CLIENT REQUEST TO ACCESS PROTECTED
HEALTH INFORMATION

You have the right to inspect, or to obtain a copy of, your protected health information ("PHI") maintained in the designated record set by Logan County EMS. This request should include name, address, description of records to be copied and phone number if necessary for contact or follow up. Information should include personal identification of the client whose PHI is being requested. Personal identifiers include Social Security number and date of birth. A written request must be completed prior to Logan County providing you the requested information. 
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Logan County will make every reasonable effort to provide the PHI requested in the format requested by you if it is readily producible in such format. If it is not readily producible in such a format, Logan County will make every reasonable effort to provide access to the PHI in a legible hard copy format, or in such other form, as agreed upon by you and Logan County. Logan County may charge fees to provide copies of records and will apply guidelines and fee schedules established for compliance with the Kansas Open Records Act to this purpose. 
A paper copy of our Notice of Privacy Practices is available in our office or an electronic copy can be found here.