{"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":"

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