The following templates are available to help you in your HIPAA implementation program. 

1. Access to Records Request Form

2. Accounting of Disclosures Request Form

3. HIPAA Administrative, Technical, and Physical Safeguards and Accounting Procedures

4. Amendment of Health Record Request Form

5. Authorization for Use and Disclosure of Health Information

6. Authorization for Release of Personal Health Information

7. Business Associate Contract

8. Business Associate Relationships

9. Client Privacy Rights

10. Employee Complaint Form

11. HIPAA Privacy Policy and Security Procedures

12. Safeguards Assessment Tool

13. De-identification of Client or Participant Information and Use of Limited Data Sets

14. Disclosures of Protected Health Information (PHI)

15. Employee Training Log

16. Enforcement, Sanctions, and Penalties for Violations of Individual Privacy

17. Gap Analysis Document

18. General Privacy

19. HIPAA Checklist

20. HIPAA Notice of Privacy Practices - Employees

21. HIPAA Outline

22. HIPAA Privacy Policy

23. HIPAA Privacy Policies, Guiding Principles, and Forms

24. Minimum Necessary Information

25. Notice of Privacy Policy Receipt Acknowledgement

26. Personal Health Information List

27. HIPAA Privacy Contact Job Description

28. HIPAA Privacy Officer Job Description

29. Privacy Policy Glossary

30. Privacy Program Statement of Understanding

31. Response to Request to Amend Protected Health Information

32. Restriction of Use and Disclosures Request Form

33. Supervisor's List of Trained Employees

34. Tracking PHI Flow

35. Uses and Disclosures of Client or Participant Information