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	Independent Living Assisted Living Nursing Care
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PRIVACY STATEMENT:
The information which you give in this form will be forwarded to the designated party for its use and will not be used for any other purpose or provided by us to any other parties. For information concerning the privacy policy or the designated recipient, please contact them directly.

   Broadway Services, Inc., a not-for-profit, non-denominational, licensed professional services entity, has assumed full and sole operational responsibility for providing all medical and other resident services at Lambeth House, which services it provides through its own employees and independent contractors. Lambeth House, Inc., a not-for-profit, non-denominational registered continuing care retirement community, retains financial responsibility for paying Broadway Services, Inc., to provide such services to continuing care residents.

Lambeth House Continuing Care Retirement Community values the privacy of all residents and is committed to protecting residents' medical information in compliance with Federal guidelines (HIPPA, effective April, 2003).