H.I.P.A.A. PAPERWORK

The Following Web Page is designed to help you navigate through the endless maze of paperwork:

With EASE .....

There are Three types of paperwork available here: FORMS , POLICIES and NOTICES.

ALL ARE IN PDF FORMAT.

You may choose to Right Click on a Clickable Link and SAVE the Document to your own
Computer if you wish.

You may choose to just Click on a Clickable link and view the PDF in your Browser window.

THE FORMS:  (PDF's)

Acknowledgment Form , Assignment of Benefits Form , Access Request Form ,

Amendment Request Form , Use Authorization Form , Restriction Request Form .

THE POLICIES:  (PDF's)

Patient Access Policies , Confidentiality Policies , Record Sets Policies , Amendment Request Policies .

THE NOTICES:  (PDF's)

Privacy Practice Notice , Complaint Procedure Notice .

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