HIPAA Forms

HIPAA Individual Authorization
HIPAA Group Health Plan Designation Change Form
HIPAA Business Associate Designation Change Form
Group Health Plan Designation Change Form - Form for employer to report change in personnel designated to handle protected health information on behalf of the group health plan.
Business Associate Designation Form -- Form for Business Associates to report change in personnel designated to handle protected health information on their behalf.

Health Information Privacy Notices:

SLHIC (U.S.)

HIPAA Privacy Notice.pdf HIPAA Reminder Notice

PIC

PIC HIPAA Master policyholder letter and notice

CalBen

English Spanish HIPAA Reminder Notice
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