Notice Of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. This notice takes effect on April 13, 2003 and remains in effect until future notice.

1. OUR PLEDGE REGARDING MEDICAL INFORMATION The privacy of your medical information is important to us. We understand that your medical information personal and we are committed to protecting it. We create a record of care and services you receive at our organization. We need this record to provide you with quality care and comply with certain legal requirements. This notice will tell you about the ways we may use and share medical information about you. We also describe your rights and certain duties we have regarding the use and disclosure of medical information. 2. OUR LEGAL DUTY Law Requires Us to: Keep your medical information private. Give you this notice describing our legal duties, privacy practices, and your rights regarding your medical information. Follow the terms of the current notice. We Have the Right to: Change our privacy practices and the terms of this notice at any time, provide that the changes are permitted by law. Make changes in our privacy practices and the new terms of our notice effective for all medical information that we keep, including information previously created or received before the changes. Notice of Change to Privacy Practices: Before we make an important change in our privacy practices, we will change this notice and make the new notice available upon request. 3. USE AND DISCLOSURE OF YOUR MEDICAL INFORMATION The following section describes different ways that we use and disclose medical information. Not every use or disclosure will be listed. However, we have listed all of the different ways we are permitted to use and disclose medical information. WE WILL NOT USE OR DISCLOSE YOUR MEDICAL INFORMATION FOR ANY PURPOSE NOT LISTED BELOW, WITHOUT YOUR SPECIFIC WRITTEN AUTHORIZATION. ANY SPECIFIC WRITTEN AUTHORIZATION YOU PROVIDE MAY BE REVOKED AT ANY TIME BY WRITING TO US AT THE ADDRESS PROVIDED AT THE END OF THIS NOTICE. FOR TREATMENT:We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, technicians, medical students, or ohter people who are taking care of you. We may also share medical information about you to your other health care providers to assist them in treating you. FOR PAYMENT: We may use and disclose your medical information for payment purposes. A bill may be sent to you or a third party payer. The information on or accompanying the bill may include your medical information.