Privacy Practices Overview

This notice explains how your medical information may be used and disclosed, and how you can access this information.
Please review it carefully.

Your Rights.

When it comes to your health information, you have certain rights.
This section explains your rights and responsibilities.

Request an electronic or paper copy of your medical records
  • You can request to view or obtain an electronic copy of your medical records and other health information we maintain about you.
  • We will provide a copy or a summary of your health information through the patient portal.
Request corrections to your medical records
  • You can request corrections to your health information if you believe it is inaccurate or incomplete.
Request private communication methods
  • You can request that we contact you in a specific manner, such as by home or office phone, or send mail to a different address. We will accommodate reasonable requests.
Request restrictions on the use or sharing of your information
  • You can request that we do not use or share specific health information for treatment, payment, or operations. While we will consider your request, we may decline if it impacts your care.
  • If you pay for a service or healthcare item entirely out-of-pocket, you can request that we do not share this information with your health insurer for payment or operational purposes. We will generally comply unless legally required to disclose it.
Obtain a record of entities with whom we have shared your information
  • You can request corrections to your health information if you believe it is incorrect or incomplete. We will guide you on how to proceed with this request.
Request a copy of this privacy notice
  • You can request a paper copy of this notice at any time, even if you have opted to receive it electronically. We will ensure you receive a paper copy promptly.
Designate a representative to manage your health information
  • If you have appointed someone as your medical power of attorney or have a legal guardian, they can manage your rights and decisions regarding your health information.
  • We will verify that the designated person has the legal authority to act on your behalf before proceeding with any actions.
Submit a complaint if you believe your rights have been infringed upon
  • You can complain if you feel we have violated your rights by contacting Kitsap Gastro and Liver Clinic, at Tel: 360 447 8951, Fax: 360 587 2355
  • You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696- 6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.

Your Choices.

For certain health information, you can tell us your choices about what we share.
If you have specific preferences for how we share your information in the situations described below, please let us know. We will adhere to your instructions.

In these cases, you have both the right and choice to tell us to:
  • Share information with your family, close friends, or others involved in your care.
  • Share information in a disaster relief situation.
If you are unable to express your preferences, such as being unconscious, we may share your information if we believe it is in your best interest. Additionally, we may disclose your information to mitigate a serious or imminent threat to health or safety.

Our Uses and Disclosures.

This section provides important details about how we use your health information.

We never:
  • Sell your information
  • Share your information for marketing purposes unless with your written consent.
In the case of fundraising:
  • We may reach out to you for fundraising purposes. You have the option to opt out by following the instructions provided in the communication or by contacting our office directly at Tel: 360 447 8951.
Why would we ever share your health information?

These are the typical situations that would cause us to share your information.

To treat you
  • We can use your health information and share it with other professionals involved in your care.
    For example, we might provide your health history to a doctor treating you for an injury who requests it.
To run our organization
  • We can use and share your health information to run our practice, improve your care, and contact you when necessary.
    For example, we use health information about you to manage your treatment and services.
To bill for our services
  • We can use and share your health information to bill and get payment from health plans or other entities.
    For example, we give your information to our billing service and your health insurer to get payment.

Text Messaging (SMS) Communications.

Kitsap Gastro and Liver Clinic offers patients the option to engage in text messaging communications for transactional, informational, and healthcare-related purposes.

Types of Messages & Cadence
  • By providing your mobile telephone number to the clinic, you consent to receive recurring automated healthcare messages. These include appointment reminders, mobile check-in links, text-to-pay notices, and clinical care notifications. Message frequency varies based on your care schedule.
Rates & Charges
  • Kitsap Gastro and Liver Clinic does not charge a fee for text messaging services. However, standard message and data rates applied by your wireless carrier may apply.
Opt-Out Instructions
  • You have the right to revoke your text messaging consent at any time. You can opt out of our text service by calling our office directly or replying with STOP, QUIT, END, CANCEL, or UNSUBSCRIBE to any message you receive. You will receive a final text message confirming that you have been unsubscribed. For assistance, text HELP or contact our office.
HIPAA Risk Acknowledgement
  • Standard text messaging (SMS) is unencrypted and carries an inherent privacy risk that communications could potentially be intercepted by unintended third parties. By opting in, you acknowledge and accept these security risks. Our clinic minimizes this risk by following the minimum necessary standard and omitting sensitive protected health information from text bodies whenever possible.
🔒 SMS Privacy & Data Sharing Protection Disclosure
Mobile information and consumer data collected for text messaging utilities will not be shared, rented, sold, or transferred to third parties, partners, or affiliates for marketing or promotional purposes. This restriction explicitly includes mobile phone numbers, text messaging originator opt-in data, and documented patient consent; this specific data will not be shared under any circumstances with outside organizations.
How else can we use or share your health information?

We are allowed or required to share your information in other ways - usually in ways that contribute to the public good, such as public health and research. We must meet many legal conditions before sharing for any of these purposes.

Assist with public health and safety concerns

We can share in certain situations such as:

  • Preventing diseases
  • Helping with product recalls
  • Reporting adverse reactions to medication
  • Reporting suspected abuse, neglect, or domestic volence
  • Preventing or reducing a serious threat to anyone's health or safety
Conduct research
  • We can use and share your health information for health research purposes
Adhere to legal requirements
  • We will share information about you if state or federal ways require it, including with the Department of Health and Human Services in their audit of our compliance with federal privacy laws.
Respond to organ and tissue donation requests
  • We can share information about you with organ procurement organizations.
Collaborate with a medical examiner or funeral director
  • We can share information with a coroner, medical examiner or funeral director after the demise of the patient.
Address requests related to workers' compensation, law enforcement, and other governmental needs

We can use or share health information about you:

  • For worker's compensation claims
  • For law enforcement purposes or with a law enforcement official
  • With health oversight agencies for activities authorized by law
  • For special government functions such a military, national security, and presidential protective services
Respond to legal proceedings and court orders
  • We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities.

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will let you know if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it.
  • We will not use or share your information beyond what is described here unless you provide written consent. You can revoke this consent at any time by notifying us in writing.
Changes to the terms of this Notice
We can change the terms of this notice and the changes will apply to all information we have about you. The new notice will be available upon request, in our office and on our website.