Health Insurance Portability and Accountability Act
Other DADS resources
Forms
- Contract NPI/API Association Form (MS Word)
- Form 0400: DADS HIPAA Privacy Incident Information — English
- Form 0401: HIPAA Privacy Notice — English
- Form 0401-S: HIPAA Privacy Notice — Spanish
- Form 0403: Explanation of Health Information Privacy Rights - English and Spanish
- Form 0405: Notice of Privacy Practices — English
- Form 0405-S: Notice of Privacy Practices — Spanish
- Form 1131: Individually Identifiable Health Information Fax Transmittal
- Form 1826-D: Case Information Release
Updated: May 28, 2013