We value your privacy

The Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification provisions were enacted by Congress to establish standards for privacy, security of individually identifiable health information, and electronic transfer of information.

View the forms below to find out more information:

• HIPAA Notice of Privacy Practices / Notificación de las prácticas de privacidad de HIPAA
• Authorization for Release of Protected Health Information / Autorización para divulgar información protegida de salud
  • Instructions for Completing an Authorization Form
  • Instrucciones para completar el formulario de autorización
• Request for Confidential Communications / Solicitud de Comunicaciones Confidenciales
• Request to Inspect or Receive a Copy of Protected Health Information / Solicitud para Inspeccionar o Recibir copia de Información de Salud Protegida
• Restriction Request Form / Formulario para solicitar restricciones