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HIPAA FORMS
IN ENGLISH & SPANISH
Via Instantaneous Download

Formularios de HIPAA en Inglés y en Español

Be HIPAA Compliant

Compiled by: Ofer Zur, Ph.D.
Translated by: Edith M. López, Ph.D.

READY-TO-ADAPT HIPAA FORMS IN
ENGLISH & SPANISH

These HIPAA Forms in English and Spanish are available online in PDF format. You can access them instantaneously online, copy them to your word processing program, insert your letterhead and name, make setting-specific changes as necessary, and you're all set.

 
List of Forms In English & Spanish

Form I: HIPAA Compliance Checklist (English)
Form II: HIPAA Notice of Privacy Practices (English & Spanish)
Form III: Authorization to Release Information (English & Spanish)
Form IV: Request for Amendment of Health Information (English & Spanish)
Form V: Standard Office Policies (Pre-HIPAA) (English & Spanish)
Form VI Consent to Use and Disclose TPO (English & Spanish)
Form VII Tracking of Releases (English & Spanish)
Form VIII: Account of Disclosures (English & Spanish)
Form IX: Denial of Access to PHI (English & Spanish)
Form X: Denial of Request for Amendment (English & Spanish)
Form XI: Business Associate Contract (English)
Form XII Complaint Form (English & Spanish)
Form XIII: Acknowledgment of Receipt of Notice (English & Spanish)

Only the forms that are presented to clients are translated to Spanish. The rest of the forms, which are geared to serve therapists, are available only in English.

Forms in Spanish via instantaneous download:
This offer includes the following forms in Spanish: II, III, IV, V, VI, VII, VIII, IX, X, XII, XIII.

Solo Practitioner: $40.00
Small Group (2-10 Clinicians): $70.00
Mid-Size Group (11-30 Clinicians): $199.00
Large Group-Agency (above 30 Clinicians): $450.00

Forms in English & Spanish (via instantaneous download) and the HIPAA Compliance Kit (hard copy & CD)
To review HIPAA Compliance Kit, click here.

Solo Practitioner: $109.00
Small Group (2-10 Clinicians): $139.00
Mid-Size Group (11-30 Clinicians): $249.00
Large Group-Agency (above 30 Clinicians): $499.00

To review the original HIPAA Compliance Kit in English, click here.


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ZUR INSTITUTE, LLC
Ofer Zur, Ph.D., Director 		Sonoma Medical Plaza, 181 Andrieux Street, Suite 212, Sonoma, CA 95476
Phone: 707-935-0655, Fax: 707-935-3918, E-mail: info@zurinstitute.com
 
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