The purpose of this policy is to ensure patients the right to request Confidential Communications as required by HIPAA.

HIPAA permits a patient to request that the covered entity communicates by alternative means or to alternative locations.

The scope of this policy is all workforce members of Pacific University’s health care component. Pacific University is a hybrid entity. Only the health care component (i.e., the covered functions) of Pacific University must comply with this policy. All references in this policy to “Pacific University” shall be construed to refer only to the health care component of Pacific University.

Updated March 2025

Request for Confidential Communications Form

Confidential Communications Revocation Form

PHI Script and Privacy Statement