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.
To
view this file you must install Adobe Reader.
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.
