PLAINFIELD  FIRE  PROTECTION  DISTRICT
HIPPA  NOTICE  OF  PRIVACY  
PRACTICES
Effective Date:  March 4, 2004
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
If you have any questions about this notice, please contact the Privacy Officer at
815-436-5335
WHO WILL FOLLOW THIS NOTICE

This notice describes our agencies practices and that of:

->Any health care professional authorized to enter information into your medical                  
  report.

->All departments and units of the fire department.

->Any member of a volunteer group we allow to help you while you are in the care of           
  Plainfield Fire Department.

->All employees, staff and other personnel.

->Our creditors follow the terms of this notice.  In addition, they may share medical              
  information with themselves for treatment, payment of Plainfield Fire Department               
 operational purposes described in this notice.


OUR PLEDGE REGARDING MEDICAL INFORMATION

We understand that medical information about you and your health is personal.  We are
committed to protecting medical information about you.  We create a record of the care
and services you receive from the Plainfield Fire Department.  We need this record to
provide you with quality care and to comply with certain legal requirements.  This notice
applies to all of the records of your care generated by the Plainfield Fire Department,
whether made by Plainfield Fire Department personnel or your personal physician.  Your
personal physician may have different policies or notices regarding the physician's use
and disclosure of your medical information created in the physician's office or clinic.  This
notice will tell you about the ways in which we may use and disclose medical information
about you.  We also describe your rights and certain obligations we have regarding the
use and disclosure of medical information.

We are required by law to:

->Make sure that medical information that identifies you is kept private;

->Give you this notice of your legal duties and privacy practices with respect to                   
    medical information about you; and

->Follow the terms of the notice that is currently in effect.


HOW WE MAY USE AND DISCLOSE MEDICAL
INFORMATION ABOUT YOU

The following categories describe different ways that we use and disclose medical
information.  For each category of uses or disclosures we will explain what we mean and
try to give some examples.  Not every use or disclosure in a category will be listed.  
However, all of the ways we are permitted to use and disclose information will fall within
one of the categories.

->
For Treatment.  We may use medical information about you to provide you with              
medical treatment or services.  We may disclose medical information about you to              
doctors, nurses, technicians, medical students, or other hospital personnel who                  
are involved in taking care of you at the hospital.  For example, an Emergency                   
Room Physician treating you for a broken leg may need to know if you have                       
diabetes because diabetes may slow the healing process.  Different agencies may             
share medical information about you for other purposes such as Quality                             
Assurance.  We also may disclose medical information about to people outside the             
hospital who may be involved in your medical care after you leave the hospital,                   
such as family members, clergy or others we use to provide services that are part              
of your care.

->
For Payment.  We may use and disclose medical information about you so that the         
treatment and services you receive from the Plainfield Fire Department may be                  
billed to and payment may be collected from you, an insurance company or a third             
party.  For example, we may need to give your health plan information about care              
received by the paramedics so your health plan will plan will pay us or reimburse                
you for the service.

->
For Health Care Operations.  We may use and disclose medical information about
you for Plainfield Fire Department operations.  These uses and disclosures are necessary
to run the fire department and make sure that all of our patients receive quality care.  For
example, we may use medical information to review our treatment and services and to
evaluate the performance of our staff in caring for you.  We may also combine medical
information about many patients to decide what additional services