Disclosure Circumstances with a Notice
.•American Home Health & Hospice Care, Inc. is permitted to use or disclose information
         about you without consent or authorization provided that you are informed in advance           and given the opportunity to agree to or prohibit or restrict the disclosure in the       
         following circumstances:

The use of a directory of individuals served by American Home Health & Hospice Care,
        Inc.

To a family member, relative, friend, or other identified person, the information relevant
        to such person’s involvement in your care or payment for care.

Other uses and disclosures will be made only with your written authorization. That
        authorization may be revoked, in writing, at any time, except in limited situations.