SPECIAL SITUATIONS

• Health Oversight Activities -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 official:
  1. In response to a court order, subpoena, warrant, summons or similar process
  2. To identify or locate a suspect, fugitive, material witness, or missing person
  3. About the victim of a crime if, under certain limited circumstances, we are unable to obtain the person's agreement
  4. About a death we believe may be the result of criminal conduct
  5. About criminal conduct at the office
  6. In emergency circumstances to report a crime
  7. The location of the crime or victims
  8. 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 patients of the office to funeral directors as necessary to carry out their duties.

OTHER USES OF MEDICAL INFORMATION.

Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical 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.