Notice of Privacy Practices and Assignment of Benefits
This notice describes how your medical information may be used and disclosed, and how you can access this information. Please review it carefully.
Questions? Contact our Privacy Officer: Jennifer Hamilton, MD (541) 730-4400
Effective Date: June 1, 2026
Our Commitment to Your Privacy
Catalyst Psychiatry LLC is committed to protecting the privacy of your health information. We are required by law to maintain the confidentiality of your medical information, provide you with this notice, and follow the terms described here. We use only the minimum amount of information necessary for each purpose described below.
How We May Use and Share Your Information
Treatment: We use your health information to provide, coordinate, and manage your care. For example, we may share relevant records with a specialist, your primary care physician, or another provider involved in your treatment.
Payment: We use your information to bill your insurance company or other responsible parties, verify your eligibility for benefits, and collect payment for services provided. We may also bill you directly when applicable.
Practice Operations: We use your information for internal purposes such as quality improvement, staff training, peer review, credentialing, and administrative functions.
Appointment Reminders: We may contact you to remind you of upcoming appointments.
Treatment Alternatives: We may use your information to inform you of treatment options or health-related services that may be relevant to your care.
Marketing: We will not use your health information for marketing purposes without your written authorization. You may revoke any authorization you provide at any time in writing.
Business Associates: We may share your information with third-party vendors (such as billing services) who assist us in operating our practice. All such vendors are required by contract to protect the privacy of your information.
Other Situations Where We May Share Your Information
We may be required or permitted by law to share your information without your consent in the following situations:
We may also share relevant information with family members or others involved in your care unless you tell us otherwise, or when necessary, in an emergency.
Your Rights
Access Your Records: You may request to view or receive a copy of your health information. Requests should be submitted through the secure message service on our patient portal or in writing to the front desk. Per Oregon State Laws the following are the maximum fees that can be charged for records:
Request Corrections: If you believe your record is inaccurate or incomplete, you may request an amendment in writing. We may deny your request if the information is accurate, was not created by us, or if the original creator is no longer employed by our practice.
Request Restrictions: You may ask us to limit how we use or share your information. We are not required to agree to all requests, but we will honor those we approve. Important: If you have paid for a service entirely out of pocket, you have the right to request that we not share that information with your health plan — and we are required to honor that request.
Request Confidential Communications: You may ask us to contact you by a specific method (phone, email, or mail) or at a specific location. We will accommodate reasonable requests without requiring an explanation.
Request an Accounting of Disclosures: You may request a list of instances in which we have shared your health information over the past six years, excluding disclosures for treatment, payment, and routine operations. The first request in any 12-month period is free; additional requests may incur a fee.
Obtain a Copy of This Notice: You may request a paper or electronic copy of this notice at any time, and it is available on our website.
Designate a Representative: If you have granted medical power of attorney or have a legal guardian, that person may exercise your rights on your behalf.
Revoke an Authorization: If you have provided written authorization for a specific use or disclosure of your information, you may revoke it at any time in writing. We cannot undo disclosures already made prior to your revocation.
File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights:
You will not be penalized in any way for filing a complaint.
Our Responsibilities
Catalyst Psychiatry LLC is required to:
Changes to this notice apply to all existing and future health information we maintain about you.