Notice of Privacy Practices

Pacific University is committed to preserving the privacy of your health information. We are required by law to keep your health information private and provide you with this Notice of Privacy Practices. We are also required to provide you with this Notice describing our legal duties and our practices concerning your health information. We reserve the right to change this Notice and to make the revised or changed Notice effective for health information we already have about you, as well as any information we receive in the future. We will have a copy of the current Notice with an effective date in clinical locations and any changes made to the Notice will be posted in the Patient Registration area, posted on our website and given to you at your next appointment. Pacific University is required to notify you if your protected health information is breached.

Notice of Privacy Practices — English

Notificación de Prácticas de Privacidad — Spanish

Request to Inspect or Copy Protected Health Information Form

For Clinic Use: 

Notice of Privacy Practices Acknowledgement - English

Notice of Privacy Practices Acknowledgement - Spanish

Notice of Privacy Practices Handout - English

Notice of Privacy Practices Handout - Spanish