HIPAA Policies and Forms
HIPAA Policies
- Access, Inspection and Copying of Protected Health Information
- Accounting of Disclosures of Protected Health Information
- Amendment of Protected Health Information
- Business Associates
- Disclosures of PHI to Business Associates
- De-Identification of Protected Health Information and Limited Data Sets
- Designated Record Set
- Disclosure of Protected Health Information By Telephone and Email
- Disclosure of Protected Health Information by Facsimile
- Minimum Necessary Standards for Use and Disclosure of Protected Health Information; Exceptions
- No Retaliation for Filing Complaints
- Notice of Privacy Practices
- Providing PHI to Personal Representatives; Powers of Attorney; Parents of Minors; Victims of Abuse
- Privacy and Confidentiality of HIV-Related Information, Mental Health Information, Psychotherapy Notes, Alcohol and Substance Abuse Information, and Genetic Information
- Physical Walk-Through Checklist
- Sanctions for Violations and Mitigation of Damages
- Staff Training
- Uses of Protected Health Information for Fundraising
- Use and Disclosure of Protected Health Information for Marketing
- Use of PHI at Home or Off-Site
- Uses and Disclosures of PHI for Treatment, Payment and Health Care Operations; Obtaining Authorizations; and Disclosures Without Authorization after Providing an Opportunity to Agree or Object
- Use and Disclosure of Protected Health Information for Research Purposes
- Use and Disclosure of PHI In Special Circumstances Without Patient Authorization Or Other Opportunity To Agree or Object
- Verification of Identity and Authority Prior to Disclosure of PHI
HIPAA Forms
- Authorization Checklist
- Authorization to Use and Disclose Health Information to Communicate About Certain Products and Services
- Business Associate Agreement - NYU Hospitals Center
- Business Associate Agreement - SOM
- Denial of Request for Access - Results of Review
- Denial of Request To Amend Information
- E-mail consent Form
- Extension for Accounting
- Fax Cover Form
- Fees Associated with Accounting of Disclosures
- Individual Authorization
- Notice of Privacy Practices
- Notice of Privacy Practices Acknowledgement
- Patient Requests For Further Restriction on Use and Disclosure of Protected Health Information
- Patient Request for Alternative Communication of Protected Health Information
- Patient Request for Restrictions on Uses and Disclosures of Protected Health Information
- Patient Request for Access to Protected Health Information
- Request for Access to Protected Health Information – Approved
- Request for Access to Protected Health Information - Denied
- Request for Access-Notice of Potential Fees
- Request for Access to PHI-Letter of Extension
- Request for Amendment of PHI--Letter of Extension
- Request for Use of Protected Health Information Offsite
- Request for an Accounting of Disclosures
- Request for Amendment of Protected Health Information
- Right to Alternate Communications of Protected Health Information
