Ofur Zur, Ph.D. Zur Institute, Innovative Resources and Continuing Education
Ofur Zur, Ph.D. Home StudyOnline Courses for CE CreditPrivate Practice Catalog
Zur InstituteFee-For-Service Private PracticeHIPAA ComplianceDual RelationshipsLive SeminarsForensics and Other ServicesFree ArticlesHire Doctor ZurCurriculum VitaeSite MapHome
.

Send this page to a colleague



 

 

HIPAA FORMS
IN ENGLISH & SPANISH
Via Instantaneous Download

Formularios de HIPAA en Inglés y en Español

Be HIPAA Compliant

Compiled by: Ofer Zur, Ph.D.
Translated by: Edith M. López, Ph.D.

READY-TO-ADAPT HIPAA FORMS IN
ENGLISH & SPANISH

These HIPAA Forms in English and Spanish are available online in PDF format. You can access them instantaneously online, copy them to your word processing program, insert your letterhead and name, make setting-specific changes as necessary, and you're all set.

 
List of Forms In English & Spanish

Form I: HIPAA Compliance Checklist (English)
Form II: HIPAA Notice of Privacy Practices (English & Spanish)
Form III: Authorization to Release Information (English & Spanish)
Form IV: Request for Amendment of Health Information (English & Spanish)
Form V: Standard Office Policies (Pre-HIPAA) (English & Spanish)
Form VI Consent to Use and Disclose TPO (English & Spanish)
Form VII Tracking of Releases (English & Spanish)
Form VIII: Account of Disclosures (English & Spanish)
Form IX: Denial of Access to PHI (English & Spanish)
Form X: Denial of Request for Amendment (English & Spanish)
Form XI: Business Associate Contract (English)
Form XII Complaint Form (English & Spanish)
Form XIII: Acknowledgment of Receipt of Notice (English & Spanish)

Only the forms that are presented to clients are translated to Spanish. The rest of the forms, which are geared to serve therapists, are available only in English.

Forms in Spanish via instantaneous download:
This offer includes the following forms in Spanish: II, III, IV, V, VI, VII, VIII, IX, X, XII, XIII.

Solo Practitioner: $40.00
Small Group (2-10 Clinicians): $70.00
Mid-Size Group (11-30 Clinicians): $199.00
Large Group-Agency (above 30 Clinicians): $450.00

Forms in English & Spanish (via instantaneous download) and the HIPAA Compliance Kit (hard copy & CD)
To review HIPAA Compliance Kit, click here.

Solo Practitioner: $109.00
Small Group (2-10 Clinicians): $139.00
Mid-Size Group (11-30 Clinicians): $249.00
Large Group-Agency (above 30 Clinicians): $499.00

To review the original HIPAA Compliance Kit in English, click here.

To receive clinical and practice updates, add your name to our confidential e-mail list.
CLICK HERE and enter your name in the body of the email.


Online Courses  -  Home Study Courses  -  Live Workshops  -  CE Info  -  Online Catalog
Private Practice Handbook  -  HIPAA Compliance Kit  -  Clinical Forms  -  Audiotapes and Brochures
Free Articles  -  Boundaries and Dual Relationships  -  Articles For General Public  -  Peace/War/Technology
Home -  Contact Us  -  Privacy, Disclaimer and Terms of Use  -  ADA Policy and Grievance Procedure -  CV -  Site Map



ZUR INSTITUTE

Ofer Zur, Ph.D., Director

Sonoma Medical Plaza
181 Andrieux Street, Suite 212
Sonoma, California 95476
Phone: 707-935-0655
Fax: 707-935-3918

E-mail: drzur@drzur.com

© 1997 - 2007 Ofer Zur, Ph.D., All rights reserved
Privacy Statement, Disclaimer and Terms of Use
Site design and maintenance by R&D Web

 

hr