Right to Provide an Authorization for Other Uses and Disclosures - CHI Health, Omaha, Nebraska (NE)
 Effective Date: November 2005 
ALEGENT HEALTH
NOTICE OF PRIVACY PRACTICES

RIGHT TO PROVIDE AN AUTHORIZATION FOR OTHER USES AND DISCLOSURES

We will obtain your written authorization for uses and disclosures that are not identified by this notice or permitted by applicable law.  Any authorization you provide to us regarding the use and disclosure of your health information may be revoked at any time in writing.  After you revoke your authorization, we will no longer use or disclose your identifiable health information for the reasons described in the authorization.  Please note, we are required to retain records of your medical care.

If you have any questions about this notice, please contact Alegent Health Privacy Office, 402-572-3113.