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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.

Partner Oncology respects your privacy. We understand that your personal health information is very sensitive. We will not disclose your information to others unless you tell us to do so, or unless the law authorizes or requires us to do so.

The law protects the privacy of the health information we create and obtain in providing our care and services to you. For example, your protected health information includes your symptoms, test results, diagnoses, treatment, health information from other providers, and billing and payment information relating to these services. Federal and state law allows us to use and disclose your protected health information for purposes of treatment and health care operations. State law requires us to get your authorization to disclose this information for payment purposes.

Examples of Use and Disclosures of Protected Health Information of Treatment, Payment, and Health Operations

For Treatment:

Information obtained by nurse, physician, or other member of our health care team will be recorded in your medical record and used to help decide what care may be right for you. We may also provide information to others who are providing you care. This will help them stay informed about your care.

For Payment:

We request payment from your health insurance plan. Health plans need information from us about your medical care. Information provided to health plans may include your diagnoses, procedures performed, or recommended care.

For Health Care Operations:

We use your medical records to assess quality and improve services.

We may use and disclose medical records to review the qualifications and performance of our health care providers and to train our staff.

We may contact you to remind you about appointments and give you information about treatment alternatives or other health-related benefits and services.

We may use and disclose your information to conduct or arrange for services, including:

For Public Health and Safety Purposes as Allowed or Required by Law:

To prevent or reduce a serious, immediate threat to the health or safety of a person or the public.

To Report Suspected Abuse or Neglect

Correctional Institutions if you are in jail or prison, as necessary for your health and the health and safety of others.

For Law Enforcement Purposes such as when we receive a subpoena, court order, or other legal process- or you are the victim of a crime.

For Disaster Relief Purposes For example, we may share health information with disaster relief agencies to assist in notification of your condition to family or others.

To the Military Authorities of U.S. and Foreign Military Personnel For example, the law may require us to provide information necessary to a military mission.

In the Course of Judicial/Administrative Proceedings at your request, or as directed by a subpoena or court order.

For Specialized Governmental Functions For Example, we may share information for national security purposes. We are required to:

We have the right to change our practices regarding the protected health information we maintain. If we make changes, we will update this notice. You may receive the most recent copy of this notice by calling or by visiting our office to pick one up.

To Ask for Help or Complain:

If you have questions, want more information, or want to report a problem about the handling of your protected health information, you may contact: HIPAA COMPLIANCE OFFICER (253) 770-1700

If you believe your privacy rights have been violated, you may discuss your concerns with any staff member. You may also deliver a written complaint to:

Dr. Liao @ Partner Oncology

1519 3rd St Se Suite 260

Puyallup, WA 98372

You may also file a complaint with the U.S. Secretary of Health and Human Services. If you complain we will not retaliate against you.

Your Health Information Rights

The health and billing records we create and store are the property of Partner Oncology. The protected health information in it, however, generally belongs to you. You have a right to:

For help with these rights during normal business hours, please contact:

Medical Records (253) 770-1700

We May Use and Disclose Your Protected Health Information without Your Authorization:

With Medical Researchers if the research has been approved ad has policies to protect the privacy of your health information. We may also share information with medical researchers preparing to conduct a research product.

To Funeral Directors/Coroners consistent with applicable law to allow them to carry out their duties.

To the Food and Drug Administration (FDA) relating to problems with food, supplements, and products.

To Comply with Workers’ Compensation Laws if you make a workers’ compensation claim.

Other Disclosures and Uses of Protected Health Information

Notification of Family and Others

Unless you object, we may release health information about you to a friend or family member who is involved in your medical care. We may also give information to someone who helps pay for your care. We may tell your family or friends your condition and that you are in a hospital. In addition, we may disclose health information about you to assist in disaster relief efforts.

You have the right to object to this use or disclosure of your information. If you object, we will not use or disclose it

Uses and disclosures not in this notice will be made only as allowed or required by law or with your written authorization.

Effective Date: 06/07/2016

This is an acknowledgement that I have received a copy of Notice of Privacy Practice.

Office Address
  • 1519 3rd St SE Ste 260 Puyallup, WA 98372
  • Mon – Fri 8:30 am to 5:00 pm (phones open at 8am)
    Nurse Only appointments for established patients:
    Sat-Sun (and holidays) 10:00am to 12:00pm
  • Work hours: 253-770-1700
    After hours: 253-770-1716
    Fax: 253-770-1702
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