Patient Resources

Protecting our patients comes first. All patients at Jordan Valley have privacy and information rights. We are dedicated to making sure you understand your rights and responsibilities regarding our services and provider-patient relationships.

Medical Records

​We can send you a copy of your medical records. Please print and complete the form below. Note that Jordan Valley charges a fee for some records requests.

Free Record Requests

Contact [email protected] with any questions.

Patient Rights & Responsibilities

As a patient, you have rights concerning your care and treatment choices. Getting services at Jordan Valley also means our providers trust you to provide accurate information, keep appointments, ask questions and respect the rights of other patients and staff. Before you make an appointment, be aware of your rights and responsibilities.

Share Your Experiences

Our services depend on your feedback. Suggestions from our patients help us improve and meet the needs of our community. We encourage patients to voice their experiences, concerns and suggestions.

Privacy Practices

A Notice of Privacy Practices is provided to each patient at their first appointment. Patients are asked to sign an Acknowledgment of Receipt of Notice of Privacy Practices at that time. If a patient chooses not to acknowledge the Notice of Privacy Practices, we will not condition treatment on the patient’s acknowledgement.

The Notice of Privacy Practices is always posted in publicly accessible areas of Jordan Valley’s clinics to assure all individuals are provided ability to review.

​Protecting the Privacy & Security of Your Health Information

The protection of your privacy and security of your patient health information is a top priority for Jordan Valley Community Health Center. In accordance with federal laws, there are policies and security safeguards in place to protect your health information—whether it is stored on paper or electronically.

​The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy, Security and Breach Notification Rules are the main federal laws that protect your health information. The Privacy Rule gives you rights with respect to your health information and sets limits on how your health information can be used and shared with others. The Security Rule sets rules for how your health information must be kept secure with administrative, technical and physical safeguards. There are also federal laws that protect specific types of health information, such as information related to federally funded alcohol and substance abuse treatment.

Your Privacy Rights

If you believe your health information privacy has been violated, please contact our compliance department by email [email protected] or phone at 417-851-1556 to request a review of your concerns.