This notice describes how medical information about you may be used and disclosed and how you may get access to this information. Please read it carefully.

Greene Memorial Hospital is dedicated to protecting your medical information. We are required by law to maintain the privacy of protected health information and to provide you with this Notice of our legal duties and privacy practices with respect to protected health information. Greene Memorial Hospital is required by law to abide by the terms of this Notice, and we reserve the right to change the terms of this Notice, making any revision applicable to all the protected health information we maintain. If Greene Memorial Hospital revises the terms of this Notice, it will post a revised notice at the Hospital.

How Your Medical Information Will Be Used and Disclosed: Greene Memorial Hospital will use your medical information as part of rendering patient care. For example, your medical information may be used by the health care professional treating you, by the Patient Accounts office to process your payment for the services rendered and by Administrative personnel reviewing the quality and appropriateness of the care you receive.

Greene Memorial Hospital may also use and/or disclose your information in accordance with federal and state laws for the following purposes:

*Greene Memorial Hospital may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.

*Unless you object, and with the exception of Behavioral Health Patient (Mental Health) Greene Memorial Hospital will include general information, including your name, location in the hospital, your condition described in general terms and your religious affiliation in a directory of individuals located in the Hospital. The directory information, except for your religious affiliation, will be released to people who ask for you by name. Your religious affiliation may be given to members of clergy, even if they do not ask for you by name.

*Unless you object, and with the exception of Behavior Health Patients, Greene Memorial Hospital may disclose to family members, other relatives or close personal friends the medical information directly relevant to such a person's involvement with your care.

*Unless you object, and with the exception of Behavior Health Patients, Greene Memorial Hospital may use or disclose your medical information to notify a family member, a personal representative or another person responsible for your care of your location, general condition or death.

*Greene Memorial Hospital may disclose your medical information to a public or private entity for the purpose of coordinating with the entity to assist in disaster relief efforts.

*Greene Memorial Hospital may disclose your medical information for law enforcement purposes or other specialized governmental functions.

*Greene Memorial Hospital may disclose your medical information to a coroner, medical examiner or funeral director.

*If you are an organ donor, Greene Memorial Hospital may disclose your medical information to an organ donation and procurement organization.

*Uses or disclosures of your protected health information not covered by this Notice or the laws that apply to us may only be made with your written authorization. You may revoke such authorization in writing at any time and we will no longer disclose health information about you for the reasons stated in your written authorization. Disclosures made in reliance on the authorization prior to the revocation are not affected by the revocation.