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5/24/2011 3:11 PM 1831424 HIPAA - Acknowledgement of Receipt of Notice of Privacy Practices Client Rights Statement-Spanish.doc
5/24/2011 3:11 PM 1830912 HIPAA - Acknowledgement of Receipt of Notice of Privacy Practices & Client Rights Statement-English.doc
5/24/2011 3:12 PM 1830400 HIPAA - Acknowledgement of Receipt of Notice of Privacy Practices-Spanish.doc
11/2/2017 1:05 PM 1867264 HIPAA - Alert for Electronic Communications SPANISH.doc
11/2/2017 1:02 PM 193115 HIPAA - Alert for Electronic Communications.docx
11/26/2013 10:52 AM 2093056 HIPAA - Authorization to Use or Disclose De-identified Health Information for Public and Educational Purposes-Computer.dot
5/14/2013 9:51 AM 1835520 HIPAA - Authorization to Use or Disclose De-identified Health Information for Public and Educational Purposes-Paper.doc
11/26/2013 10:58 AM 1999360 HIPAA - Authorization to Use or Disclose PHI via Electronic Media-Computer.dot
11/26/2013 11:00 AM 1989120 HIPAA - Authorization to Use or Disclose PHI via Electronic Media-Paper.doc
5/24/2019 9:33 AM 34162 HIPAA - Confidentiality Statement - 9-6-13.pdf
7/2/2018 11:33 AM 83650 HIPAA - Consent to Release Information - 6-25-18.docx
5/24/2011 12:44 PM 1834496 HIPAA - Custodian of Record Certificate.dot
5/24/2011 3:19 PM 1825280 HIPAA - Designated Record Set Matrix.doc
7/9/2012 11:32 AM 1826304 HIPAA - Employee Responsibility For Protecting Confidential Information in EHR.dot
5/18/2011 2:44 PM 1827328 HIPAA - Fax Cover Sheet.dot
5/24/2011 3:21 PM 1840640 HIPAA - Group Observation Roster.dot
5/31/2013 6:29 AM 2394624 HIPAA - Medical Record Destruction Log.xls
5/24/2011 3:22 PM 1872384 HIPAA - Medical Record Storage Inventory.dot
2/23/2018 11:48 AM 197785 HIPAA - Patient Request for Health Information - 2-26-18.docx
11/26/2013 10:48 AM 1981952 HIPAA - Personal Representative Definitions.doc
5/25/2011 7:08 AM 1830400 HIPAA - Privacy Complaint (Computer).dot
5/25/2011 7:09 AM 1823232 HIPAA - Privacy Complaint (Paper).doc
5/25/2011 7:10 AM 1843712 HIPAA - Privacy Incident Report (Computer).dot
5/25/2011 7:10 AM 1831936 HIPAA - Privacy Incident Report (Paper).doc
5/25/2011 7:11 AM 1932800 HIPAA - Privacy Incident-Complaint Summary Report and Follow-Up Report (Paper).doc
5/25/2011 7:13 AM 1937408 HIPAA - Privacy Incident-Complaint Summary Report and Follow-Up Report (Computer).dot
5/25/2011 7:13 AM 1818112 HIPAA - Privacy Information.doc
11/6/2019 10:43 AM 164278 HIPAA - Privacy Notice - September 2019.pdf
5/25/2011 7:19 AM 46080 HIPAA - Privacy Violations Flowchart.doc
2/28/2012 1:42 PM 1853952 HIPAA - Recommended Sanctions for Violations of Privacy by Workforce.doc
5/25/2011 7:20 AM 1856512 HIPAA - Record of PHI or PII Disclosures.doc
5/25/2011 7:21 AM 1830912 HIPAA - Records Disposition Request.doc
5/25/2011 7:41 AM 1921024 HIPAA - Records Log for Lost or Damaged Records.doc
12/5/2013 8:49 AM 2062848 HIPAA - Request for Accounting of PHI Disclosed.doc
5/25/2011 7:47 AM 1850368 HIPAA - Request for Amendment of A Medical Record or PHI (Computer).dot
5/25/2011 7:49 AM 1836544 HIPAA - Request for Amendment of A Medical Record or PHI (Paper).doc
11/30/2016 3:50 PM 191233 HIPAA - Request for Confidential Communiation.docx
5/25/2011 7:54 AM 1839104 HIPAA - Request for Special Privacy Protections (Computer).dot
5/25/2011 7:54 AM 1826816 HIPAA - Request for Special Privacy Protections (Paper).doc
5/25/2011 7:58 AM 1850880 HIPAA - Request to Observe Client Care (Computer).dot
5/25/2011 7:58 AM 1840640 HIPAA - Request to Observe Client Care (Paper).doc
5/25/2011 7:59 AM 1844736 HIPAA - Response to Request for Amendment of A Medical Record or PHI (Computer).dot
5/25/2011 8:02 AM 1839104 HIPAA - Response to Request for Amendment of A Medical Record or PHI (Paper).doc
5/25/2011 8:04 AM 1826304 HIPAA - Response to Request for Special Privacy Protections (Computer).dot
5/25/2011 8:05 AM 1822720 HIPAA - Response to Request for Special Privacy Protections (Paper).doc
5/25/2011 8:06 AM 1862144 HIPAA - Revocation of Consent to Release Information.doc
10/1/2013 8:18 AM 38002 HIPAA - Risk Assessment Form.pdf
5/25/2011 8:08 AM 1831936 HIPAA - Termination of Special Privacy Protections (Computer).dot
5/25/2011 8:08 AM 1822720 HIPAA - Termination of Special Privacy Protections (Paper).doc
6/27/2011 8:29 AM 48640 HIPAA -Types of Permitted Disclosures list (without permission).doc