Patient Privacy

Patient Privacy

SHS Notice of Patient Rights

Our Notice of Program Accessibility addresses Samaritan Health Services commitment to accessibility and non-discrimination.

SHS Terms of Use and Privacy Statement

Our Terms of Use and Privacy Statement addresses Samaritan Health Services web presence and its use. 

SHS Notice of Privacy Practices

Our SHS Notice of Privacy Practices describes how medical information about you may be used, disclosed, and how you can get access to this information.

SHS Patient Rights Forms

Authorization to Request from Non-Samaritan Health Services Care Provider:
English | Spanish
Patient Request for Restriction of Uses and Disclosures: English | Espanol
Patient Request for Accounting and Disclosures: English | Espanol
Patient Request for Amendment of Medical Record: English | Espanol
Patient Request for Confidential Communications: English | Espanol
Patient Authorization to: Discuss Health Information (Verbal) with Friends and Family and/or Leave Care-Related Messages on a Messaging System: English