Patient Privacy Toolkit
Here you can find forms, information, and other helpful tools to help protect your privacy. You can also sign up to receive Toolkit updates by email.
Forms
- Consent Form: to give all providers
- How to Talk to Your Doctor
- Opt out of the AMA Database: to give all Providers
- Checklist: Manage your Consents
- Request Your Records
Section 164.524 of HIPAA: Access of Individuals to Protected Health Information - Complaint Form to HHS
- NEW: Private Pay Form