The Privacy Office

(HIPAA, FERPA, etc.)

Patient Privacy(HIPAA)

• Notice of Privacy Practice 2021(English)
• Notice of Privacy Practice 2021(Spanish)
• Acknowledgment of Receipt of Notice of Privacy Practice
• Patient's Rights
• Business Associates
• Policies
• U.S. Department of Health and Human Services Office for Civil Rights Breach Portal

Forms

The forms below are available by clicking here:

• Authorization for the Release of PHI by UTMB(English)
• Authorization for the Release of PHI by UTMB(Spanish)
• Authorization to Release PHI to UTMB
• Request for Correction/Amendment of PHI
• Authorization/Consent to Photograph/Video Patients
• Revocation of Authorization to Release PHI
• Consent for Manufacturer Patient Assistance Programs