I have received a copy of the “Notice Of Privacy Practices”. The Notice describes how my health information may be used or disclosed. I understand that I should read it carefully. I am aware that the Notice may be changed at any time. I may obtain a revised copy of the Notice by calling (760) 200-2992 or by requesting the Notice in person at: The Medical Center At Indian Wells, 45280 Club Dr, Indian Wells Ca, 92210