Home ▪ Report a Concern ▪ Resources ▪ About ▪ Contact Us

Privacy Policies, Procedures and Forms

Client Requests for Access to Their Records

▪  Policy HHSA L-01

▪  Procedure L-01

▪  Procedure L-01 Addendum: Edgemoor

▪  Form HHSA 23-01:

    English ∙ Spanish ∙ Tagalog ∙ Arabic ∙ Vietnamese ∙ Farsi ∙ Chinese ∙ Dari ∙ Korean ∙ Somali

Client Requests for Amendments to their Records

▪  Policy HHSA L-02

▪  Procedure L-02

▪  Form HHSA 23-02:

    English ∙ Spanish ∙ Tagalog ∙ Arabic ∙ Vietnamese ∙ Farsi ∙ Chinese ∙ Dari ∙ Korean ∙ Somali

Client Requests for an Accounting of Disclosure of their Records

▪  Policy HHSA L-03

▪  Procedure L-03

▪  Form HHSA 23-03:

    English ∙ Spanish ∙ Tagalog ∙ Arabic ∙ Vietnamese ∙ Farsi ∙ Chinese ∙ Dari ∙ Korean ∙ Somali

Client Requests for Restrictions regarding their Records

▪  Policy HHSA L-04

▪  Procedure L-04

▪  Form HHSA 23-04:

    English ∙ Spanish ∙ Tagalog ∙ Arabic ∙ Vietnamese ∙ Farsi ∙ Chinese ∙ Dari ∙ Korean ∙ Somali

Client Requests for Confidential/Alternative Communications

▪  Policy HHSA L-05

▪  Procedure L-05

▪  Form HHSA 23-05:

    English ∙ Spanish ∙ Tagalog ∙ Arabic ∙ Vietnamese ∙ Farsi ∙ Chinese ∙ Dari ∙ Korean ∙ Somali

Provision and Acknowledgement of Notice of Privacy Practices

▪  Policy HHSA L-06

▪  Procedure L-06

HIPAA Authorization/Release of Information

▪  Policy HHSA L-09

▪  Procedure L-09

▪  Form HHSA 23-09:

    English ∙ Spanish ∙ Tagalog ∙ Arabic ∙ Vietnamese ∙ Farsi ∙ Chinese ∙ Dari ∙ Korean ∙ Somali

Minimum Necessary Uses and Disclosures

▪  Policy HHSA L-16

Client Complaints and Non-Retaliation

▪  Policy HHSA L-18

Privacy & Security Training, Statement, and Certification

▪  Policy HHSA L-22

▪  Procedure L-22

Privacy and Contracts

▪  Policy HHSA L-23

▪  Procedure L-23

Privacy Incident Reporting

▪  Policy HHSA L-24

▪  Procedure L-24

Use and Disclosure of Protected Health Information

▪  Policy HHSA L-25

▪  Procedure L-25

▪  Procedure - Addendum L-25

▪  Procedure L-25-19 – Uses and Disclosures During Local Emergencies

Safeguarding Protected Information 

▪  Policy HHSA L-26

▪  Procedure L-26

De-Identifying Protected Information and Limited Data Sets

▪  Policy HHSA L-21

▪  Procedure L-21

Legal Authority for Privacy Decisions

▪  Policy HHSA L-27

Privacy Definitions 

▪  Policy HHSA L-30