To obtain a paper copy of this notice, contact: the DBHDS Chief Privacy Officer at DBHDS, P.O. Box 1797, Richmond, VA 23218-1797, or call the Privacy Office at 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 This Notice of Privacy Practices (Notice) describes how we may use within our practice or network and disclose (share outside of our practice or network) yourAcknowledgement of the Notice of Privacy Practices. Acknowledgement of Department of Last four SSN. VA FORM. JUL 2015 10-0483. Adobe Forms Designer. This notice describes the priv acy practices of the University of Virginia Health System, including the UVA Medical Center, UVA Continuum. It is the policy of the Virginia Department of Health (VDH), This Notice of Privacy Practices describes how VDH may use and disclose your protected