Plumas County HIPAA Forms

Plumas County HIPAA

County Administrative Officer
520 Main Street, Room 309
Quincy, CA. 95971

Phone: (530) 283-6315
FAX: (530) 283-6288

HIPAA Policies and Forms

SECURITY POLICIES & PROCEDURES
	Plumas County HIPAA Security Policy
PRIVACY POLICIES & PROCEDURES
PF2	Notice of Privacy Practices Condado De Plumas
PF2A	Acknowledgement of Receipt
PPP2	Distributing the Notice of Privacy Practices
ADMINISTRATION
PPP1	Designation of Privacy Official and Contact Person
PPP3	Documentation of Privacy Practices
PPP4	Safeguarding Protected Health Information
PPP5	Mitigation of Inappropriate Use and Disclosure
PPP6	Use of Business Associate Contracts
PF6	HIPAA Business Associate Contract
PPP7	Confidentiality of Protected Health Information
PPP8	De-identifying Protected Health Information
PPP9	Facsimile Communications of Protected Health Information
PF9	FAX Cover Sheet
PPP10	Training the Workforce on Privacy Rules
PF10	Employee Certification Regarding Protected Health Information
PF10A	Standardized HIPAA Training Basic HIPAA Privacy Training - Powerpoint Document
PF10B	HIPAA Privacy Primer
PPP11	Sanctions for workforce violations of the County's HIPAA Related Policies
PPP35	Auditing for HIPAA Compliance
PF35	HIPAA Audit Form
Use and Disclosure
PPP12	Disclosures by whistleblowers or Workforce Crime Victims
PPP13	Minimum Necessary Standards for Use and Disclosure
PPP14	Obtaining Authorization for Use and Disclosure of Protected Health Information
PF14	Authorization for Use & Disclosure of Health Information
PPP15	Verification of Identity and Authority of Person Requesting Protected Health Information
PPP22	Use and Disclosure of Protected Health Information to a Personal Representative
PPP23	Use and Disclosure of Protected Health Information for Health Oversight Activities
PPP24	Use and Disclosure of Protected Health Information for Public Health Activities
PPP25	Use and Disclosure of Protected Health Information for Marketing and Fundraising
PPP26	Use and Disclosure Required by Law
PPP26A	Disclosures of PHI for Law Enforcement Purposes
PPP27	Use and Disclosure of Protected Health Information to Avert a Serious Threat to Health or Safety
PPP34
Patient or Client Rights
PPP16	Individual Right to Inspect and Copy Protected Health Information
PF16	Request to Access Protected Health Information
PF16A	Granting request to access Protected Health Information
PF16B	Denial of request to access Protected Health Information
PPP17	Individual Rights to Request Restrictions of Uses and Disclosures Regarding Protected Health Information
PF17	Request for Special Restriction on Use or Disclosure of Protected Health Information
PF17A	Response to Request for Special Restriction on Use or Disclosure of Protected Health Information
PF17B	Termination of Special Restriction Requests
PPP18	Right of Individuals to Request Confidential Communications Regarding Protected Health Information
PF18	Request for Restriction on the Method of Confidential Communications
PPP19	Individual Right to Request Amendment to Protected Health Information
PF19	Request to Amend Protected Health Information
PF19A	Response to Request to Amend Protected Health Information
PPP20	Individual Rights for an Accounting of Disclosures
PF20	Request for an accounting of disclosures
Complaints
PPP21	Individual Rights to a Complaint Process
PF21	HIPAA Complaint form
PF21-A	Complaint Response form
	Complaint Tracking form
	Privacy Officer Approval of Departmental Modification of HIPAA related policies