Patient Privacy Practices Information & Forms

Marshall Medical Center Confidentiality

Notice: CaptureRx, a Third Party Administrator for Marshall Medical Center, experienced a recent event that may have affected the privacy of some of our patients' information. Individual notices were mailed to Marshall Medical Center patients that were identified during the investigation. For information regarding this incident please go to https://www.capturerx.com/data-incident/.

If you have changed your address in the last 30 days and have not received a notice and are concerned that your information may have been involved in this incident, please call Marshall's Privacy Officer at 530-626-2996.

• Alternate Confidential Communication Request
• Authorization for Disclosure of Medical Information
• Designation of Personal Representative / Designee For Release Of Information
• Request to Amend Protected Health Information
• Notice of Patient Privacy Practices
• HIPAA Privacy Policy