NOTICE OF PRIVACY PRACTICES

This notice describes how information about you may be used and disclosed and how you can get access to this information. Please reveiw carefully.

Understanding Your Health Information

Each time you visit our office for treatment, a record of your visit is made. Typically, this records contains your symptoms, examinations and test results, diagnosis, treatment and a plan for future care. This information is referred to as your health or medical record.

Who Is Governed by this Notice

This Notice applies to the health care you receive by Eastern Oregon Medical Associates, LLC (further stated in this Notice as "Medical Associates", "we", "us" or "our") at the clinic and medical office, by its medical staff members and other health care professionals providing services at the Medical Associates clinic. Medical Associates have agreed to be bound by the terms of this Notice.

Your Health Information Rights

Although your health records is the physical property of Medical Associates, the information belongs to you. You have the right to:

• Request a restriction on certain uses and disclosures of your information
• Obtain a paper copy of the Notice of information practices upon request
• Inspect and copy your health record
• Obtain an accounting of disclosures of your health information
• Request communications of your health information by alternative means or at alternative locations
• Revoke your authorization to use or disclose health information except to the extent that action has already been taken
• Request an amendement to your personal health information

Medical Associates Responsibilities

We are required to:

• Maintain the privacy of your health information
• Provide you with a notice as to our legal duties and privacy practices with respect to information we collect and maintain about you
• Abide by the terms of this Notice
• Notify you if we are unable to agree to a requested restriction
• Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations

Eastern Oregon Medical Associates reserves the right to change this Notice at any time. We reserve the right to make the revised Notice effective for information we already have about as well as any information we receive in the future. In the even there is a material change to this Notice, the revised will be posted at the clinic and on our website.

For more information or a Report problem

If you have questions or would like additional information, you may contact our Clinic Manager at (541) 523-1001. If you believe your privacy rights have been violated, you can file a complaint with our Clinic Manager or with the Secretary of the U.S. Department of Health and Human Services. There will no retaliation for filing a complaint.

This Notice is effective: December 1, 2003.