Health Insurance Portability And Accoutability Related Documents

• HIPAA Notice of Privacy Practices
• Accounting for Disclosures of Health Information
• Authorization for Release of Health Information
• Request for Confidential Handling of Health Information
• Request Amendment to Health Information
• Request Restrictions on Uses and Disclosures of Protected Health Information

Mail Forms to:

Privacy Officer

Crossville Medical Group, PA

P.O. Box 548

Crossville, TN 38557

• How to File a Complaint per HIPAA Guidelines
• Privacy Complaint Form

All documents are provided in Adobe Acrobat format. To get the viewer, click here.