To register as a new patient, Due to HIPAA (Health Insurance Portability and Accountability Act) regulations, we are required to obtain your written acknowledgment that you have had the opportunity to receive a copy of our Notices of Privacy Practices. You may obtain a paper copy at our office, or if you prefer you may obtain it electronically by clicking the link below called "Notices of Privacy Practices".
We ask that you sign the Acknowledgment and Consent form that shows you have received a copy. You may obtain a paper copy at our office, or if you prefer you may obtain it electronically by clicking the link below called "CONSENT".
You can mail this Acknowledgment and Consent to:
Salem Clinic Privacy Officer
2020 Capitol Street NE
Salem, Oregon 97303
or bring it to with you to your next appointment.
Download a PDF version of our CONSENT form. (PDF file. Requires the free Adobe Reader to view.)
Download a PDF version of our Notice of Privacy Practices. (PDF file. Requires the free Adobe Reader to view.)
Disclaimer
The information on this web site is provided by Salem Clinic, P.C. While every attempt is made to keep this information as timely and accurate as possible, no guarantee (implied or otherwise) is provided with regards to its' accuracy, completeness, or suitability of content. The user assumes full responsibility for using the information on this site, and understands and agrees that Salem Clinic, P.C. is neither responsible nor liable for any claim, loss, or damage resulting from its use. The mention of specific products or services at this site does not constitute or imply a recommendation or endorsement by Salem Clinic, P.C., unless it is explicitly stated.
Information on this web site is provided as a courtesy, and may be changed or updated without notice. Information may be out of date at any given time, since Salem Clinic, P.C. has no obligation to update information presented on this web site. Salem Clinic, P.C. may also make improvements and/or changes in products and/or services described in this information at any time without notice.
Under no circumstances should the information presented on this web site be considered the same as, or a substitute for, the advice of a physician.
Privacy Statement
Salem Clinic, P.C. is commited to protecting the privacy of our patients. Data collected on this web site, such as number of visitors, pages visited, and length of stay is collected on a strictly anonymous basis to improve the performance and functionality of the web site; however, no personally identifiable information is associated with this data, and it is not shared with any other entity or organization.
Links to Other Web Sites
This site contains links to other web sites which are not operated or maintained by Salem Clinic, P.C. Salem Clinic, P.C. cannot guarantee the content or availability of these sites, and is not responsible for the privacy practices or the content of such Web sites.
Mobile SMS Messaging
No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All other categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties
Contacting Our Web site
If you have any questions about this privacy statement, the practices of or issues with this web site, you may email us at: info@salemclinic.org. Comments or questions sent via email are shared with patient service staff to address questions and/or concerns, and may occasionally be retained for training and/or technical purposes.
