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HIPAA Compliance Forms
 Form solutions that make you confident that you are in compliance with HIPAA regulations.

make HIPAA privacy worry

 Keep Practices Compliant with forms specially designed to meet HIPAA Requirements!

  As of April 14, 2003 HIPAA requires that healthcare practices take certain steps, and provides for steep penalties for those that do not comply.  Under HIPAA, Patients are now given new fundamental rights, including:

  • the right to inspect and/or obtain copies of their medical record
  • the right to request amendments to their record
  • the right to request restrictions on the disclosure of their protected health information
  • the right to ask practices to communicate with them in a certain manner
  • the right to ask practices for a log of who has accessed their protected health information

Our forms were created with the understanding that running a healthcare practice is a difficult job, and that added burdens practices can have serious negative effects.  Best of all, the forms are easy to use, and will help meet the new federal requirements.

Use these forms to:
- Comply with Federal HIPAA Privacy Regulations
- Document information necessary to show that you are HIPAA compliant
- Integrate easily with your existing medical record system
- Help simplify administrative processes
- Ensure that patients privacy rights are not violated

A Very Brief Overview of HIPAA

The Health Insurance Portability & Accountability Act (HIPAA) was signed into law in 1996.  The federal regulation includes mandates that set standards for protecting the privacy of medical & health information; now referred to as Protected Health Information (PHI).  PHI is information that is maintained by healthcare entities, for example: hospitals, pharmacies, healthplans, dental practices, and private physician practices.

HIPAA requires covered entities to take steps to limit the use and disclosure of PHI, which means that healthcare entities will be required to develop new policies and procedures that address protecting the privacy and security of patients' rights.  The Office of Civil Rights is the oversight agency responsible for HIPAA compliance.

The deadline for compliance with the privacy standards is April 14, 2003 (small health plans have until April 14, 2004).  To ensure compliance, healthcare entities will be required to document (forms) information captured as patients exercise their privacy rights.
    
Related HIPAA Links
 Health Insurance Portability and Accountability Act
 www.cms.hhs.gov/hipaa
    
US Department of Health and Human Services
 aspe.hhs.gov/admnsimp
   
Unsure how to handle HIPAA?
 www.hipaa.org

Get the Final HIPAA Regulations
 www.hhs.gov/ocr/hipaa/finalreg.html

Office for Civil Rights - HIPAA Medical Privacy
 National Standards to Protect the Privacy of PHI
 www.hhs.gov/ocr/hipaa/privacy.html

HIPAA Readiness Checklist

Department of Health and Human Services
 Security Guidelines, Effective February, 2005
 
 
  HIPAA Employee Training Record Form 101
  HIPAA Employee Training Record Form 102
  Protected Health Information PHI Access Log Form 103
  Protected Health Information (PHI) Disclosure Log Form 104
  Patient Request for Amendment of Health Information Form 105
  Patient Request for Accounting of Disclosures Form 106
  Patient Request to Inspect PHI Form 107
  Patient Request for Confidential Communications Form 108
  Patient Request for Restrictions on Use and Disclosure of PHI Form 109
  Protected Health Information (PHI) Tracking Log Form 110
  Authorization to Release Information Form 111
  Notice of Privacy Practices Form 120

ALL OUR FORMS ARE OF THE HIGHEST QUALITY, ARE PRINTED IN STRICT COMPLIANCE WITH GOVERNMENT SPECIFICATIONS AND ARE APPROVED BY MEDICARE, THE HEALTH CARE FINANCE ADMINISTRATION AND THE INSURANCE INDUSTRY.