Chelan-Douglas Regional Support Network/
Prepaid Health Plan

Notice of Privacy Practices
Part III

Effective Date: April 14, 2003

III. Uses and Disclosures of Your Health Information with Your Permission.

Uses and disclosures not described in Section II of this Notice of Privacy Practices will generally only be made with your written permission, called an “authorization.” You have the right to revoke an authorization at any time. If you revoke your authorization we will not make any further uses or disclosures of your health information under that authorization, unless we have already taken an action relying upon the uses or disclosures you have previously authorized.

Crisis Line - 509-662-7105 or 1-800-852-2923

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