Behavioral Health

HIPAA Forms

• Acknowledgement of Receipt of Notice of Privacy Practices
  (HTML) (Microsoft Word*) (Adobe PDF*)
• Consent for Purposes of Treatment, Payment and Healthcare Operations
  (HTML) (Microsoft Word*) (Adobe PDF*)   
• DDPC’s Confidentiality Agreement Form 890 (Microsoft Word*) (Adobe PDF*)
• Authorization to Release Information
  (Microsoft Word*) (Adobe PDF*)
• Notice of Privacy Practices (OACPDS)
  
  

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*For a free viewer or to request a hard copy