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Changes To This Notice

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in our facilities. The notice will contain on the first page, in the top right-hand corner, the effective date. In addition, each time you register at or are admitted to the hospital for treatment or health care services as an inpatient or outpatient, we will offer you a copy of the current notice in effect.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Ephraim McDowell Health or with the Secretary of the Department of Health and Human Services. To file a complaint with us, contact the Patient Representative at any Ephraim McDowell Facility or the Privacy Officer for Ephraim McDowell Health at (859) 239-1000. All complaints must be submitted in writing.

You will not be penalized for filing a complaint.

Other Uses Of Medical Information

Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose medical information about you, then you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.

Who Will Follow This Notice

This notice describes Ephraim McDowell Health's practices and that of:

• Any health care professional authorized to enter information into your health record.
• All employees, medical staff and other personnel of the Ephraim McDowell Health Organized Health Care Arrangement.
• Any member of a volunteer group we allow to help you while you are in the Ephraim McDowell Health system.
• All divisions, departments and units of Ephraim McDowell Health's Organized Health Care Arrangement.
• All these entities, sites and facilities participating in Ephraim McDowell Health's Organized Health Care Arrangement, including, but not limited to:
  
  Ephraim McDowell Regional Medical Center;
  Fort Logan Hospital;
  Harrodsburg Family Medical Center;
  Liberty Family Medical Center;
  North Garrard Family Medical Center;
  Danville Family Physicians;
  Stanford Medical Park;
  McDowell Place of Danville;
  McDowell MedSource;
  Southtown Center;
  CooperativeCare, Inc.;
  Lincoln Physical Therapy;
  Homestead Family Practice; and
  McDowell Wellness and Rehabilitation Center.

These affiliated entities, sites and facilities follow the terms of this notice and may share protected health information with each other, as necessary, to carry out treatment, payment, or health care operations relating to Ephraim McDowell Health's Organized Health Care Arrangement.

If you have any questions about this notice, please contact the Privacy Officer for Ephraim McDowell Health at (859) 239-1000.