UNIVERSITY PRIVACY AND CONTRACTING OFFICE

GC-001     Designation of Health Care Components and Hybrid Entities

GC-002A   Designation of Organized Health Care Arrangements 

GC-002B   Designation of Organized Health Care Arrangements 

GC-002C   Designation of Organized Health Care Arrangements

GC-003 Notice of Privacy Practices and Acknowledgement

GC-003M   Notice of Privacy Practices and Acknowledgment - Tulane Psychology Testing Center 

GC-003O   Notice of Privacy Practices and Acknowledgment - Tulane Community Health Center at Covenant House

GC-003P   Notice of Privacy Practices and Acknowledgment - New Orleans Children's Health Project

GC-003R   Notice of Privacy Practices and Acknowledgment - Drop-In Clinic at Covenant House

GC-003S   Notice of Privacy Practices and Acknowledgment - Drop-In Center

GC-003T   Notice of Privacy Practices and Acknowledgment - Tulane Community Health Center - Mobile Unit

GC-003U  Notice of Privacy Practices and Acknowledgment - Warren Easton Senior High School - School-based Health Center

GC-003V   Notice of Privacy Practices and Acknowledgment - Tulane Community Health Center New Orleans East

GC-003W  Notice of Privacy Practices and Acknowledgment - Walter L. Cohen High School - School-based Health Center

GC-003X   Notice of Privacy Practices and Acknowledgment - Plastic Surgery Clinic

GC-003Y Notice of Privacy Practices and Acknowledgment - Tulane Heart &Vascular Westbank Clinic

GC-003Z Notice of Privacy Practices and Acknowledgment - Tulane Pediatric Cardiology Clinic - St. Tammany

GC-004     Revisions to the Notice of Privacy Practices

GC-005     Minimum Necessary Standard

GC-006     Preparation and Maintenance of Designated Record Sets

GC-007     Responsibilities for Requests

GC-008     Patient Access to Protected Health Information

GC-009     Confidentiality of Protected Health Information

GC-010     Authorization for Release of Protected Health Information and Revoke Authorization

GC-011     Patient Request to Amend PHI

GC-012     Uses and Disclosures of PHI for Research

GC-013     Patient Privacy - Accounting of Disclosures

GC-014     Privacy Complaint Process

GC-015     Fundraising Activities

GC-016     Marketing Activities

GC-017     Business Associates Agreement

GC-018     Data Use Agreement

GC-019     Privacy Official

GC-020     Privacy Training

GC-021     Internal Audit for HIPAA - Privacy

GC-022    Personal Representatives

GC-023    Sensitive Information

GC-024    Consent and Release

GC-025    HIPAA Privacy Requirements During Disasters

GC-026    Response to Breach of Unsecured Protected Health Information, Exhibit 1, and Violation Action

                                                                                    

                                                                                                                       

 

 

Forms

Patient Request for Access to Health Information

Access Provided to Patient or Patient Representative

Authorization for Release of PHI

Authorization for Release of PHI for Marketing

Revoke Authorization for Use and Disclosure of PHI

Patient Request for Amendment of Records

Application for I.R.B. Waiver or Alteration Authorization

Request for an Accounting of Disclosures