{"id":4958,"date":"2019-10-28T16:17:56","date_gmt":"2019-10-28T21:17:56","guid":{"rendered":"https:\/\/calliercenter.utdallas.edu\/?post_type=doc&p=4958"},"modified":"2023-10-24T18:26:08","modified_gmt":"2023-10-24T23:26:08","slug":"hipaa-privacy-forms-referred-to-in-the-manual","status":"publish","type":"doc","link":"https:\/\/calliercenter.utdallas.edu\/doc\/hipaa-privacy-forms-referred-to-in-the-manual\/","title":{"rendered":"HIPAA Privacy Forms Referred to in the Manual"},"content":{"rendered":"\n

HIPAA Privacy Forms Referred to in the Manual<\/h2>\n\n\n\n
    \n
  1. Complaint Form\u00a0(English<\/a>\/Spanish<\/a>)<\/li>\n\n\n\n
  2. Disclosure Log Form\u00a0(English<\/a>\/Spanish<\/a>)<\/li>\n\n\n\n
  3. Request for Access to Protected Health Information Form\u00a0(English<\/a>\/Spanish<\/a>)<\/li>\n\n\n\n
  4. Request for Accounting of Disclosure Form\u00a0(English<\/a>\/Spanish<\/a>)<\/li>\n\n\n\n
  5. Request for Amendment to Protected Health Information Form\u00a0(English<\/a>\/Spanish<\/a>)<\/li>\n\n\n\n
  6. Request for Alternate Confidential Communications of Medical Information Form\u00a0(English<\/a>\/Spanish<\/a>)<\/li>\n\n\n\n
  7. Request for Restriction on Use or Disclosure of Protected Health Information Form\u00a0(English<\/a>\/Spanish<\/a>)<\/li>\n\n\n\n
  8. Revocation of Authorization Form\u00a0(English<\/a>\/Spanish<\/a>)<\/li>\n\n\n\n
  9. Unencrypted Email Request and Consent Form\u00a0(English<\/a>)<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    HIPAA Privacy Forms Referred to in the Manual<\/p>\n","protected":false},"featured_media":0,"parent":0,"menu_order":34,"template":"","meta":{"schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":"","footnotes":""},"doc_category":[53],"class_list":["post-4958","doc","type-doc","status-publish","hentry","doc_category-hipaa-privacy-forms"],"yoast_head":"\nHIPAA Privacy Forms Referred to in the Manual - Callier Center for Communication Disorders<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HIPAA Privacy Forms Referred to in the Manual - Callier Center for Communication Disorders\" \/>\n<meta property=\"og:description\" content=\"HIPAA Privacy Forms Referred to in the Manual\" \/>\n<meta property=\"og:url\" content=\"https:\/\/calliercenter.utdallas.edu\/doc\/hipaa-privacy-forms-referred-to-in-the-manual\/\" \/>\n<meta property=\"og:site_name\" content=\"Callier Center for Communication Disorders\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-24T23:26:08+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"HIPAA Privacy Forms Referred to in the Manual - Callier Center for Communication Disorders","robots":{"index":"noindex","follow":"follow"},"og_locale":"en_US","og_type":"article","og_title":"HIPAA Privacy Forms Referred to in the Manual - Callier Center for Communication Disorders","og_description":"HIPAA Privacy Forms Referred to in the Manual","og_url":"https:\/\/calliercenter.utdallas.edu\/doc\/hipaa-privacy-forms-referred-to-in-the-manual\/","og_site_name":"Callier Center for Communication Disorders","article_modified_time":"2023-10-24T23:26:08+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/calliercenter.utdallas.edu\/doc\/hipaa-privacy-forms-referred-to-in-the-manual\/","url":"https:\/\/calliercenter.utdallas.edu\/doc\/hipaa-privacy-forms-referred-to-in-the-manual\/","name":"HIPAA Privacy Forms Referred to in the Manual - Callier Center for Communication Disorders","isPartOf":{"@id":"https:\/\/calliercenter.utdallas.edu\/#website"},"datePublished":"2019-10-28T21:17:56+00:00","dateModified":"2023-10-24T23:26:08+00:00","breadcrumb":{"@id":"https:\/\/calliercenter.utdallas.edu\/doc\/hipaa-privacy-forms-referred-to-in-the-manual\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/calliercenter.utdallas.edu\/doc\/hipaa-privacy-forms-referred-to-in-the-manual\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/calliercenter.utdallas.edu\/doc\/hipaa-privacy-forms-referred-to-in-the-manual\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/calliercenter.utdallas.edu\/"},{"@type":"ListItem","position":2,"name":"HIPAA Privacy Forms Referred to in the Manual"}]},{"@type":"WebSite","@id":"https:\/\/calliercenter.utdallas.edu\/#website","url":"https:\/\/calliercenter.utdallas.edu\/","name":"Callier Center for Communication Disorders","description":"The University of Texas at Dallas","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/calliercenter.utdallas.edu\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/calliercenter.utdallas.edu\/wp-json\/wp\/v2\/doc\/4958","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/calliercenter.utdallas.edu\/wp-json\/wp\/v2\/doc"}],"about":[{"href":"https:\/\/calliercenter.utdallas.edu\/wp-json\/wp\/v2\/types\/doc"}],"version-history":[{"count":11,"href":"https:\/\/calliercenter.utdallas.edu\/wp-json\/wp\/v2\/doc\/4958\/revisions"}],"predecessor-version":[{"id":10487,"href":"https:\/\/calliercenter.utdallas.edu\/wp-json\/wp\/v2\/doc\/4958\/revisions\/10487"}],"wp:attachment":[{"href":"https:\/\/calliercenter.utdallas.edu\/wp-json\/wp\/v2\/media?parent=4958"}],"wp:term":[{"taxonomy":"doc_category","embeddable":true,"href":"https:\/\/calliercenter.utdallas.edu\/wp-json\/wp\/v2\/doc_category?post=4958"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}