable requests. We may also condition this
accommodation by asking you for information as to how payment will be handled
or specification of an alternative address or other method of contact. We will not
request an explanation from you as to the basis for the request. Please make
this request in writing to our Privacy Contact.
YOU MAY HAVE THE RIGHT TO HAVE YOUR PHYSICIAN AMEND YOUR PROTECTED HEALTH INFORMATION.
This means you may request an amendment of protected health information
about you in a designated record set for as long as we maintain this information.
In certain cases, we may deny your request for an amendment. If we deny your
request for amendment, you have the right to file a statement of disagreement
with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. Please contact our Privacy Contact to determine if you have questions about amending your medical record.
YOU HAVE THE RIGHT TO RECEIVE AN ACCOUNTING OF CERTAIN DISCLOSURES WE HAVE MADE, IF ANY, OF YOUR PROTECTED HEALTH INFORMATION.
This right applies to disclosures for purposes other than treatment, payment or
healthcare operations as described in this Notice of Privacy Practices. It
excludes disclosures we may have made to you, for a facility directory, to family
members or friends involved in your care, or for notification purposes. You have
the right to receive specific information regarding these disclosures that occurred
after April 14, 2003. You may request a shorter timeframe. The right to receive
this information is subject to certain exceptions, restrictions and limitations.
YOU HAVE THE RIGHT TO OBTAIN A PAPER COPY OF THIS NOTICE FROM US
You may request a paper copy of this notice, even if you have agreed to accept this notice electronically.