PDF
Word
Form DCF-2236 Notice of Privacy Practices - Connecticut (Vietnamese)
This is a legal form that was released by the Connecticut State Department of Children and Families - a government authority operating within Connecticut.
The document is provided in Vietnamese. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DCF-2236?
A: Form DCF-2236 is a Notice of Privacy Practices specific to Connecticut.
Q: What is the purpose of Form DCF-2236?
A: The purpose of Form DCF-2236 is to inform individuals in Connecticut about how their personal health information may be used and disclosed by the Department of Children and Families (DCF).
Q: Who is required to provide Form DCF-2236?
A: The Department of Children and Families (DCF) is required to provide Form DCF-2236 to individuals in Connecticut who receive services or treatment from the department.
Q: What information does Form DCF-2236 include?
A: Form DCF-2236 includes information about the types of personal health information that may be collected, how that information may be used and disclosed, and individual rights regarding their health information.
Q: Can individuals refuse to sign Form DCF-2236?
A: Yes, individuals have the right to refuse to sign Form DCF-2236. However, their refusal may limit their ability to receive services or treatment from the Department of Children and Families (DCF).
Q: Is the form available in Vietnamese?
A: Yes, the form is available in Vietnamese for individuals who prefer to receive the notice in that language.
Form Details:
- Released on April 1, 2003;
- The latest edition provided by the Connecticut State Department of Children and Families;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of Form DCF-2236 by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Children and Families.
