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HIPAA Forms for Plan Members
These forms are used by members of the university health plans for HIPAA purposes.
HIPAA AUTHORIZATION FOR VERBAL RELEASE OF PROTECTED HEALTH INFORMATION
Campus: Norman, OUHSC, Tulsa
HIPAA AUTHORIZATION TO RELEASE/REQUEST FOR AN INDIVIDUAL'S HEALTH INFORMATION
Campus: Norman, OUHSC, Tulsa
HIPAA PRIVACY COMPLAINT REPORT
Campus: Norman, OUHSC, Tulsa
HIPAA REQUEST FOR ACCOUNTING OF DISCLOSURES
Campus: Norman, OUHSC, Tulsa
HIPAA REQUEST FOR ALTERNATIVE MEANS OF COMMUNICATION
Campus: Norman, OUHSC, Tulsa
HIPAA REQUEST FOR RESTRICTIONS ON USE AND DISCLOSURES OF PROTECTED HEALTH INFORMATION
Campus: Norman, OUHSC, Tulsa
HIPAA REVOCATION OF REQUEST FOR RESTRICTIONS ON USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION
Campus: Norman, OUHSC, Tulsa
HIPAA PROTECTED HEALTH INFORMATION AMENDMENT - NOTIFICATION FORM
Campus: Norman, OUHSC, Tulsa
HIPAA REQUEST FOR AMENDMENT OF PROTECTED HEALTH INFORMATION
Campus: Norman, OUHSC, Tulsa
HIPAA ROLE-BASED ACCESS WORKSHEET - HR STAFF AND PLAN ADMINISTRATORS
Campus: Norman, OUHSC, Tulsa
HIPAA ELECTRONIC NOTICE OF PRIVACY PRACTICES
Campus: Norman, OUHSC, Tulsa

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