Forms for Covered Entities

Accounting of Disclosures Tracking Form

Denial of Access to PHI 

HIPAA Authorization Template

HIPAA Business Associate Agreement Template for NAU when additional contracts exist

HIPAA Employee Security and Confidentiality Agreement for NAU Covered Entities

Notice of Privacy Practices Checklist

Request for Confidential Communication of Protected Health Information 

Request for Accounting of Disclosures Form

Request for an Amendment of PHI

Letter Template for Delay in Processing Request to Amend PHI