HIPAA Policies

HIPAA

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Policies, Procedures and Forms

Privacy Policy Index

3.11.100 - Notice of Privacy Practices
3.11.101 - Privacy Officer, Roles and Responsibilities
3.11.102 - Complaints Regarding Privacy Policies and Procedures
3.11.103 - Mitigation for Patient Privacy Violations Under HIPAA
3.11.104 - Sanctions for Failure to Comply with Privacy Policies
3.11.105 - Use and Disclosure of Protected Health Information for Treatment, Payment and Health Care Operations
3.11.201 - Use and Disclosure of Protected Health Information for Facility Directories
3.11.202 - Patient's Request for Confidential Communications
3.11.203 - Use and Disclosure of Protected Health Information to Persons Involved in Patient's Care, for Notification and for Disaster Relief
3.11.204 - Request for Restricting Use and Disclosure of Protected Health Information
3.11.300 - Authorization for Use and Disclosure of Protected Health Information for Purposes Other Than Treatment, Payment and Health Care Operations
3.11.301 - Use and Disclosure of Psychotherapy Notes
3.11.302 - Minimum Necessary Standard for Use and Disclosure of Protected Health Information
3.11.303 - Patient's Access to the Designated Record Set
3.11.304 - Accounting of Disclosures of Protected Health Information
3.11.305 - Patient's Request to Amend the Designated Record Set
3.11.306 - Permitted Use and Disclosure of Protected Health Information Without Patient's Authorization
3.11.307 - Designated Record Set
3.11.308 - Use and Disclosure of Limited Data Sets

3.11.309 - De-Identification of Protected Health Information
3.11.401 - HIPAA Business Associates
3.11.501 - HIPAA Privacy Education
3.11.601 - Use and Disclosure of Protected Health Information for Marketing
3.11.602 - Use and Disclosure of Protected Health Information for Fundraising
3.11.901 - Access to HCHD Information

Policy Number

Form Name

3.11.102 - Privacy Complaint Form
3.11.202 - Request for Confidential Communication of PHI Form
3.11.204 - Request for Restriction on Use and Disclosure of PHI
3.11.305 - Request for Amendment of PHI Form
3.11.306 - Certification of Subpoena Compliance Form
3.11.306 - Disclosure of PHI
3.11.308 - Request Forms for De-identified Information and Limited Data Sets
3.11.308 - Data Use Agreement for Use with Limited Data Sets
3.11.401 - Business Associate Agreement Forms