Forms
- Accounting of Disclosure (UH3162) – 104.F14 (VMC, contact VMC Health Information Management.)
- Additional Privacy Protections, Restrictions and Alternative Communications Coordination and Action Form – 104.F12
- Agreement for Electronic Access to Protected Health Information – 102.F1
- Amendment Request (UH2078) – 104.F13 (VMC, see here )
- Protecting Patient Information Training Self-Study – 002.F2 (Paper version)
- Patient Information for Inclusion in the UW Medicine Patient Directory (UH1868) – 103.F4 (VMC, see here)
- Mandatory Violent Injury Report (UH2883) – 103.F1 (VMC, see here)
- Non-UW Medicine Workforce Privacy, Confidentiality and Information Security Agreement – 102.F3
- Notice of Privacy Practices Acknowledgment Form (UH2045) – 104.F9 (VMC, see here)
- Patient Authorization for UW Medicine to Use or Disclose Protected Health Information for Publicity Form (UH1874) – 103.F12 (VMC, see here)
- Patient Authorization to Disclose, Release and/or Obtain Protected Health Information Form (UH0626) – 103.F7 (VMC, see here)
- Patient Authorization to Use & Disclose Protected Health Information for Publication (UH3031) – 103.F10 (VMC, see here)
- Patient Authorization to Use or Disclose Photography/Video Tape Form (UH0324) – 103.F11 (VMC, see here)
- Privacy, Confidentiality, and Information Security Agreement (PCISA) – 002.F1
- Release of Information Coordination and Action Form – 103.F8
- Release of Patient Property Form – 103.F2
- Request for Approval for Use of Audio Recordings for Research, Education or Quality Improvement Purposes – 304.F1
- Request to Consider Additional Privacy Protection for Protected Health Information (UH1869) – 104.F10 (VMC, see here)
- Request to Restrict Disclosure of Health Care Items or Services to Health Plans When Patients Self Pay Out-of-Pocket (UH2923) – 104.F11 (VMC, see here)
- Translation NoPP: Arabic – 104.F3
- Translation NoPP: Chinese – 104.F4
- Translation NoPP: Russian – 104.F5
- Translation NoPP: Somali – 104.F6
- Translation NoPP: Spanish – 104.F7
- Translation NoPP: Vietnamese – 104.F8
- UW Medicine Joint Notice of Privacy Practices (Brochure) (UH1858)- 104.F1
- UW Medicine Joint Notice of Privacy Practices (Text Version) – 104.F2
- Verbal Redisclosure (Record of Verbal Redisclosure of PHI) (UH1866) – 103.F9 (VMC, see here)
- Workforce Member Documentation of IT System Access – 102.F2
Guidance
- Billing Entity Site of Practice – 202.G1
- Compliance Investigations: Standard Operating Procedures – 005.G1
- Faxing PHI – 102.G2
- Law Enforcement Requests Disclosure of Patient Information – 103.G3
- Marketing Activities Guidance – 103.G9
- Minimum Necessary Disclosure Decision Tree – 103.G2
- Minor (Parent/Guardian) eCare Account Request Process – 103.G4
- Photography and Audiovisual Recording in the Clinical Setting – FAQ – 304.G1
- Privacy Policies Summary – 101.G2
- Patient Information Privacy Policies – GDN_M_Table of Contents
- Release of PHI for Judicial and Administrative proceedings – 103.G8
- Prohibition on Redisclosure – 103.G7
- Protected Health Information (PHI) – 102.G4
- Social Media Guidance – 303.G1
- Treatment, Payment and Healthcare Operations – 103.G1
- University of Washington HIPAA Designation – 101.G1
- UWP, Addressing Reported Concerns Procedure – 005.G2
- UWP Timely Documentation for Billing Purposes Exceptions: Standard Operating Procedures – 203.G1
- Use & Disclosure of PHI for Involvement in Patient’s Care and Notification Decision Tree – 103.G10
- UW Medicine Compliance Glossary – GDN_M_Compliance Glossary
- Wearable Tech Guidance – GDN_M_WearableTechnology