The Document Templates section contains customizable sample documents such as a “Notice of Privacy Practices,” “Business Associate Agreement”, and “Authorization” forms. This also contains the “HIPAA Ready Reference” – a chart of typical day-to-day situations and the responses that are required to remain HIPAA compliant. This chart can be printed for your employees as a quick reference for what to do in these common situations. All Document Templates may be downloaded in Microsoft Word .DOC format and Adobe PDF format using the links below.
Acknowledgement of Receipt of Notice 
Business Associate Agreement Standard
Confidential Channel Communication Request
ePHI Use and Disclosure Inventory
- Form to use for situations when a covered entity like a hospital or medical practice makes their EHR available to another provider who is also treating the same patient.
Job Responsibilities with Respect to PHI
Notice of Privacy Practice STD Quadfold 8×14
Notice of Privacy Practices (Spanish Version)
PHI Use and Disclosure Inventory
Request for Access to Inmate PHI
Request for Disclosure Accounting
Request Health Plan Disclosure Restrictions
Request Special Privacy Protections
Security Risk Management Template
Start the Security Walk Through
Workforce Log for Physical Security Access
PrivaPlan Associates Privacy Policy
