clinical social work association

The National Voice of Clinical Social Work 

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Click on the graphic to view the HIPAA manual as a searchable flipbook.

Download the manual here:  HIPAA-Eleven Years Later Compliance with HIPAA Privacy and Security Rules:  The Impact on LCSW Practice (pdf)

Microsoft Word forms (the forms will be downloaded to your computer so that you can open/edit them in Microsoft Word)

Privacy and Security Policies and Procedures

Notice of Privacy Practices (To be given to all clients); Acknowledgement of Receipt of Notice of Privacy Practices - must be signed by patient and clinicians at first meeting and kept as part of the patient’s record. (includes: Acknowledgement of Receipt of Notice of Privacy Practices))

Business Associate Agreement – for use with anyone who has access to your PHI who is not themselves a Covered Entity

Business Associate Agreement Amendment – for use when you already have a BAA agreement in place and want to modify that agreement without re-writing the entire agreement

Authorization to Release Health Care Information – for use in all situations that require client authorization to release information

Revocation of Consent for Use and Disclosure of Health Care Information – to revoke disclosure of information which either requires client authorization, or is covered by TPO exceptions.

PO Box 105
Granville, Ohio  43023

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