For various transactions between a covered entity and its clients, there are different forms that you can use as regulated by the HIPAA.

These forms make transactions between the two parties more efficient. They likewise prove the legality of the transactions, specifically according to the regulations set up by the HIPAA.

There is a specific HIPAA Form for covered entities and their clients, and this can either be obtained from the office of the covered entity or through their website.

HIPAA Notice of Privacy Practices Statement

This form must be duly signed by both the covered entity and its clients. This Notice of Privacy Practices Statement states how the covered entity will collect your information: via post mail correspondences, telephone calls, and electronic mail, among others.

The client has to take note that the covered entity has no right to share a client’s information without prior written and signed consent.

Other stipulations in the Privacy Statement may also be included and these need to be carefully read and studied by both parties before affixing their respective signatures.

These stipulations include outlining specific instances where a covered entity wishes to use the client’s information such as medical purposes, payments and billings and other health-related activities as indicated by the covered entity.

Patient Information Forms

For new clients, a covered entity may require them to fill-up a patient medical history form to give them a brief look at a client’s health care history. This will help them in the analyses of patient cases where medical care or procedures may be needed.

For existing patients, an update form may be required to keep the patient’s record updated from time to time.

A Consent Form for Use and Disclosure is required and must be submitted by the covered entity to the patient in cases where they wish to share a patient’s health information to other entities not included in the HIPAA.

These could be business associates or affiliates of the covered entity for marketing and advertising purposes.

It is important that the covered entity specify each to whom they will be disclosing a client’s information, for what purpose will this information be shared and for how long their information will be held by the third party in question.

It is also best to check for stipulations that provide a client with the option to revoke their consent under specific circumstances.

Acknowledgment Receipt of Privacy Notice is given by covered entities to the patient as proof that the patient did indeed receive the Notice of Privacy Statement. This form is given depending on the covered entity.

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