NOTICE OF PRIVACY PRACTICES

Effective Date: April 14, 2003

This Notice describes how medical information about you may be used or disclosed.

This Notice also describes how you can get access to this information.

PLEASE REVIEW IT CAREFULLY.

If you have any questions about this notice, please contact:
Sheryl Pierce, RN
Administrator
PO Box 609, 201 S. Main St.
Troy, KS 66087
Phone: [785] 985-3591
Fax: [785] 985-3550
Email: dchd@carsoncomm.com