We are required by law to protect the privacy of your medical information, to provide the following notice about our medical information practices, and to follow the practices that are described in the following notice:

Notice of Privacy Practices

We may change our medical information practices at any time. Before we make a
significant change in our practices, we will change our notice and post the new notice at
all admitting, registration, and other check-in points at the Hospital and on our website,
www.cmch.org. The new practice will then apply to any of your medical information that
we already have and any additional information we receive in the future.

You can request a copy of our notice at any time. If you have any questions or want
more information about our information practices, please contact the individual listed
below.

Privacy Officer
Central Michigan Community Hospital
1221 South Drive
Mt. Pleasant, Michigan 48858-3234
(989) 772-6753