What Forms are "HIPAA Forms" and What Forms are NOT "HIPAA Forms"?

Modified on Tue, 1 Jul at 10:52 AM

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What are Examples of HIPAA Forms?
"HIPAA Forms" are forms or documents that are explicitly mentioned by the HIPAA regulations.  Well-known examples of HIPAA forms include:


1. The Notice of Privacy Practices
2. An Authorization to Use or Disclose PHI (sometimes called a "medical release" or "Authorization to Release PHI" or "Authorization to Disclose Medical Records"). Authorization can be required for various purposes, including marketing, sale, fundraising, and disclosures to print or online media sources.
3. A form on which a patient acknowledges having received a copy of the Notice of Privacy Practices.
4. A consent form. Note that HIPAA does not require a consent form. A practice may choose to obtain patient consent to use or disclosure of PHI for treatment, payment, or healthcare operations. It may choose to have a patient provide the consent in writing.
5. A patient request for copies of medical records, made under the HIPAA right of access standard.

What are Examples of Forms That are NOT HIPAA Forms?
Forms that are not mentioned in the HIPAA regulations are not HIPAA forms. Examples of forms that are not HIPAA forms incude:

1. Consent to treatment forms.  In a consent to treatment form, a patient provides written consent to undergo a particular procedure, after being advised of the risks and benefits of the procedure. This kind of form is often referred to as an informed consent form. States generally require that patients be given the opportunity to consent to a procedure after being informed of what the procedure entails, its potential risks, and potential benefits. The informed consent form captures a patient's consent to a procedure after the patient has been informed of these items.
2. Patient intake forms.
3. "Agreement to pay" forms, which are forms that outline a patient's financial responsibility for services rendered - particularly, for any costs that are not covered by insurance. 

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