Oregon Health Information Privacy Complaint Form for filing with HIPAA Privacy Office
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How to fill out Health Information Privacy Complaint Form For Filing With HIPAA Privacy Office?
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FAQ
Submit the complaint in person or via mail to: Health License Office, 1430 Tandem Ave. NE, Suite 180, Salem, OR 97301, fax: (503) 370-9216, or email: hlo.info@dhsoha.state.or.us.
HIPAA privacy violations can be reported to the HHS Office for Civil Rights by sending an email to the OCR complaint portal at OCRCompliance@hhs.gov.
Your complaint must: Be filed in writing: sent by mail, fax or e-mail. Name the person that is the subject of the complaint and describe the act or acts believed to be in violation of the Patient Safety Act requirement to keep PSWP confidential.
Submit the complaint in person or via mail to: Health License Office, 1430 Tandem Ave. NE, Suite 180, Salem, OR 97301, fax: (503) 370-9216, or email: hlo.info@dhsoha.state.or.us.
Your complaint must: Be filed in writing by mail, fax, e-mail, or via the OCR Complaint Portal. Name the covered entity or business associate involved, and describe the acts or omissions, you believed violated the requirements of the Privacy, Security, or Breach Notification Rules.
If the review identifies a potential HIPAA violation, it will be investigated further. An investigation can result in several outcomes. If no violation is identified, you should receive a communication explaining why. If a minor violation is identified, the organization will likely take steps to rectify it.
To file this type of complaint Download the Health Care Facility/Agency Complaint Intake Form. You may complete the form online and save or print it. Submit the completed form to our office by mail, e-mail or fax.
