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Resident Records Confidentiality Policy

Healthy Hearts Home Living respects the privacy and dignity of every resident. This form helps confirm that residents understand how personal information, resident records, and private living details should be protected. Please complete this form to acknowledge the confidentiality expectations and to indicate whether Healthy Hearts Home Living may speak with an approved contact, agency, or responsible party about your residency.

Resident Information
Confidentiality Acknowledgements

Confidentiality Policy Acknowledgement

Resident Records Privacy Acknowledgement

Release of Information Acknowledgement

Other Residents’ Privacy Acknowledgement

Respectful Communication Acknowledgement

Privacy Complaint Rights Acknowledgement

Safety Exception Acknowledgement

Final Confidentiality Agreement

Optional Permission to Share Information
Do you give Healthy Hearts Home Living permission to speak with a trusted contact, responsible party, agency, or support person about your residency?
Yes
No
I would like to discuss this first
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