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11/12/2010 14:19 2092394410 BUSINESS OFFICE PAGE 01 <br /> 0 <br /> s <br /> • MANTECA CARE& <br /> REHABILITATION CENTER <br /> 410 EASTWOOD AVE. <br /> MANTECA,CA.,95336 <br /> Maw, . t,Ja,;! no,, w.,idi��rlsar i. <br /> To: i39.53• ftv`rmtiFax: - L4 --S 3q a <br /> From: LARRY HUFFMAN, Date: <br /> ADMINISTRATOR <br /> Re: P J��.y��o Pages: <br /> CC: <br /> ❑ Urgerrt or Review ®Please Comment ®Please Reply 0 Please Recycle <br /> 1 4 <br /> r � mil <br /> -$ S <br /> s � <br /> r� <br /> DISCLAIMER: THE HIPPA FINAL PRIVACY RULE REQUIRES COVERED ENTITIES TO SAFEGUARD CERTAIN PROTECTED <br /> HEALTH INFORMATION(PHI)RELATED TO A PERSON'S HELTHCARE. IN.FORMAATION BEING FAXED TO YOU MAY <br /> INCLUDE PHI AFTER APPROR.IATE AUTHORIZTION FROM THE PATIENT OR UNDER CIRCUMSTANCES THAT DO NOT <br /> REQUIRE PATIENT AUTHORTZA.TT,ON. YOU,THE RECIPIENT,ARE OBLIGATED TO MAINTAIN PHI IN A SAFE AND SECURE <br /> MANNER. YOU MAY NOT RE-DISCLOSE WITHOUT ADDITIONAL PATIENT CONSENT OR AS REQUIRED BY LAW. <br /> UNAUTHORIZED RE-DISCLOSURE OR FAILURE TO SAFEGUARD PHI COULD SUBJECT YOU TO PENALTIES DESCRIBED IN <br /> FEDERAL(HIPPA)AND STATE~LAW. IF YOU,THE REAT)ER.OF THIS MESSAGE ARE NOT THE INTENDED RECIPIENT,OR <br /> THE EMPLOYEE OR AGENT RESPONSIBLE TO DELIVER IT TO THE INTENDED RECIPIENT.PLEASE NOTIFY THE SENDER <br /> IMMEDIATELY AND DESTROY THE RELATED MESSAGE, THANK YOU <br /> • • • • w • • . • • ■ • . e • • • • • • • • • • • • • • <br />