Effective Date: April 14, 2003
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.
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For more information or to report a problem:
If you have questions and would like additional information, you may contact Tockwotton Home's Privacy Officer, 75 East Street, Providence, RI 02903, (401) 272-5280 or fax (401) 421-0550.
If you believe that your privacy rights have been violated, you may file a complaint with us. These complaints must be filed in writing on a form provided by Tockwotton. The complaint form may be obtained from the Director of Nurses, and when completed should be returned to the Director of Nurses. You may also file a complaint with the secretary of the federal Department of Health and Human Services. There will be no retaliation for filing a complaint.