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Free downloads

We offer the following forms, checklists and worksheets as a free service to the healthcare community. If you have any questions about these documents, please contact us. As always, in any legal matters please consult with your attorney.



Notice of Privacy Practices
Summary of Privacy Practices
Acknowledgement of Notice of Privacy Practices
Notice of Privacy Practices (Russian)
Notice of Privacy Practices (Korean)
HIPAA Compliant Fax Cover Pages
Business Associate Agreement
Complaint to Covered Entity
Complaint to HHS
Consent to Use and Disclose PHI
Revocation of Consent
Request to Inspect or Copy PHI
Denial of Request to Inspect or Copy PHI
Review of Denial to Permit Inspection
Request for Confidential Communication of PHI
Request to Amend PHI
Request for Accounting of PHI
Authorization of Use and Disclosure of PHI
Revocation of Authorization
Privacy Officer Job Description


Abuse reporting checklist
Access to PHI checklist
Accounting for disclosures checklist
Amendment of PHI checklist
Authorization checklist
Business Associate agreement checklist
Consent checklist
Health oversight activities checklist
Judicial and administrative proceedings checklist
Law enforcement checklist
Notice of Privacy Practices checklist
Privacy Policies and Procedures checklist
Public Health disclosures checklist
Research checklist
Verification checklist


Patient Health Information Uses Survey
Patient Health Information Users Survey
Reasonable Safeguards Worksheet

Transactions, Code Sets and Identifiers


Trading Partner agreement


CMS Compliance Plan worksheet
Identifier Compliance worksheet
Survey of Coding Practices
Survey of Information Systems
Survey of Trading Partners


HIPAA Transactions implementation specifications are provided free of charge for download here.



Contingency Plan
Facility Security Plan
Request to Access ePHI
Security Incident Reporting Form
Security Oficer Job Description


Disaster Recovery and Emergency Mode Operation Plan checklist


Applications and Data Criticality Analysis
Risk Analysis


CMS Acceptable Risk Safeguards
CMS Handbook
CMS Information Security Legislative Resource
CMS Internet Policy
CMS Risk Analysis Methodology
CMS Security Infrastructure ITAv6
CMS System Security Levels
CMS Threat Identification Resource
Federal Information Processing Standards 31 Guide for Automatic Data Processing Physical Security and Risk Management
Federal Information Processing Standards 46-3 Data Encryption Standard (DES)
Federal Information Processing Standards 191 Guideline for the Analysis of Local Area Network Security
Federal Information Processing Standards 196 Entity Authentication Using Public Key Cryptography
Information Technology Training Requirements AppendixA-D
Information Technology Training Requirements Appendix_E
NIST Handbook
NIST 800-3 Establishing a Computer Security Incident Response Capability (CSRC)
NIST 800-14 Generally Accepted Principles and Practices for Securing Information Technology Systems
NIST 800-16 Information Technology Training Requirements
NIST 800-18 Guide for Developing Security Plans for Information Technology Systems
NIST 800-24pbx PBX Vulnerability and Analysis
NIST 800-26 Security Self-Assessment Guide for Information Technology Systems
NIST 800-27 Engineering Principles for Information Technology Security
NIST 800-30 Risk Management Guide for Information Technology Systems
NIST 800-31 Intrusion Detection Systems
NIST 800-32 Introduction to Public Key Technology
NIST 800-33 Underlying Technical Models for Information Technology Security
NIST 800-34 Contingency Planning Guide for Information Technology Systems
NIST 800-35 Guide to Information Technology Security Services
NIST 800-36 Guide to Selecting Information Technology Security Products
NIST 800-37-Draftver2 Guide for Security Certification and Accreditation of Federal Information Systems
NIST 800-40 Procedures for Handling Security Patches
NIST 800-41 Guidelines on Firewalls and Firewall Policy
NIST 800-42 Guideline on Network Security Testing
NIST 800-44 Guidelines on Securing Public Web Servers
NIST 800-45 Guidelines on Electronic Mail Security
NIST 800-46 Security for Telecommuting and Broadband Communications
NIST 800-48 Wireless Network Security


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