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Effective Date: 4-14-2003

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.

If you have any questions about this notice, please contact:
Privacy Officer
317-587-0512
697 Pro-Med Lane
Carmel, IN 46032

The Notices below are available in Portable Document Format (PDF). In order to view or print these documents, you must have Adobe Acrobat Reader. You may download Acrobat Reader here: www.adobe.com/products/acrobat/readstep2.html

Click here for the full Privacy Policy

Click here for the full Grievance Policy

Click here or the full False Claims Recovery Policy

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24 HOUR CRISIS
1-800-560-4038
317-574-1252

NEW APPOINTMENTS
317-574-1254

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ADDRESS | FAX
697 Pro-Med Lane
Carmel, IN 46032-5323
Phone: (317) 587-0500
Fax: (317) 574-1234

WHO WILL FOLLOW THIS NOTICE

•Any health care professional authorized to enter information into your chart.

•All departments and units of BehaviorCorp.

•Any member of a volunteer group we allow to help you at BehaviorCorp.

•All employees, staff and other personnel of BehaviorCorp.

•All these entities, sites and locations follow the terms of this notice. In addition, these entities, sites and locations may share medical information with each other for treatment, payment or BehaviorCorp operations purposes described in this notice.