Effective Date: April 14, 2003

VI. Changes to this Notice

We reserve the right to change the terms of our Notice of Privacy Practices. We also reserve the right to make the revised or changed Notice of Privacy Practices effective for all health information we already have about you as well as any health information we receive in the future. We will post a copy of the current Notice of Privacy Practices at our main office and at each site where we provide care. You may also obtain a copy of the current Notice of Privacy Practices by accessing our website at http://www.cdrsn.org or by calling us at 509-886-6318 and requesting that a copy be sent to you in the mail or by asking for one any time you are at our offices.

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