Georgia Association of Homes and Services for Children   

HIPAA TOOLS

The following list of sample policies/procedures, forms and tools were originally developed by the Hillside Family of Agencies, Rochester NY.  They have been modified to serve as samples that any organization may adopt/modify to their particular needs.

• HIPAA MOU GA Contract clauses

• Policy and Procedures for the Access, Use, and Disclosure of protected Health Information (PHI) under HIPAA

• Privacy Notice

• Privacy Notice (Short Form)

• Accounting of Disclosure Policy and Procedure

• Amendment or Correction of Clinical Information from a Client/Family Request

• Client Access to Clinical Records Policy

• Designated Record Set Contents of an Educational and Clinical Records

• Disclosure of Clinical Information Authorization NOT Required

• Disclosure of Clinical Information Authorization Required

• Electronic Mail (E-Mail) Policy and Procedure

• E-Mail Communication Guidelines

• Facsimile Policy

• Disclosure of HIV/AIDS Related Information

• Photography, Audio-Visual Taping, and Use of Client Protected Information Policy and Procedure

• Privacy and Security Protected Health Information (PHI) & Clinical/Educational Records

• Restriction of Clinical Information by Client/Family Request