Please find below some of the forms and documents to be used for HIPAA-related matters at the University of Miami. If you have any questions concerning any of these forms or documents, please contact our office.
University of Miami Notice of Privacy Practices
Access to Information
Request for Access to Health Information (Attachment 19)- Peticiòn de Aceso a Historial Médico (Adjunto 19)
3rd Party Disclosure
- Authorization for 3rd Party Disclosure - Short Form (Attachment 46)
- Autorización para Divulgación a 3.as Personas - Formulario Resumido (Adjunto 46)
Complaints
For further assistance regarding amendments, requests for alternative communication, restriction, or an accounting of disclosures, please contact the Office of HIPAA Privacy & Security, Medical Records, or your physician's office for further assistance.
