Pat Quinn, Governor
Aging Links
HOME
About Us
Assistance in Your Home & Community
Illinois Family Caregiver Support
Grandparents Raising Grandchildren
Legal Assistance
Elder Abuse & Prevention
Long-Term Care Ombudsman
Long-Term Care Council
Intergenerational & Volunteer Programs
Senior Health Insurance Program (SHIP)
Directory of Agencies Serving Seniors
Illinois Area Agencies on Aging
Building Public Awareness
News & Publications
Calendar
Legislative Updates
Statutes & Rules
Related Web Sites
Illinois Home
Search Illinois
[Search Tips]
HIPAA Forms
Notices of Privacy Practices and Related Forms
Community Care Program:
Notice of Program Privacy Practices (
IL-402-1239-pink
)
Illinois Cares Rx Program:
Notice of Privacy Practices (
ADAD-PN, IL-402-1100
)
Authorization for Use or Disclosure of Medical Information (
ADAD-PN3, IL-402-1101
)
Revocation of Authorization (
ADAD-PN4, IL-402-1102
)
Some files on this site are in Adobe Acrobat PDF format. You may download a FREE copy of Adobe Acrobat by clicking the logo below.
Access Adobe's
PDF Accessibility Tools
The above links for Adobe Acrobat will open a new browser window.
Copyright © 2012
Illinois Department on Aging
Site Disclaimer
|
Privacy
|
Accessibility
|
Contact Us
