Forms

• BAA - UNC as Covered Entity
• BAA - SOM as Covered Entity
• BAA - UNC or SOM as Business Associate
• Complaint Form (see "Complaint Procedure" under "Policies," below)
• Exit Checklist
• Health Record Correction/Amendment Form and Policy
• Request for Restrictions on Use and Disclosure
• Request for Alternative Means or Location for Confidential Communications
• UNC HCS Form HD974:  Request for Access to PHI or Aggregate Data for Research Purposes

Policies

• Accessing, Inspecting and Obtaining a Copy of Health Information
• Accounting of Disclosures of Protected Health Information (PHI) Policy
• Complaint Procedure
• Consent for Purposes of Treatment
• Covered Entities - Information
• Minimum Necessary
• Notice of Privacy Practices Brochure - Campus Health Services
• Notice of Privacy Practices Brochure - School of Dentistry (English version)
• Notice of Privacy Practices Brochure - School of Dentistry (Spanish version)
• Notice of Privacy Practices Brochure - School of Medicine (English version)
• Notice of Privacy Practices Brochure - School of Medicine (Spanish version)
• Policy on Peer to Peer File Sharing Programs and PHI
• Privacy of Protected Health Information Policy
• Research Policy
• Security Policy and Standards - Information
• Training Policy & Procedures

Research

• Open Letter to Other Covered Entities re: Research

This memo is available for researchers to print and share with covered entities who may be uncertain about what documentation from UNC-Chapel Hill is required for HIPAA-compliant release of PHI to UNC-Chapel Hill researchers.

• UNC HCS Form HD974: Request for Access to PHI or Aggregate Data for Research Purposes

Other Resources

• PHI Confidentiality Statement