Privacy Pledge

Our Pledge to Protect Your Privacy

Pacific Free Clinic knows that health information about you is personal, and we are committed to protecting the privacy of your information. As a patient of Pacific Free Clinic, the care and treatment you receive is recorded in a healthcare record, which includes the records of your medical and psychological care. So that we can best meet your medical needs, we must share your healthcare record with the health care providers involved in your care. We share your health information only to the extent necessary to collect payment for certain services we provide to you, to conduct our business operations, and to comply with the laws that govern health care. We will not use or disclose your health information for any other purpose without your permission.

We are required by law to:

• make sure that your health information is kept private, particularly your psychological care records;
• give you this Notice of our legal duties and privacy practices with respect to health information about you; and
• follow the terms of the Notice that is currently in effect.

If you have additional questions or concerns regarding your privacy, please inquire about the details of the privacy pledge Notice during your clinic visit.