hipaa-forms

Compliance and Privacy Forms

 

1. Travis County Privacy Incident/Complaint Form

2. Determine If You Are A HIPAA Holding Business Unit

3. Notice of Privacy Practices (English and Español)

4. Authorization for Release of PHI (English and Español)

5. Request for Restrictions for Uses and Disclosure of PHI (English and Español)

6. Request for Alternate (Confidential) Communications (English and Español)

7. Request to Access Records (English and Español)

8. Request for Amendments to PHI (English and Español)

9. Request for Accounting of Disclosures of PHI (English and Español)