This "course" would be more aptly described as a downloadable library. The following forms may be downloaded instantly upon purchase, in .doc format, ready for you to add your practice information, edit as you wish, and USE! PDF and JPG formats available upon request.
HIPAA Documents for Internal Use
Staff Confidentiality Agreement
Record of Chart Movement
Fax Cover Sheet
Business Associate Confidentiality Agreement
Privacy Policies Training Acknowledgement
HIPPAA Documents for Use With Clients/Patients
Restriction of Use and Disclosures Request Form
Notice of Privacy Practices, short summary
Notice of Privacy Practices, detailed form
Medical Release, two way
Medical Records release to midwife
Disclosure of Protected Health Information
Consent and Release of Information or Images
Confidential Health Information
Conditions of Service
Birth Center Notice of Privacy Practices
Amendment of Health Record Request Form
Acknowledgement of Receipt of Notice of Privacy Practices, simple form
Accounting of Disclosures Request form
For instructions on how to use these forms, and how to be in compliance with new HIPAA standards, we recommend you take Maryl Smith's course that is a companion to these documents: A Heappa HIPAA Help...and Heroic Updates.
If you wish to purchase both the course and the forms, you may do so together for $20 off by selecting the HIPAA Heroes Bundle at the very bottom of this page.
Cartoon by R.J. Romero and used with permission.
- HIPAA Documents for Internal Use
- HIPAA Documents to Use With Clients
“Maryl did a great job and the handouts were a blessing!”
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