SPECIAL SITUATIONS

MILITARY AND VETERANS: If you are a member of the armed forces, we may release medical information about you as required by military command authorities. We may also release medical information about foreign military personnel to the appropriate foreign military authority.

WORKER'S COMPENSATION: We may release information about you for workers' compensation or similar programs. These programs provide benefits for work-related injuries or illness.

PUBLIC HEALTH ACTIVITES: We may disclose medical information about you for public health activities. These activities include the following:

	To prevent or control disease, injury, or disability;
	To report birth and deaths;
	To report child abuse or neglect;
	To report reactions to medications, or problems with products;
	To notify people of recalls of products they may be using;
	To notify a person who may have been exposed to a disease or may be at risk fir contracting or spreading a disease or condition;
	To notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect, or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.

HEALTH OVERSITE ACTIVITES: We may disclose medical information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs and compliance with civil rights laws.

LAWSUITS AND DISPUTES: If you are involved in a lawsuit or a dispute, we may disclose medical information about you in response to a court or administrative order. We may also disclose medical information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

LAW ENFORCEMENT: We may release medical information if asked to do so by a law enforcement offical:

	In response to a court order, subpoena, warrant, summons or similar process;
	To identify or locate a suspect, fugitive, material witness, or missing person;
	About the victim of a crime if under certain limited circumstances, we are unable to obtain the person's agreement;
	About a death we believe may be the result of criminal conduct;
	About criminal conduct occurring on our premises;
	In emergency circumstances to report a crime; the location of the crime or victims, or the identity, description, or location of the person who committed the crime.

CORONERS, MEDICAL EXAMINERS, AND FUNERAL DIRECTORS: We may release medical information to a coroner, or medical examiner. This may be necessary for example, to identify a deceased person or determine the cause of death. We may also release medical information about our patients to funeral directors as necessary to carry out their duties.

NATIONAL SECURITY FOR THE PRESIDENT AND OTHERS: We may disclose medical information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.

PROTECTIVE SERVICES FOR THE PRESIDENT AND OTHERS: We may disclose medical information about you to authorized federal officials so they may provide protection to the President, other authorized persons, or foreign heads of state or conduct special investigations.

INMATES: If you are an inmate of a correctional institution or under the custody of a law enforcement officials, we may release medical information about you to the correctional institution or law enforcement official. This release would be necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety and security of the correctional institution.

ORGAN AND TISSUE DONATION: If you are an organ donor, we may release medical information to organizations that handle organ procurement or organ, eye, or tissue transplantation or to an organ donation bank, as necessary you facilitate organ or tissue donation and transplantation.

SALE OF BUSINESS ASSETS: We reserve the right to transfer medical information about you to a third party in conjunction with the sale of our company or certain assets belonging to our company.

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 medical 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 office where you are being treated. The notice will contain on the first page, in the top right-hand corner the effective date. If we do change this notice, we will re-post a copy of the current notice, but we will not redistribute this notice to you.

EFFECTIVE APRIL 16.2003