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Director of Information   DP120A.6d   (d)  a statement that the covered entity is required to abide by the terms of the
         Technology, Privacy and             notice that is currently in effect;
         Data Security
         Director of Information   DP120A.6e   (e)  a statement indicating that, for PHI that it created or received prior to issuing
         Technology, Privacy and             a revised notice, the organization reserves the right to change the terms of its
         Data Security                       notice and to make the new notice provisions effective for all privacy restricted
                                             information that it maintains;
         Director of Information   DP120A.6f   (f)   a statement that the organization will promptly revise and distribute its
         Technology, Privacy and             notice whenever there is a material change to the uses or disclosures, the
         Data Security                       individual’s rights, the covered entity’s legal duties, or other privacy practices
                                             stated in the notice, and how it will provide individuals with the revised notice;
         Director of Information   DP120A.6g   (g)  a statement that individuals may complain to the organization and to the
         Technology, Privacy and             Department of Health and Human Services if they believe their privacy rights
         Data Security                       have been violated;
         Director of Information   DP120A.6h   (h)  a brief description of how an individual may file a complaint with the
         Technology, Privacy and             organization;
         Data Security
         Director of Information   DP120A.6i   (i)    a statement that the organization will not retaliate against the individual for
         Technology, Privacy and             filing a complaint;
         Data Security
         Director of Information   DP120A.6j   (j)    the name, or title, and telephone number of a person or office within the
         Technology, Privacy and             organization to contact for further information concerning the Notice of Privacy
         Data Security                       Practices;
         Director of Information   DP120A.6k   (k)  the date on which the notice is first in effect, which is not to be earlier than
         Technology, Privacy and             the date on which the notice is printed or otherwise published.
         Data Security
         Director of Information   DP120A.7   If applicable, the description in the notice of the types of uses and disclosures
         Technology, Privacy and             that the organization is permitted to make for purposes of treatment, payment,
         Data Security                       and health care operations must also include a separate statement indicating
                                             that:
         Director of Information   DP120A.7a   (a)  the organization may contact the individual to raise funds for the covered
         Technology, Privacy and             entity
         Data Security
         Director of Information   DP120A.7b   (b)  the organization may contact the individual to provide appointment
         Technology, Privacy and             reminders or information about treatment alternatives or other health‐related
         Data Security                       benefits and services that may be of interest to the individual.
         Director of Information   DP120A.8   If the organization chooses to apply and describe more limited uses or disclosure
         Technology, Privacy and             in its notice than required under 45 C.F.R. Part 164, then it will ensure that it does
         Data Security                       not include in the notice a limitation affecting its right to make a use or disclosure
                                             that is required by law or permitted to avert a serious threat to health and safety.
         Director of Information   DP120A.9   The organization will promptly revise and redistribute its notice whenever there
         Technology, Privacy and             is a material change to the uses or disclosures, the individual’s rights, the
         Data Security                       organization’ legal duties, or other privacy practices stated in the notice.
         Director of Information   DP120A.10   The organization will not implement a change to any term of the notice that
         Technology, Privacy and             would materially reduce the privacy protections of covered individuals prior to
         Data Security                       the effective date of the notice in which such material change is reflected, except
                                             when required by law.
         Employees and others    DP120A.11   Knowledge of a violation or potential violation of this policy must be reported
         with Access to PHI                  directly to the Director of Information Technology, Privacy and Data Security.






          GES CONFIDENTIAL                                                                                   54
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