Health Insurance Portability & Accountability Act (HIPAA) Information

The Health Insurance Portability and Accountability Act of 1996 ("HIPAA") provides comprehensive guidance for patients including their privacy rights concerning the use or disclosure of their medical information. These rights are described in detail in the Notice of Privacy Practices.

Notice of Privacy Practices

• Notice of Privacy Practices (NPP)
  • Notice of Privacy Practices (Spanish)
• Patient Acknowledgement Form
  • Patient Acknowledgement Form (Spanish)

HIPAA Forms

• Authorization to Release Medical Information (Legal)
  • Authorization to Release Medical Information (Legal) (Spanish)
• Authorization for Fundraising form
• Authorization for Fundraising form (Spanish)
• Business Associate Agreement
• Confidentiality Agreement
• HIPAA Fax cover sheet
• Provider/Patient Email information Sheet
• Patient Request for Email Form

Patients - HIPAA Rights

• Request a Copy of your Medical Record
  • Request a Copy of your Medical Record (Spanish)
• Request an Accounting of Disclosures
• Request an Amendment to Health Information
• Request Communications at an Alternative Location
• Request Restrictions on Uses and Disclosures of Protected Health Information
• Privacy Complaint Form

Other Resources

• US Department of Health & Human Services HIPAA website
• Information Security Policies & Procedures
• U.S. Department of Health & Human Services
• Workgroup for Electronic Data Interchange (WEDI)
• Family Educational Rights and Privacy Act
• Disposal of Protected Health Information

Training

All CUMC employees must complete mandatory HIPAA training. All staff receive HIPAA training during welcome program/orientation.

HIPAA Education Material

• HIPAA & HITECH Briefing - Information Security and Privacy 2012
• HIPAA & HITECH Briefing Information Security and Privacy 2012 - Video (UNI required)
• HIPAA Privacy & Security Management Briefing 2011 (video - UNI required)
  • PDF
• Welcome Program 2013
• Students 2011
• HIPAA and Electronic Medical Record Access – Students
  
• HITECH Email Breach Notification Requirement
• Social Security Number Protection Act
• Privacy Walk Through
• HIPAA Security
• Student Health Services 2012
• HIPAA Privacy & Information Security Refresher 2011

- Physicians
On-line HIPAA Training
- To register contact Irina @342-0059.

- Researchers
Researchers must complete an additional HIPAA training course on RASCAL under the Testing Center.