HIPAA Forms
Authorization to Use and Disclose Health Information by DBH Fillable Form
Authorization to Use and Disclose Health Information by DBH SPANISH
Authorization to Use and Disclose Health Information by DBH
Authorization to Use and Disclose Health Information to DBH SPANISH
Authorization to Use and Disclose Health Information to DBH
Authorization to Use and Disclose Health Information to the Court
Client Request for His or Her Own Record Fillable SPANISH
Client Request for His or Her Own Record Fillable
Client Request for His or Her Own Record
Client Request to Amend Record SPANISH
Client Request to Amend Record
Client Restriction on the Uses and Disclosures of PHI for Treatment, Payment or Operations
PHI Disclosure to be Included in Client’s Accounting
Request for Accounting of PHI Disclosure by DBH