In the August 9, 2002, US Department of Health and Human Services publication regarding modifications to the Standards for Privacy of Individually Identifiable Health Information – Final Rule documented, “The Department makes changes to protect privacy while eliminating barriers to treatment by strengthening the notice requirement and making consent for routine health care delivery purposes (known as treatment, payment, and health care operations) optional.”
For those providers who decide to obtain a specific consent form from patients participating in any of the United Physicians Chronic Disease Management Programs the following consent form can be utilized. The physician’s name or group practice name must be entered on the blank underlined spaces of the form.
If you feel your HIPAA privacy rights have been violated, please report the incident to the Office for Civil Rights.
Office for Civil Rights
For specific instructions on how to file a complaint please visit: