Changes & Acknowledgement

Other Uses of Health Information
Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with your written authorization. If you provide us authorization to use or disclose health information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose health information about you for the reasons covered by your written authorization. Of course, 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 we provided to you.

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 at our facility and on our website, when the Harper County Health Department website is available. The notice will contain on the first page the effective date.

You will be asked to provide a written acknowledgement of your receipt of this notice. We are required by law to make a good faith effort to provide you with our notice and obtain such acknowledgement from you. However, your receipt of care and treatment from the Harper County Health Department is not conditioned upon your providing the written acknowledgement.