HIPAA Policies and Procedures

1. Questions and Answers about the Notice of Privacy Practices
2. Script for front desk staff
3. Communication with family, friends and relatives of patients
4. Privacy Officer
5. Revocation of authorization for access, disclosure and release of protected health information.
6. Notice of Privacy Practices and Acknowledgement of receipt of NPP
7. Acknowledgement of receipt of the Notice of Privacy Practices
8. Consent Form Notice of Privacy Practices
9. Amendments of PHI
10. Patient Complaint
11. Patient restrictions to disclosure of PHI
12. Facsimile Transmission of Protected Health Information
13. Authorization for access, disclosure and release of protected health information
14. Business Associates
15. Access to Protected Health Information
16. Disclosure and Release of Medical Records (Maintenance of Medical and Dental records)
17. Certification of No Records
18. Affidavit of Custodian of Medical or Dental record
19. UTHSC Authorization to Disclose Health Information
20. Facsimile Cover Sheet Sample

Clinical Practices Compliance Office

920 Madison Avenue, Suite 807
Memphis, Tennessee 38163
Phone: 901-448-1672
Fax: 901-448-6726

Compliance Hotline: 901-448-4900
Privacy Hotline: 901-448-1700