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 »

Research Policies
HIPAA Privacy Policies
Policy Name	PDF
Accounting of Disclosures
De-Identification of Information
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
Staff Confidentiality
Telephone Requests for Patient Information
Use of Limited Data Sets
Uses & Disclosures for Research
Uses & Disclosures for Decedent Information
Uses & Disclosures Requiring Patient Authorization
Verification of Identity

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Forms:

Research Forms
HIPAA Privacy Policies
Form Name	PDF
Accounting of Disclosures - Extension Notification
Accounting of Disclosures - Fee Estimate
Authorization Form
Data Use Agreement
Fax Cover Page
HIPAA Privacy Form
HIPAA Waiver of Authorization
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 Accounting of Disclosures
Patient Request for Additional Privacy Protection
Patient Request for Amendment of Health Information
Request for Patient Information
Research Authorization Form
Research Sponsor Contact - Privacy Provision
Researcher Certification for PHI of Decedents
Researcher Certification for Reviews Preparatory to Research
Staff Confidentiality

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