• Current Events
  • CVRC Performance Contract- 2015 Performance Contract

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  • Funding for California's Developmental Services System - An Intro Letter and 2 Reports from ARCA Board President Fernando Gomez

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  • Infant Family Mental Health Training Project - CVRC & the Central California Children's Institute at CSUF to implement three year DDS MHSA grant...

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  • DDS SafetyNet - Created by the California Department of Developmental Services to provide health & safety resources for consumers and supporters...

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Forms

 

You can download NVRA (National Voter Registration Act) Voter Preference Forms by clicking here 

 

Client Referral Form  - Use this form to initiate new client referrals to CVRC

Unannounced Visit Form   

Vendor/Provider Forms

 

Notification Requirements for Confidential Information Breaches for Vendors, Employees, Contractors, or Researcher
  • State policy requires that vendors, employees, contractors, or researchers report any privacy breaches (e.g. stolen computer equipment with client information on it or client paper records left in a public place).
  • The Information Security Incident Report (SIMM 5340-B) contains all of the required reporting information.
  • Instructions for filling out the form are located below.
  • All sections of the form MUST be completed. A signature is not required on the form.
  • A SAMPLE breach letter MUST be included for reporting responsibilities to be considered complete.
  • The form is located below and can be completed in Microsoft Word and emailed to Mark Halvorsen (mhalvorsen@cvrc.org)
  • Or printed out and mailed to: Central Valley Regional Center, 4615 N. Marty, Fresno, CA 93722, Attn: Mark Halvorsen
  • Mr. Halvorsen can be reached at (559) 276-4343 to answer any questions.
  • The form MUST be completed and sent within ten business days of notifying CHP or local law enforcement.

 

 

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Additional Resources
simm5340_b.doc
Last Updated Thursday, October 30, 2014 - 03:19 PM.