HIPAA - Health Insurance Portability and Accountability Act

HIPAA Privacy Policies & Procedures

All of the policies below have been approved and may not be altered in any manner, except to customize the Procedure section for the respective departmental area. To customize the Procedure section, an attachment must be created and appended to the department's internal policy. The Procedure section is dependent upon each department's unique operating structure and should be customized accordingly.

Policies & Forms »

Admitting, OPD & Registration Policies
HIPAA Privacy Policies
Policy Name	PDF
Accounting of Disclosures
Facility Directory
Faxing Patient Information
Minimum Necessary Guidelines
Notice of Privacy Practices
Patient Requests for Additional Privacy Protections
Personal Representatives
Privacy Rights of Minors
Safeguards for Incidental Disclosures
Staff Confidentiality
Telephone Requests for Patient Information
Uses & Disclosures for Treatment, Payment & Healthcare Operations
Uses & Disclosures Not Requiring Patient Authorization
Uses & Disclosures of Decedent Information
Uses & Disclosures Requiring Patient Authorization
Uses & Disclosures to Individuals Involved in Care & for Notification Purposes
Verification of Identity

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Forms:

Admitting, OPD & Registration Forms
HIPAA Privacy Policies
Form Name	PDF
Authorization Form
Facility Directory
Fax Cover Page
Fundraising - Opt Out
HIPAA Privacy Form
Modification or Termination of Restriction
Notice of Additional Privacy Protection Request Review
Notice of Privacy Practices - Alcohol & Substance Abuse
Notice of Privacy Practices - HIV Info
Notice of Privacy Practices - Mental Health Info
Notice of Privacy Practices
Patient Requests for Additional Privacy Protection
Request for Patient Information
Staff Confidentiality

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