Oregon Health Information Privacy Complaint for filing with Dept. of Health and Human Services Office of Civil Rights
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How to fill out Health Information Privacy Complaint For Filing With Dept. Of Health And Human Services Office Of Civil Rights?
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FAQ
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.
If you see a possible violation of the law, you can report it to the Oregon Public Health Division for investigation and further action. Use the online complaint form below or call 1-866-621-6107.
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.
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.
You may submit your complaint to the CDPH Privacy Office or to the U.S. Department of Health and Human Services (DHHS) (for complaints of violation of HIPAA only), or to both agencies at the addresses provided below.
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 you suspect a violation of your HIPAA privacy rights, you can report it anonymously. You may do so by calling 1-866-633-6472, or filling out this complaint form.
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.
File a formal complaint The form is available in different formats and languages. Email or drop off your completed form: Email forms to gao.info@odhs.oregon.gov. Drop off forms at a local ODHS office.
OHA is overseen by the nine-member citizen Oregon Health Policy Board working towards comprehensive health reform in our state.