FPM Toolbox


Download sample forms to help you comply with HIPAA.

Authorization Form

A sample form for obtaining authorization from patients to release their protected health information for reasons other than treatment, payment or health care operations
Download Format: Word
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Health Plan Inventory Worksheet

A worksheet designed to help physicians organize their HIPAA information and to prepare them to speak with vendors about their HIPAA-readiness
Download Format: Word PDF
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Notice of Privacy Practices

A sample notice that informs patients of their privacy rights and the practice's privacy policies and procedures
Download Format: Word
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