Effective Date: April 14, 2003

V. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. To file a complaint with us, contact our Complaint Officer at Chelan-Douglas Regional Support Network/Prepaid Health Plan, 636 Valley Mall Parkway, Suite 200, East Wenatchee WA 98802, 509-886-6318 . All complaints must be submitted in writing. Our Privacy Officer, who can be contacted at Chelan-Douglas Regional Support Network/Prepaid Health Plan, 636 Valley Mall Parkway, Suite 200, East Wenatchee WA 98802 will assist you with writing your complaint, if you request such assistance. We will not retaliate against you for filing a complaint.

1. Introduction

2. How We Will Use and Disclose Your Health Information

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

4. Your Rights Regarding Your Health Information

5. Complaints

6. Changes to this Notice

7. Who will follow this Notice

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