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Other Uses & Disclosures
Revoking Previous Permission to Use or to Disclose Your Health Information
Other uses and disclosures of health information not covered by this Notice or the laws that apply to Harper County will be made only with your written permission. For certain disclosures of your information, you must complete an Authorization for Uses and Disclosure of Protected Health Information form and submit it to Harper County.

If you provide Harper County permission to use or disclose health information about you, you may revoke that permission, in writing, at any time. To revoke any permission already given to Harper County or permission given to us in the future, you must revoke that permission in writing by sending it to a Harper County Privacy Officer.

If you revoke your permission, Harper County will no longer use or disclose health 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.

Harper County, KS
201 N. Jennings Ave.
Anthony, KS  67003
Ph: 1-877-537-2110