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 »

Clinical Departments & Support Services/Employee Health Policies
HIPAA Privacy Policies
Policy Name	PDF
Accounting of Disclosures
De-Identification of Information
Facility Directory
Faxing Patient Information
Minimum Necessary Guidelines
Notice of Privacy Practices
Patient Requests for Access
Patient Requests for Additional Privacy Protections
Patient Requests for Amendment
Personal Representatives
Privacy Rights of Minors
Safeguards for Incidental Disclosures
Short Notice of Privacy for Healthcare Events
Staff Confidentiality
Telephone Requests for Patient Information
Use of Limited Data Sets
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:

Clinical Departments & Support Services/Employee Health Forms
HIPAA Privacy Policies
Form Name	PDF
Authorization Form
Data Use Agreement
Facility Directory
Fax Cover Page
HIPAA Privacy Form
Modification or Termination of Restriction
Notice of Additional Privacy Protection Request Review
Notice of Approval of Amendment
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 Access - Extension Notification
Patient Access - Fee Estimate
Patient Access - Notice of Denial Letter
Patient Access - Notice of Denial Review Letter
Patient Amendment - Extension Notification
Patient Amendment - Notice of Denial Letter
Patient Request for Access to Health Information
Patient Request for Additional Privacy Protection
Patient Request for Amendment of Health Information
Request for Patient Information
Staff Confidentiality

*For translated versions of this notice, please visit http://www.downstate.edu/policy/patient.html
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