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Effective April 14, 2003
Revised February 1, 2005
Revised March 15, 2006
Revised September 7, 2006
THE ARC
OF
THE FARMINGTON VALLEY, INC.
Important
Notice of Privacy Practices
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.
[45CFR164.520(b)]
It is important to read and understand this Notice of Privacy Practices
before signing the Consent and Acknowledgment Form.
If you have any questions about this Notice or would like further information concerning your privacy rights,
please contact FAVARH's Privacy Officer at:
The Arc of the Farmington Valley, Inc.
225 Commerce Drive
PO Box 1099
Canton, CT 06019-1099
860-693-6662 x 113
FAVARH's Notice of Privacy Practices (WORD version)
FAVARH's Notice of Privacy Practices (html version)
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