San Francisco Department of Public Health Privacy Practices

Summaries & Acknowledgements, Notifications, Posters, Authorization Forms, and Miscellaneous

Summary & Acknowledgement: San Francisco Department of Public Health Notice of Privacy Practices 

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DPH Notice of Privacy Practices - Long Version

(How Medical Information About You May Be Used & Shared In the San Francisco Department of Public Health (DPH) & How You Can Get This Information.) 

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Poster

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• Tagolog
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Authorization for Release or Disclosure of Protected Health Information

• CBHS Chinese
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• CBHS Russian
• CBHS Spanish
• CBHS Vietnamese
• CHN English
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Miscellaneous HIPAA Forms

• Medical Record Amendment Request Form
• HIPAA Business Associate Addendum (Exhibit E, revised February 2010)

• Request and Authorization to Share Protected Health Information Via E-mail Between Provider and Client