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- Confidentiality Protocols for Victims of Domestic Violence and Endangered Individuals
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Confidentiality Protocols for Victims of Domestic Violence and Endangered Individuals
CDS has established protocols to accommodate requests by victims of domestic violence to receive communications of confidential claim-related information by alternative means or at alternative locations if the person clearly advises that disclosure of all or part of the information could endanger the person or a child.
A person making such a request should submit a written request that (1) contains a statement that disclosure of all or part of the claim-related information to which the request pertains could endanger the person or child, and (2) specifies an alternative address, telephone number, or other method of contact.
Upon receipt of such a request, except with the express consent of the person making the request, we will disclose the following information only in accordance with the requestor’s reasonable request for confidentiality: (1) the address, telephone number, or any other personally identifying information of the requestor or child for whose benefit a request was made, (2) the nature of the health care services provided, or (3) the name or address of the provider of the health care services. Requests for confidentiality as described in this notice may be submitted by writing to us at:Custom Disability Solutions
Attn: Confidentiality Protocols
PO Box 9461
Portland, ME 04104-5056
The person may revoke his or her request for confidentiality or use of an alternative address or means of communication for claim-related information by writing to us at the address above. Your local domestic violence hotline can provide you with information on domestic violence resources in your community.
For Illinois Residents:
For more information on IL domestic violence resources, please call the State of IL Domestic Violence Hotline at:
- 1-877-863-6339 – TTY (hearing or speech impaired)
For New York Residents:
For further information on domestic violence resources, call the NYS Domestic and Sexual Violence Hotline at 1-800-942-6906