HIPAA 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.

Our Pledge Regarding Your Health Information

We understand that health information about you and your health care is personal. We are committed to protecting health information about you. We create a record of the care and services you receive to provide you with quality care and to comply with certain legal requirements.

How We May Use and Disclose Health Information

We may use and disclose your health information for treatment, payment, and health care operations purposes. We may also use or disclose your health information for other purposes permitted or required by law.

Your Rights Regarding Health Information

• Right to inspect and copy your health information
• Right to request amendment of your health information
• Right to an accounting of disclosures
• Right to request restrictions
• Right to receive confidential communications
• Right to a paper copy of this notice

Contact Our Privacy Officer

If you have questions or complaints, contact our Privacy Officer at privacy@portlandmhp.com or (207) 910-6580.

This is a placeholder HIPAA notice. A complete, legally compliant HIPAA Notice of Privacy Practices must be developed with a healthcare attorney prior to launch.