{"id":8841,"date":"2020-10-26T10:23:26","date_gmt":"2020-10-26T10:23:26","guid":{"rendered":"https:\/\/dhs.lacounty.gov\/harbor-ucla-medical-center\/?page_id=8841"},"modified":"2023-05-22T13:36:11","modified_gmt":"2023-05-22T20:36:11","slug":"hipaa-related-forms","status":"publish","type":"page","link":"https:\/\/dhs.lacounty.gov\/harbor-ucla-medical-center\/patient-and-visitors\/hipaa-related-forms\/","title":{"rendered":"HIPAA Related Forms"},"content":{"rendered":"

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The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that protects sensitive patient health information from being disclosed without the patient’s consent or knowledge.<\/p>\n

Request for Authorization\u00a0English<\/a>\u00a0|\u00a0Spanish<\/a><\/p>\n

Request for Access\u00a0English<\/a>\u00a0|\u00a0Spanish<\/a><\/p>\n

Request for Restrictions<\/a><\/p>\n

Request for Confidential Communications<\/a><\/p>\n

Request for Amendment<\/a><\/p>\n

To understand what type of form to use, click here<\/a><\/p>\n<\/div>\n<\/div>\n

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dhs content\/Home\/Patient Resources\/Medical Record Request\/HIPAA Related Forms\/Introduction<\/span>Introduction<\/span><\/p>\n<\/div>\n

[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row][vc_column][vc_column_text] The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that protects sensitive patient health information from being disclosed without the patient’s consent or knowledge. 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