If you have any questions about this notice, or would like further information, please contact:

New Horizons Medical Center
Privacy Officer/Medical Records
330 Roland Ave.
Owenton, KY 40359

IMPORTANT SUMMARY INFORMATION

Requirement for Acknowledgment of Notice of Privacy Practices. We will ask you to sign a form that will
serve as an acknowledgment that you have received this Notice of Privacy Practices.
Requirement for Written Authorization. We will generally obtain your written authorization before using
your health information or sharing it with others outside our health care facility. You may also initiate the
transfer of your records to another entity or physician by completing the form. If you provide us with written
authorization, you may revoke that authorization at any time, except to the extent that we have already relied
upon it. To revoke an authorization, please contact:

New Horizons Medical Center
Privacy Officer/Medical Records
330 Roland Ave.
Owenton, KY 40359

Exception to Requirement. There are some situations when we do not need your written authorization before using
your health information or sharing it with others.
They are:

EXCEPTION FOR TREATMENT, PAYMENT, AND BUSINESS OPERATIONS.
We are allowed to use and disclose your health information without your consent to treat your condition, collect
payment for the treatment, or run our facility's normal business operations.

EXCEPTION FOR DISCLOSURE TO FRIENDS AND FAMILY INVOLVED IN YOUR CARE.
We will ask you whether you have any objection to including information about you or sharing information about
your health with your friends and family involved in your care. More information about this exception is included below.

·EXCEPTION IN EMERGENCIES OR PUBLIC NEED.
We may use or disclose your health information in an emergency or for important public needs. For example, we may
share your information with public health officials who are authorized to investigate and control the spread of diseases.
Additional examples of potential exceptions are detailed below.

EXCEPTION IF INFORMATION DOES NOT IDENTIFY YOU.
We may use or disclose your health information if we have removed any information that might reveal who you are.

HOW TO ACCESS YOUR HEALTH INFORMATION
You generally have the right to inspect and copy your health information. Details about this are provided below.

HOW TO CORRECT YOUR HEALTH INFORMATION.
You have the right to request that we amend your health information if you believe it is inaccurate or incomplete.
A description of this right is included below.

HOW TO KEEP TRACK OF THE WAYS YOUR HEALTH INFORMATION
HAS BEEN SHARED WITH OTHERS.
You have the right to receive a list from us, called an "accounting list" which provides information about when and
how we have disclosed your health information to outside persons or organizations. The list will identify non-routine
disclosures of your information, but routine disclosures will not be included. The list will not include disclosures
you have authorized. For more information about your right to see this list, see below.

· HOW TO REQUEST ADDITIONAL PRIVACY PROTECTION
You have the right to request further restrictions on the way we use your health information or share it with others.
We are not required to agree to the restriction you request, but if we do, we will be bound by our agreement.

HOW TO REQUEST MORE CONFIDENTIAL COMMUNICATIONS.
You have the right to request that we contact you in a way that is more confidential for you, such as at home instead
of work. We will try to accommodate all reasonable requests.

HOW SOMEONE MAY ACT ON YOUR BEHALF
You have the right to name a personal representative who may act on your behalf to control the privacy of your health
information. Parents and guardians will generally have the right to control the privacy of health information about minors
unless the minors are permitted by law to act on their own behalf.

·HOW TO LEARN ABOUT SPECIAL PROTECTIONS FOR HIV, SUBSTANCE ABUSE,
AND MENTAL HEALTH INFORMATION.
Special privacy protections apply to HIV-related information, substance abuse information, and mental health
information. Some parts of the general Notice of Privacy Practices may not apply to these types of information.
If your treatment involves this information, you will be provided with separate notices explaining how the
information will be protected. To request copies of these other notices now, please contact the New
Horizons Privacy Officer at 502 484-3663.

HOW TO OBTAIN A COPY OF THIS NOTICE
We may change our privacy practices from time to time. If we do, we will revise this notice so you will have an
accurate summary of our practices. The revised notice will apply to all your health information, and we will be
required by law to abide by its terms. We will post any revised notice in our reception area. You will also be able
to obtain your own copy of the revised notice by accessing our website at www.newhorizonsmedicalcenter.com
or calling our main facility phone number at 502 484 3663, or asking for one at the time of your next visit. The
effective date of the notice will always be located in the top left corner of the first page.

HOW TO FILE A COMPLAINT
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of
the Department of Health and Human Services. To file a complaint with us, please contact us in writing. No one
will retaliate or take action against you for filing a complaint.

WHAT INFORMATION IS PROTECTED
We are committed to protecting the privacy of information we gather about you while providing health-related
services. Some examples of protected health information are:

a) information about your health condition (such as diseases you may have);
b) information about health care services you have received or may receive in the future (such as an operation or specific therapy);
c) information about your health care benefits under an insurance plan (such as whether a prescription or medical test is covered);
d) geographic information (such as where you live or work);
e) demographic information (such as your race, gender, ethnicity, or marital status);
f) unique numbers that may identify you (such as your social security number, your phone number, or your driver's license number);
g) other types of information that may identify who you are.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
WITHOUT YOUR WRITTEN AUTHORIZATION

1. TREATMENT, PAYMENT, AND NORMAL BUSINESS OPERATIONS
The physicians and other clinical staff members within the facility may use your health information or share it
with others in order to treat your condition, obtain payment for that treatment, and run the facility's normal
business operations. Your health information may also be shared with health care providers so that they may
jointly perform certain payment activities and business operations.
Below are further examples of how your information may be used for treatment, payment, and healthcare operations.

1.1 TREATMENT
We may share your health information with doctors or nurses within our
facility and/or practice or with a doctor at another health care institution
(such as a hospital) to determine how to diagnose and treat you. A doctor in
our facility (or practice) may also share your health information with another
doctor to who you have been referred for further health care.

1.2. PAYMENT
We may use your health information or share it with others so that we obtain
payment for your health care services. For example, we may share information about you with your health insurance
company in order to obtain reimbursement after we have treated you. We may also share information about you
with your health insurance company to determine whether it will cover your treatment or to obtain necessary pre-approval before providing you with treatment.

1.3. BUSINESS OPERATIONS
We may use your health information or share it with others in order to conduct our normal business operations.
For example, we may use your health information to evaluate the performance of our physicians or staff in
caring for you, or to educate our physicians or staff on how to improve the care they provide to you. We may
also share your health information with another company that performs business services for us, such as billing
companies. If so, we will have a written contract to ensure that this company also protects the privacy of your health information.

1.4. APPOINTMENT REMINDERS, TREATMENT ALTERNATIVES, BENEFITS AND SERVICES
We may use your health information when we contact you with a reminder that you have an appointment for treatment
of services at our facility. We may also use your health information in order to recommend possible treatment alternatives
or health-related benefits and services that may be of interest to you.

2. FRIENDS AND FAMILY
We may also use your health information in a patient directory, or share it with friends and family involved in your care ,
without your written authorization. We will always give you an opportunity to object unless there is insufficient time
because of a medical emergency (in which case we will discuss your preferences with you as soon as the emergency is over).
We will follow your wishes unless we are required by law to do otherwise.

2.1 FRIENDS AND FAMILY INVOLVED IN YOUR CARE.
If you do not object, we may share your health information with a family member, relative, or close personal friend
who is involved in your care or payment for that care. We may also notify a family member, personal representative,
or another person responsible for your care about your general condition or about the unfortunate event of your death.
In some cases, we may need to share your health information with a disaster relief organization that
will help us notify these persons.

3. EMERGENCIES OR PUBLIC NEED
We may use your health information, and share it with others, in order to treat you in an emergency, or to meet important
public needs. We will not be required to obtain your written authorization, consent, or any other type of permission
before using or disclosing your information for these reasons.

3.1 EMERGENCIES
We may use or disclose your health information if you need emergency treatment or if we are required by law to
treat you, but are unable to obtain your consent. If this happens, we will try to obtain your consent as soon as we
reasonably can after we treat you.

3.2. COMMUNICATION BARRIERS
We may use and disclose your health information if we are unable to obtain your consent because of substantial
communications barriers, and we believe you would want us to treat you if we could communicate with you.

3.3. AS REQUIRED BY LAW
We may use or disclose your health information if we are required by law to do so. We also will notify you of these
uses and disclosures if notice is required by law.

3.4. PUBLIC HEALTH INFORMATION
We may disclose your health information to authorized public health officials (or a foreign government agency
collaborating with such officials) so they may carry out their public health activities. For example, we may share
your health information with government officials that are responsible for controlling disease, injury, or disability.
We may also disclose your health information to a person who may have been exposed or be at risk for contracting
or spreading the disease, if law permits us to do so. And finally, we may release some health information about you
to your employer if your employer hires us to provide you with a physical exam and we discover you have a
work-related injury or disease that your employer must know about in order to comply with employment laws.

3.5. VICTIMS OF ABUSE, NEGLECT, OR DOMESTIC VIOLENCE
We may release your health information to a public health authority that is authorized to receive reports of abuse,
neglect, or domestic violence. We will make every effort to obtain your permission before releasing this information,
but in some cases, we may be required or authorized to act without your permission.

3.6. HEALTH OVERSIGHT ACTIVITES
We may release your health information to government agencies authorized to conduct audits, investigations, and
inspection of our facility. These government agencies monitor the operation of the health care systems, government
benefits programs, such as Medicare and Medicaid, and compliance with governmental regulatory
programs and civil rights laws.

3.7. PRODUCT MONITORING, REPAIR, RECALL
We may disclose your health information to a person or company that is required by the Food and Drug
Administration to: (1) report or track product defects or problems; (2) repair, replace, or recall defective or
dangerous products; or (3) monitor the performance of a product after it has been
approved for use by the general public.

3.8. LAWSUITS AND DISPUTES
We may disclose your health information if we are ordered to do so by a court that is handling a lawsuit or other
dispute. We may also disclose your information in response to a subpoena, discovery request or other lawful
request by someone else involved in the dispute, but only if efforts have been
made to tell you about the request or to obtain a court order protecting the
information from further disclosure.

3.9. LAW ENFORCEMENT
We may disclose your health information to law enforcement officials for the following reasons:
· To comply with court orders, subpoenas, or laws that we are required to follow;
· To assist law enforcement officers with identifying or locating a suspect, fugitive, witness, or missing person;
· If you have been the victim of a crime and we determine that: (1) we have been unable to obtain your consent because
of an emergency or your incapacity; (2) law enforcement officials need this information immediately to carry out their
law enforcement duties; and (3) in our professional judgment, disclosure to these officers is in your best interests;
· If we suspect that your death resulted from criminal conduct; or
· If necessary to report a crime that occurred on our property.

3.10. TO AVERT A SERIOUS THREAT TO HEALTH OR SAFETY
We may disclose your health information or share it with others when necessary to prevent a serious threat to your health
or safety, or the health or safety of another person or the public. In such cases, we will only share your information with
someone able to help prevent the threat. We may also disclose your health information to law enforcement officers if you tell
us that you participated in a violent crime that may have caused serious physical harm to another person (unless you admitted
that fact while in counseling), or if we determine that you escaped from lawful custody (such as a prison or mental health institution).

3.11. NATIONAL SECURITY AND INTELLIGENCE ACTIVITIES OR PROTECTIVE SERVICES
We may disclose your health information to authorized federal officials who are conducting national security and intelligence
activities or providing protective services to the President or other important officials.

3.12. MILITARY AND VETERANS
If you are in the Armed Forces, we may disclose health information about you to appropriate military command
authorities for activities they deem necessary to carry out their military mission. We may also release health
information about foreign military personnel to the appropriate foreign military authority.

3.13. INMATES AND CORRECTIONAL INSTITUTIONS
If you are an inmate or you are detained by a law enforcement officer, we may disclose your health information to the
prison officers or law enforcement officers if necessary to provide you with health care, or to maintain safety, security,
and good order at the place where you are confined. This includes sharing information that is necessary to protect the
health and safety of other inmates or persons involved in supervising or transporting inmates or detainees.

3.14. WORKERS' COMPENSATION
We may disclose your health information for workers' compensation or similar programs that provide
benefits for work-related injuries.

3.15. CORONERS, MEDICAL EXAMINERS AND FUNERAL DIRECTORS
In the unfortunate event of your death, we may disclose your health information to a coroner or medical examiner.
This may be necessary, for example, to determine the cause of death. We may also release this information to
funeral directors as necessary to carry out their duties.

3.16. ORGAN AND TISSUE DONATION
In the unfortunate event of your death, we may disclose your health information to organizations that procure or
store organs, eyes, or other tissues, so that these organizations may investigate whether donation or transplantation
is possible under applicable laws.

3.17. RESEARCH
In most cases, we will ask for your written authorization before using your health information or sharing it with
others in order to conduct research. However, under some circumstances, we may use and disclose your health
information without your authorization if we obtain approval through a special process to ensure that research
without your authorization poses minimal risk to your privacy. Under no circumstances, however, would we allow
researchers to use your name or identity publicly. We may also release your health information without your
authorization to people who are preparing a future research project, so long as any information identifying you does
not leave our offices. In the unfortunate event of your death, we may share your health information with people who
are conducting research using the information of deceased persons, as long as they agree not to remove from our facility
any information that identifies you.

3.18. YOUR RIGHTS TO ACCESS AND CONTROL YOUR HEALTH INFORMATION
We want you to know that you have the following rights to access and control your health information. These rights
are important because they will help you make sure that the health information we have about you is accurate.
They may also help you control the way we use your information and share it with others, or the way we
communicate with you about your medical record.

1. Right to Inspect and Copy Records

You have the right to inspect and obtain a copy of any of your health information that may be used to make
decisions about you and your treatment for as long as we maintain this information in our records.
This includes medical and billing records. To inspect or obtain a copy of your health information, please
submit your request in writing to:

Linda Saur
Medical Records Dept.
New Horizons Medical Center
330 Roland Ave
Owenton, KY 40359

If you request a copy of the information, unless it is your first request, we
may charge a fee for copying, mailing, or other supplies we use to fill your
request.
We will respond to your request within sixty days. If we need additional time
to respond, we will notify you in writing within the time frame above to explain
the reason for the delay and when you can expect to have a final answer to
your request.

Under certain very limited circumstances, we may deny your request to
inspect or obtain a copy of your information. If we deny part or all of your
request, we will provide a written denial that explains our reasons for doing
so, and a complete description of your rights to have that decision reviewed
and how you can exercise those rights. We will also include information on
how to file a complaint about these issues with us or with the Secretary of the
Department of Health and Human Services. If we have reason to deny only
part of your request, we will provide complete access to the remaining parts
after excluding the information we cannot let you inspect or copy.

2. Right to Amend Records
If you believe that the health information we have about you is incorrect or incomplete, you may ask us to amend
the information. You have the right to request an amendment for as long as the information is kept in our records.
To request an amendment, please write us requesting an Amendment Form:

New Horizons Medical Center
Privacy Officer/ Medical Records
330 Roland Ave.
Owenton, KY 40383

Your request should include the reasons why you think we should make the amendment. Ordinarily, we will
respond within sixty (60) days. If we need additional time to respond, we will notify you in writing within sixty
(60) days to explain when you can expect to have a final answer to your request.
If we deny any part or all of your request, we will provide a written notice that explain our reasons for doing so.
You will have the right to have certain information related to your requested amendment included in your records.
For example, if you disagree with our decision, you will have an opportunity to submit a statement explaining your
disagreement which we will include in your records. We will also include information on how to file a complaint
with us or with the Secretary of the Department of Health and Human Services. These procedures will be explained
in more detail in any written denial notice we send you.

3. Right to An Accounting of Disclosure
After April 14, 2003, you have a right to request an "accounting of disclosures" which is a list with information
about how we have shared you information with others. An accounting list, however will NOT include:

· Disclosures we made to you;
· Disclosures you authorized;
· Disclosures we made in order to provide you with treatment, or conduct our normal business operation;
· Disclosures made from the patient directory (if one exists)
· Disclosures made to your friends and family involved in your care;
· Disclosures made to federal officials for national security and intelligence activities;
· Disclosures about inmates or detainees to correctional institutions or law enforcement officers; or
· Disclosures made before April 14, 2003

To request this list, please write to:
New Horizons Medical Center
Privacy Officer/Medical Records
330 Roland Ave.
Owenton, KY 40359

Your request must state a time period for the disclosures you want us to
include. For example, you may request a list of disclosures that we made
between January 1, 2004, and January 1, 2005. You have a right to one list
within every 12-month period for free. However, we may charge you for the
cost of providing additional lists in that same 12-month period. We will
always notify you of any cost involved so that you may choose to withdraw or
modify your request before any costs are incurred.
Ordinarily we will respond to your request for an accounting list within sixty
(60) days. If we need additional time to prepare the accounting list you have
requested, we will notify you in writing about the reason for the delay and
the date when you can expect to receive the accounting list. In rare cases, we
may have to delay notifying you because a law enforcement official or
government agency has asked us to do so.

4. Right to Request Additional Privacy Protections
You have the right to request that we further restrict the way we use and disclose your health information
to treat your condition, collect payment for that treatment, or run our normal business operations. You may
also request that we limit how we disclose information about you to family or friends involved in your care.
For example, you could request that we do not disclose information about a surgery or therapy you had.
To request restrictions, please write to:

New Horizons Medical Center
Privacy Officer/Medical Records
330 Roland Ave.
Owenton, KY 40359

Your request should include: (1) what information you want to limit;
(2) whether you want to limit how we use the information, how we share it with others, or both; and (3) to whom
you want the limits to apply.
We are not required to agree to your request for restriction, and in some cases the restriction you request
may not be permitted under law. However, if we do agree, we will be bound by our agreement unless the
information is needed to provide you with emergency treatment or comply with the law.
Once we have agreed to a restriction, you have the right to revoke the restriction at any time. Under some
circumstances, we will also have the right to revoke the restriction as long as we notify you before doing so;
in other cases, we will need your permission before we can revoke the restriction.

5. Right to Request Confidential Communications
You have the right to request that we communicate with you about your medical matters in a more confidential way. For example,
you may ask that we contact you at home instead of at work. To request more confidential communications, please write to:

New Horizons Medical Center
Privacy Officer/Medical Records Department
330 Roland Ave.
Owenton, KY 40359

We will not ask you the reason for your request, and will try to accommodate all reasonable requests.
Please specify in your request how or where you wish to be contacted, and how payment for your health care
will be handled if we communicate with you through this alternative method or location.