i. Treatment. We may use or disclose your health information for the purpose or providing, or allowing others to provide, treatment to you or any other individual. An example would be if your physician discloses your health information to another doctor for the purposes of a consultation. Also, we may contact you with appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.

ii. Payment. We may use and/or disclose your health information for the purpose of allowing us, as well as other entities, to secure payment for the health care services provided to you. For example, we may inform your health insurance company of your diagnosis and treatment in order to assist the insurer in processing our claim for payment for health care services provided to you.

iii. Health Care Operations. We may use and/or disclose your information for the purposes of our day-to-day operations and functions. We may also disclose your information to another covered entity to allow it to perform its day-to-day functions, but only to the extent that we both have a relationship with you or if we are part of an "organized health care arrangement" with the other entity, such as the hospitals where our physicians practice. For example, we may compile your health information, along with that of other patients, in order to allow us to review that information and make suggestions concerning how to improve the quality of care.

II. We may also disclose to your relatives or close personal friends any health information that is directly related to that person's involvement in the provision of, or payment for, your care. We may also use and disclose your health information for the purpose of locating and notifying your relatives or close personal friends of your location and general condition or death, and to Organizations that are involved in those tasks during disaster situations. Except in emergency situations, we will inform you that we intend to share information in this way and will give you an opportunity to object.

III. The following categories of information will not be used or disclosed in accordance with the terms set forth in Sections 1 and 2, above. These types of information are provided special protection by law, and thus will be used and disclosed only as described below.or death, and to Organizations that are involved in those tasks during disaster situations. Except in emergency situations, we will inform you that we intend to share information in this way and will give you an opportunity to object.

1. to you;

2. to the physician who ordered the HIV test, or the physician's designee;

3. to an agent or employee of this physician practice who is involved in your treatment;

4. to a peer review committee;

5. to providers who need the information to treat you in an emergency, or to provide a consultation to us;

6. to a funeral director;

7. to report vital statistics;

8. to comply with public health laws;

9. to insurers, as necessary to allow us to obtain payment for services provided to you;

10. pursuant to a court order;

11. to a county mental health, retardation, or juvenile delinquency facility; or

12. to a county mental health, retardation, or juvenile delinquency facility; or

13. to someone with whom you have sexual or needle sharing contact, but only if your physician believes the contact is at risk of future infection. Before making a notification, your physician will discuss with you the need to notify the contact and/or cease the behavior that poses a risk of infection to the contact. Only after determining that you will not notify the contact and/or cease the infectious behavior will the physician notify the contact. You will be informed of the notification before it occurs. Any information provided to your contact will not identify you, nor any of the other individuals with whom you are known to have sexual or needle sharing contact.

1. to you;

2. to those providing treatment to you;

3. to the county administrator, as permitted by state law; and

4. in the course of legal proceedings under the Mental Health Procedures Act.

1. with your written authorization, to medical providers who need the information to diagnose and treat you;

2. to medical providers who need the information to provide life-saving, emergency treatment to you; and

3. with your written authorization, to government or other officials to obtain benefits due to you as a result of your substance abuse or dependence.

1. with your written authorization, to allow treatment to be provided to you;

2. pursuant to court order;

3. in the course of an audit of the physician by your health insurer;

4. in the course of a malpractice suite; and

5. as necessary to comply with federal and state health care laws.

IV. Health Information of Minors

I. To Request Restrictions. You have the right to request restrictions on the use and disclosure of your health information for treatment, payment or health care operations purposes or notification purposes. We are not required to agree to your request. If we do agree to a restriction, we will abide by that restriction unless you are in need of emergency treatment and the restricted information is needed to provide that emergency treatment. To request a restriction, submit a written request to the Contact Person listed on the final page of this Notice.

II. To Limit Communications. You have the right to receive confidential communications about your own health information by alternative means or at alternative locations. This means that you may, for example, designate that we contact you only via e-mail, or at work rather than home. To request communications via alternative means or at alternative locations, you must submit a written request to the Contact Person listed on the final page of this Notice. All reasonable requests will be granted.

III. To Access and Copy Health Information. You have the right to inspect and copy any health information about you other than psychotherapy notes, information compiled in anticipation of or for use in civil, criminal, or administrative proceedings, or certain information that is governed by the clinical Laboratory Improvement Act. To arrange for access to your records, or to receive a copy of your records, you should submit a written request to the Contact Person listed on the last page of this Notice. If you request copies, you will be charged our regular fee for copying and mailing the requested information.

Despite your general right to access your Protected Health Information, access may be denied in some limited circumstances. For example, access may be denied if you are an inmate at a correctional institution or if you are a participant in a research program that is still in progress. Access may be denied if the federal Privacy Act applies. Access to information that was obtained from someone other than a health care provider under a promise of confidentiality can be denied if allowing you access would reasonably be likely to reveal the source of the information. The decision to deny access under these circumstances is final and not subject to review.

In addition, access may be denied if (i) access to the information in question is reasonably likely to endanger the life and physical safety of you or anyone else, (ii) the information makes reference to another person and your access would reasonably be likely to cause harm to that person, or (iii) you are the personal representative of another individual and a licensed health care professional determines that your access to the information would cause substantial harm to the patient or another individual. If access is denied for these reasons, you have the right to have the decision reviewed by a health care professional who did not participate in the original decision. If access is ultimately denied, the reasons for that denial will be provided to you in writing.

IV. To Request Amendment. You may request that your health information be amended. Your request may be denied if the information in question: was not created by us (unless you show that the original source of the information is no longer available to seek amendment from), is not part of our records, is not the type of information that would be available to you for inspection or copying (for example, psychotherapy notes), or is accurate and complete. If your request to amend your health information is denied, you may submit a written statement disagreeing with the denial, which we will keep on file and distribute with all future disclosures of the information to which it relates. Request to amend health information must be submitted in writing to the Contact Person listed on the final page of this Notice.

V. To an Accounting of Disclosures. You have the right to an accounting of any disclosures of your health information made during the six-year period preceding the date of your request. However, the following disclosures will not be accounted for: (i) disclosures made the purpose of carrying out treatment, payment or health care operations, (ii) disclosures made to you, (iii) disclosures of information maintained in our patient directory, or disclosures made to persons involved in your care, or for the purpose of notifying your family or friends about your whereabouts, (iv) disclosures for national security or intelligence purposes, (v) disclosures to correctional institutions or law enforcement officials who had you in custody at the time of disclosure, (vi) disclosures that occurred prior to April 14, 2003, (vii) disclosures made pursuant to an authorization signed by you, (viii) disclosures that are part of a limited data set, (ix) disclosures that are incidental to another permissible use or disclosure, or (x) disclosures made to a health oversight agency or law enforcement official, but only if the agency or official asks us not to account to you for such disclosures and only for the limited period of time covered by that request. The accounting will include the date of each disclosure, the name of the entity or person who received the information and that person's address (if known), and a brief description of the information disclosed and the purpose of the disclosure. To request an accounting of disclosures, submit a written request to the Contact Person listed on the final page of this notice.

VI. To a Paper Copy of this Notice. You have the right to obtain a paper copy of the Notice upon request.of disclosures, submit a written request to the Contact Person listed on the final page of this notice.