Accounting of Disclosures 
|
Request for Accounting Disclosures of PHI |
Acknowledgment of HIPAA Training
|
Request for Amendment of PHI |
| Agreement to Receive Electronic Notice |
Response to Request For Confidential Communications |
| Authorization to Use PHI and Disclose |
Response to Request to Restrict Certain Uses and Disclosures |
| Denial of Request for Amendment of PHI |
Tracking Log - Access Request |
| Grant of Request for Access to PHI |
Tracking Log - Accounting Request |
| Grant of Request for Amendment of PHI |
Tracking Log - Amendment Request |
| HIPAA Compliance Verification Form |
Tracking Log - Breaches of Unsecured PHI Involving Less Than 500 Individuals |
| Notice regarding HIPAA Officers |
Tracking Log - Confidential Communications Request |
| Request for Access to PHI |
Tracking Log - HIPAA Incident |