NOTICE OF PRIVACY PRACTICES:

📆 Last Updated on: March 14, 2025

OUR COMMITMENT TO YOUR PRIVACY

We are committed to protecting the privacy of your health information. This Notice explains:
✔ How we may use and share your Protected Health Information (PHI).
✔ Your rights under the Health Insurance Portability and Accountability Act (HIPAA).
✔ Our responsibilities in keeping your information secure.

HOW WE USE YOUR HEALTH INFORMATION

We may use your health information for:
✔ Treatment – Sharing PHI with providers involved in your care.
✔ Payment – Using PHI to bill for services.
✔ Operations – Improving our services and quality of care.

We will not use or share your information for marketing or sell your information without your written permission.

YOUR RIGHTS

✔ Request access to your medical records.
✔ Ask for corrections to inaccurate records.
✔ Limit what information we share.
✔ Choose how we contact you (phone, email, text).
✔ Receive a list of disclosures of your PHI.

To exercise any of these rights, please contact our HIPAA Compliance Officer at:
📍 Full Potential Men’s Clinic – 6900 SW Atlanta Street, Suite #120, Portland, OR 97223

HOW WE PROTECT YOUR INFORMATION

We follow HIPAA and state laws to ensure your health information is kept private and secure.

HOW TO FILE A COMPLAINT

If you believe your privacy rights have been violated, you can:
✔ Contact our HIPAA Compliance Officer to discuss your concerns.
✔ File a complaint with the U.S. Department of Health & Human Services:

We will not retaliate against you for filing a complaint.

BREACH NOTIFICATION POLICY

If a breach occurs that may have compromised your PHI, we will:
✔ Notify affected individuals directly in writing.
✔ Report the breach to state and federal authorities if required.
✔ Post a public notification on our website if required by law.

To view active breach notifications (if applicable), please visit our HIPAA Breach Notification Page.

CHANGES TO THIS NOTICE

We may update this notice at any time. The latest version will always be:
✔ Available in our office.
✔ Posted on our website.

🔹 For questions about this notice, please contact our office.