The accordions below contain our patient privacy information and forms. Including:
For information regarding our web visitors, please see our Terms of Use and Privacy.
Samaritan Health Services (SHS) may participate in Organized Health Care Arrangements, which generally allow information to be shared among participating entities for purposes of treatment, payment or healthcare operations. SHS, Samaritan Health Plans and Intercommunity Health Network Coordinated Care Organization currently make up one such Organized Health Care Arrangement. SHS also participates in a separate Organized Health Care Arrangement with members of its medical staff.
Samaritan Health Services and all affiliated entities under its common control are, together, designated as an affiliated covered entity for purposes of the HIPAA privacy, security, and breach notification regulations.
Our Notice of Privacy Practices describes how medical information about you may be used, disclosed, and how you can get access to this information.
Read and download this notice in English and Spanish:
Discrimination is against the law.
Samaritan Health Services complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex (consistent with the scope of sex discrimination described at 45 CFR § 92.101(a)(2)). Samaritan Health Services does not exclude people or treat them less favorably because of race, color, national origin, age, disability or sex.
Samaritan Health Services provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services to communicate effectively with us, such as:
Samaritan Health Services provides free language assistance services to people whose primary language is not English, which may include:
If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, contact the Patient Experience Coordinator.
If you believe Samaritan Health Services has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with:
Samaritan Health ServicesPatient Experience Coordinator2300 NW Walnut Blvd.Corvallis, OR 97533541-768-5701[email protected]
You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, the Patient Experience Coordinator is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at hhs.gov, or by mail or phone at:
U.S. Department of Health and Human Services200 Independence Avenue, SWRoom 509F, HHH BuildingWashington, D.C. 20201800-368-1019800-537-7697 (TDD)
Complaint forms are available at hhs.gov.
Samaritan Health Services is committed to accessibility by making its programs and activities accessible to and useable by disabled persons, including persons who are deaf, hard of hearing, blind or who have other sensory impairments. Access features include:
If you require any of the aids listed above, please let the receptionist or your nurse know.
To review our Rights & Responsibilities of Patients literature, please select the appropriate link for your primary language below:
Rights and responsibilities of patientsDerechos y responsabilidades como paciente
Page updated February 15, 2016
When you sign up for text messages from Samaritan Health Services, you are signing up for messages such as reminders related to your health care visits, MyChart account, one-time passcode, payment and billing notifications, medication reminders and care management.
To sign up for these important text messages, text START to 87107.
You may also sign up by selecting Communications Preferences, under Account Settings, from the main menu in your MyChart patient portal online and click the button next to “Text Message.”
If you no longer want to receive text messages from Samaritan, you can opt out by texting the reply STOP.
If you are experiencing issues with text messaging from Samaritan, you can reply with the keyword HELP for assistance or call 1-800-640-5339.
We cannot guarantee the successful delivery of text messages by your wireless provider. Messages sent by text may not be delivered if the mobile device is not in range of a transmission site, or if the network is down. We and your wireless provider will not be liable for losses or damages that come from:
We are not liable for your use or reliance on the content of any text message.
Messages and data rates may apply for any text messages sent to you from Samaritan and to Samaritan from you. Message frequency may vary.
Text messages may include protected health information. Since text messaging is unencrypted, there is a risk that this protected health information could be intercepted or viewed by third parties, including others who look at your device. When you choose to get text messages from us, you do so at your own risk. The use and disclosure of protected health information in text messaging may be governed by other privacy notices, including applicable HIPAA Notice of Privacy Practices. You can view our Notice of Privacy Practices on this page or contact us at 1-800-640-5339 with any questions about privacy and security of your information.
See our list of Frequently Asked Questions about texting.
If you speak a non-English language, call 1-800-481-3293 (TTY: 1-800-735-2900) and you will be connected to an interpreter who will assist you at no cost.
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-481-3293 (TTY: 1-800-735-2900).
注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-481-3293（TTY 文字電話：1-800-735-2900).
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-481-3293 (TTY: 1-800-735-2900).
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-481-3293번 (TTY: 1-800-735-2900번)으로 전화하십시오.
ВНИМАНИЕ! Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните по номеру 1-800-481-3293 (телетайп: 1-800-735-2900).
ملحوظة: إذا كنت تتحدث العربية، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل على الرقم 3293-481-800-1 (هاتف الصم والبكم: 2900-735-800-1)
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-800-481-3293 (ATS : 1-800-735-2900).
注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-800-481-3293 (TTY: 1-800-735-2900).
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufen Sie uns an unter 1-800-481-3293 (TTY: 1-800-735-2900).
УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-800-481-3293 (телетайп: 1-800-735-2900).
ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la 1-800-481-3293 (TTY: 1-800-735-2900).
ប្រយ័ត្ន៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។ ចូរ ទូរស័ព្ទ 1-800-481-3293 (TTY: 1-800-735-2900)។
توجھ: اگر بھ زبان فارسی گفتگو می کنید، تسھیلات زبانی بصورت رایگان برای شما 1-800-481-3293 (TTY: 1-800-735-2900) فراھم می باشد. با تماس بگیرید.
XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-481-3293 (TTY: 1-800-735-2900).
Oregon Support Person Legislation: Implications for Patients & Families
Patients with disabilities have a right to support persons while they are in any Oregon hospital. The patient may choose at least three support persons to provide assistance and help with the patient’s care including:
At least one support person can be with the patient at all times in the emergency department and during the hospital stay. The Oregon Health Authority will evaluate hospital compliance with these state law requirements related to support persons.
Important elements of Oregon’s Support Person Law that you should know:
If you have a concern about your care or if you need a support person based on your disability, please bring it to the attention of your nurse, a nurse leader or a patient advocate in this hospital.
Please give the hospital the opportunity to quickly help resolve your concern about access to a support person and/or patient care.
See Samaritan’s Patient’s Right to Support Person(s) Policy.
Oregon Health Authority – You may contact the Oregon Health Authority, Health Care Regulation and Quality Improvement division, at www.healthoregon.org/hcrqi, by phone at 971-673-0540, or by email at [email protected]
Disability Rights Oregon’s website: www.droregon.org/covid-19-rights
References: Oregon Administrative Rules Oregon Revised Statues
This Support Person Notice for Posting shall be posted in the hospital at entry points to the hospital. Version: July 27, 2020
Discharge Plan for Behavioral Health Crisis
