THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
Contact: The CQI Manager at Bethany Hospice at (229) 249-8687 if:
you have a complaint;
you have any questions about this Notice;
you wish to request restrictions on uses and disclosures for health care treatment, payment, or operations; or
you wish to obtain a form to exercise your individual rights described in paragraph 5