Find A PhysicianHome  |  Library  |  PRIME  |  Newsroom  |  A-Z Guide  |  E-mail  |  Contact Us  |  Directions
curve gif

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 »

Hospital Business Office Policies
HIPAA Privacy Policies
Policy Name PDF
Accounting of Disclosures PDF logo
De-Identification of Information PDF logo
Designated Record Set PDF logo
Faxing Patient Information PDF logo
Minimum Necessary Guidelines PDF logo
Patient Requests for Additional Privacy Protections PDF logo
Personal Representatives PDF logo
Privacy Rights of Minors PDF logo
Safeguards for Incidental Disclosures PDF logo
Staff Confidentiality PDF logo
Telephone Requests for Patient Information PDF logo
Use of Limited Data Sets PDF logo
Uses & Disclosures for Treatment, Payment & Healthcare Operations PDF logo
Uses & Disclosures Requiring Patient Authorization PDF logo
Verification of Identity PDF logo

« Back to Top

Forms:

Hospital Business Office Forms
HIPAA Privacy Policies
Form Name PDF
Authorization Form PDF logo
Data Use Agreement PDF logo
Fax Cover Page PDF logo
Modification or Termination of Restriction PDF logo
Notice of Additional Privacy Protection Request Review PDF logo
Request for Patient Information PDF logo
Staff Confidentiality PDF logo

« Back to Top