Confidentiality/Privacy of Protected Health Information (PHI): 03-01
HIPAA
Confidentiality/Privacy of Protected Health Information (PHI): 03-01
Attachments:
A. Declaration of Notice of Confidentiality
B. Authorization for Use or Disclosure of Health Information (Mental Health): English | Spanish | Chinese | Tagalog | Tongan | Russian
C. Authorization for the Verbal Release of Client Information (Mental Health): Tagalog |
| | | |F. Exchange of Information: Principles and Definitions
G. Exchange of Information: Guide to Sharing
H. Authorization for Use or Disclosure of Protected Health Information (AOD Services): English | Spanish | Chinese | Russian | Tagalog | Tongan
Original policy date: 2/25/03
3/13/13; Technical Edits 1/23/14; updated 5/15/20, updated
attachments 2/23/2021
Translations of Attachments added 9/26/16;
Attachments B & C (English): updated 5/15/20, Technical Edits
6/23/20
Attachment H (English): Technical Edit 7/1/20