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TVCRN Privacy Policy and Donor Policy

Treasure Valley Children’s Relief Nursery



This notice describes how medical information about you may be used and disclosed and how you can get access to this information.


Please Review It Carefully


If you have any questions about this notice, please contact:

the Director at 541-823-2526


Who Will Follow This Notice


This notice describes the privacy practices of our employees, staff, and other office personnel regarding information privacy. The practices described in this notice will also be followed by healthcare practitioners you consult with by telephone (when your regular practitioner from our office is not available) who provide “call coverage” for our healthcare practice.


Your Health Information


This notice applies to the information and records we have about your health, health status, and the health care and service you receive at this office. We are required by law to give you this Notice. It will tell you about the ways in which we may use and disclose health information about you and describe your rights and our obligations regarding the use and disclosure of that information.


We may use and disclose health information about you without your permission for the following purposes:

  • For Treatment. We may use health information about you to provide you with medical treatment or services. We may disclose health information about you to other staff personnel who are involved in taking care of you and your health.


       For example, your doctor may be treating you and need to know if you have other health problems

       that could complicate your treatment. The doctor may use your medical history to decide what

       treatment is best for you. The doctor may also tell another doctor about your condition so that

       the doctor can help determine the most appropriate care for you.


  • Different personnel in our office may share information about you and disclose information to people who do not work in our office in order to coordinate your care, such as phoning in prescriptions to your pharmacy, scheduling lab work, and ordering x-rays. Family members and other healthcare providers may be part of your medical care outside this office and may require information about you that we have.


  • For payment. We may use and disclose health information about you so that the treatment and services you receive at this office may be billed to, and payment may be collected from you, an insurance company, or a third party.


For example, we may need to give your health plan information about a service you received here

so your health plan will pay us or reimburse you for the service. We may also tell your health plan

about a treatment you are going to receive to obtain prior approval or to determine whether your

plan will cover the treatment.


  • For Health Care Operations. We may use and disclose health information about you in order to run the office and make sure that you and our other patients receive quality care. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing, or credentialing activities.


  •  Appointment Reminders. We may contact you (via voicemail messages, postcards, or letters) as a reminder that you have an appointment for your treatment or medical care at our office.


  • Treatment Alternatives. We may tell you about or recommend possible treatment options or alternatives that may be of interest to you.


  • Health-Related Products and Services. We may tell you about health-related products or services that may be of interest to you.


  • Marketing Health-Related Services. We will not use your health information for marketing communications without your written authorization.


Please notify us if you do not wish to be contacted for appointment reminders or if you do not wish to receive communications about treatment alternatives or health-related products and services. If you advise us in writing (at the address listed at the top of this Notice) that you do not wish to receive such communications, we will not use or disclose your information for these purposes.


Special Situations

We use or disclose health information about you without your permission for the following purposes, subject to all applicable legal requirements and limitations:

  • To Avert a Serious Threat to Health or Safety. We may use and disclose health information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.


  • Required By Law. We will disclose health information about you when required to do so by Federal, state, or local law.


  • Research. We may use and disclose health information about you for research projects that are subject to a special approval process. We will ask you for your permission if the researcher will have access to your name, address, or other information that reveals who you are or will be involved in your care at the office.


  • Organ and Tissue Donation. If you are an organ donor, we may release health information to organizations that handle organ procurement or organ, eye, or tissue transplantation or to an organ donation bank as necessary to facilitate such donation and transplantation.


  • Military, Veterans, National Security and Intelligence. If you are or were a member of the armed forces or part of the national security or intelligence communities, we may be required by military command or other government authorities to release health information about you. We may also release information about foreign military personnel to the appropriate foreign military authority.


  • Workers’ Compensation. We may release health information about you for workers' compensation or similar programs. These programs provide benefits for work-related injuries or illnesses.


  • Public Health Risks. We may disclose health information about you for public health reasons in order to prevent or control disease, injury, or disability; or to report births, deaths, suspected abuse or neglect, non-accidental physical injuries, reactions to medications, or problems with products.


  • Health Oversight Activities. We may disclose health information to a health oversight agency for audits, investigations, inspections, or licensing purposes. These disclosures may be necessary for certain state and federal agencies to monitor the health care system, government programs, and compliance with civil rights laws.


  • Lawsuits and Disputes. If you are involved in a lawsuit or a dispute, we may disclose health information about you in response to a court or administrative order. Subject to all applicable legal requirements, we may also disclose health information about you in response to a subpoena.


  • Law Enforcement. We may release health information if asked to do so by law enforcement officials in response to a court order, subpoena, warrant, summons, or similar process, subject to all applicable legal requirements.


  • Coroners, Medical Examiners, and Funeral Directors. We may release health information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or to determine the cause of death.


  • Information Not Personally Identifiable. We may use or disclose health information about you in a way that does not personally identify you or reveal who you are.


  • Family and Friends. We may disclose health information about you to your family members or friends if we obtain your verbal agreement to do so or if we give you an opportunity to object to such a disclosure and you do not raise an objection. We may also disclose health information to your family or friends if we can infer from the circumstances, based on our professional judgment, that you would not object.


For example, we may assume you agree to our disclosure of your personal health information to your

spouse when you bring your spouse with you into the exam room during treatment or while treatment is discussed.


In situations where you are not capable of giving consent (because you are not present or due to your incapacity or medical emergency), we may, using our professional judgment, determine that a disclosure to your family member or friend is in your best interest. In that situation, we will disclose only health information relevant to the person’s involvement in your care.


We may also use our professional judgment and experience to make reasonable inferences that it is in your best interest to allow another person to act on your behalf to pick up, for example, filled prescriptions, medical supplies, or X-rays.


Other Uses and Disclosures of Health Information

We will not use or disclose your health information for any purpose other than those identified in the previous sections without your specific, written Authorization. We must obtain your authorization separately from any consent we may have obtained from you. If you give us your Authorization to use or disclose health information about you, you may revoke that Authorization in writing at any time. If you revoke your Authorization, we will no longer use or disclose information about you for the reasons covered by your written Authorization, but we cannot take back any uses or disclosures already made with your permission.


Your Rights Regarding Health Information About You

You have the following rights regarding the health information we maintain about you:

  • Right to Inspect and Copy. You have the right to inspect and copy your health information, such as medical and billing records, that we use to make decisions about your care. You must submit a written request to our designated Privacy Officer/Contact in order to inspect and/or copy your health information. If you request a copy of the information, we may charge a fee for the costs of copying, mailing, or other associated supplies. We may deny your request to inspect and/or copy in certain limited circumstances. If you are denied access to your health information, you may ask that the denial be reviewed. If the law requires such a review, we will select a licensed healthcare professional to review your request and our denial. The person conducting the review will not be the person who denied your request, and we will comply with the outcome of the review.


  • Right to Amend. If you believe the health information we have about you is incorrect or incomplete,   you may ask us to amend the information. You have the right to request an amendment as long as this office keeps the information. To request an amendment, complete and submit a MEDICAL RECORD AMENDMENT/ CORRECTION FORM to our designated Privacy Officer/Contact. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend the information that:

    •  We did not create unless the person or entity that created the information is no longer

    •  available to make the amendment

    •  Is not part of the health information that we keep

    •  You would not be permitted to inspect and copy

    •  Is accurate and complete


  • Right to an Accounting of Disclosures. You have the right to request an “accounting of disclosures.” This is a list of the disclosures we made of medical information about you for purposes other than treatment, payment, and healthcare operations. To obtain this list, you must submit your request in writing to our designated Privacy Officer/Contact. It must state a time period, which may not be longer than six years and may not include dates before April 14, 2003. Your request should indicate in what form you want the list (for example, on paper or electronically). The first list you request within a 12-month period will be free. For additional lists, we may charge you for the cost of providing them. We will notify you of the cost involved, and you may choose to withdraw or modify your request before any costs are incurred.


  • Right to Request Restrictions. You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or health care operations. You also have the right to request a limit on health information we disclose about you to someone who is involved in your care or the payment for it, like a family member or friend. For example, you could ask that we not use or disclose information about a surgery you had. We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you with emergency treatment. To request restrictions, you may complete and submit the REQUEST FOR RESTRICTION ON USE/DISCLOSURE OF MEDICAL INFORMATION to our designated Privacy Officer/Contact.

  •  Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. To request confidential communications, you may complete and submit the REQUEST FOR RESTRICTION ON USE/DISCLOSURE OF MEDICAL INFORMATION AND/OR CONFIDENTIAL COMMUNICATION to our designated Privacy Officer/Contact. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.


  • Right to a Paper Copy of This Notice. You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive it electronically, you are still entitled to a paper copy. To obtain such a copy, contact our designated Privacy Officer/Contact.


Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for medical information, we already have about you as well as any information we receive in the future. We will post a summary of the current Notice in the office with its effective date in the top right-hand corner. You are entitled to a copy of the Notice that is currently in effect.



If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. To file a complaint with our office, contact:


The Director At TVCRN

our office 541-823-2526, 780 SE 6th Street, Ontario, OR  97914


You will not be penalized for filing a complaint.

Donor Privacy Policy

Treasure Valley Children’s Relief Nursery is committed to respecting the privacy rights of all donors and visitors to our website. Treasure Valley Children’s Relief Nursery collects and uses personal information such as name, address, phone number, and email address when a donor voluntarily provides it to us for the purposes of facilitating Relief Nursery communication.


Treasure Valley Children’s Relief Nursery does NOT sell, trade, or share its donor list with any other organization or entity. Treasure Valley Children’s Relief Nursery carefully protects documents containing information about our donors and is irrevocably destroyed when no longer needed. In addition, Treasure Valley Children’s Relief Nursery keeps a record of each donor's giving history. This information is kept on file for IRS purposes and is also used by Development personnel to analyze overall giving patterns in order to make more accurate budget projections and plan for the future of our organization. Information on our donors is password-protected and may only be accessed by individuals who need such information to perform their assigned duties for Treasure Valley Children’s Relief Nursery.


This includes individuals or companies who enter or analyze data, visit donors, plan fundraising events, work in a fundraising capacity for the organization, or prepare budgets and financial information.


Treasure Valley Children’s Relief Nursery uses the services of outside vendors to print and mail our newsletters and complete the online donation process. These vendors adhere to Treasure Valley Children’s Relief Nursery's commitment to the privacy and security of our donors and our Donor Privacy Policy. At your request, the Relief Nursery will remove your name from our mailing list and email list at any time. The wishes of donors who prefer to remain anonymous will always be honored.

 Donor Bill of Rights

 1. To be informed of Treasure Valley Children’s Relief Nursery's mission, of the way Treasure Valley Children’s Relief Nursery intends to use donated resources, and of its capacity to use donations effectively for their intended purposes.

 2. To be informed of the identity of those serving on Treasure Valley Children’s Relief Nursery's governing board and to expect the board to exercise prudent judgment in its stewardship responsibilities.

 3. To have access to Treasure Valley Children’s Relief Nursery's most recent financial statements.

 4. To be assured that their gifts will be used for the purposes for which they were given.

 5. To receive appropriate acknowledgment and recognition.

 6. To be assured that information about their donations is handled with respect and confidentiality to the extent provided by law.

7. To expect that all relationships with individuals representing Treasure Valley Children’s Relief Nursery will be professional in nature.

 8. To be informed whether those seeking donations are volunteers, employees of the Treasure Valley Children’s Relief Nursery, or hired solicitors.

 9. To have the opportunity for their names to be deleted from mailing lists.

10. Feel free to ask questions when making a donation and receive prompt, truthful, and forthright answers.

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