Policies and Forms

SECURITY POLICIES & PROCEDURES


Plumas County HIPAA Security Policy (PDF)

PRIVACY POLICIES & PROCEDURES

PF2Notice of Privacy Practices (PDF)
Condado De Plumas (PDF)
PF2AAcknowledgement of Receipt (PDF)
PPP2Distributing the Notice of Privacy Practices (PDF)

ADMINISTRATION

PPP1Designation of Privacy Official and Contact Person (PDF)
PPP3Documentation of Privacy Practices (PDF)
PPP4Safeguarding Protected Health Information (PDF)
PPP5Mitigation of Inappropriate Use and Disclosure (PDF)
PPP6Use of Business Associate Contracts (PDF)
PF6HIPAA Business Associate Contract (PDF)
PPP7Confidentiality of Protected Health Information (PDF)
PPP8De-identifying Protected Health Information (PDF)
PPP9Facsimile Communications of Protected Health Information (PDF)
PF9FAX Cover Sheet (PDF)
PPP10Training the Workforce on Privacy Rules (PDF)
PF10Employee Certification Regarding Protected Health Information (PDF)
PF10AStandardized HIPAA Training (PDF)
Basic HIPAA Privacy Training - Powerpoint Document (PDF)
PF10BHIPAA Privacy Primer (PDF)
PPP11Sanctions for workforce violations of the County's HIPAA Related Policies (PDF)
PPP35Auditing for HIPAA Compliance (PDF)
PF35HIPAA Audit Form (PDF)

Use and Disclosure

PPP12Disclosures by whistleblowers or Workforce Crime Victims (PDF)
PPP13Minimum Necessary Standards for Use and Disclosure (PDF)
PPP14Obtaining Authorization for Use and Disclosure of Protected Health Information (PDF)
PF14Authorization for Use & Disclosure of Health Information (PDF)
PPP15Verification of Identity and Authority of Person Requesting Protected Health Information (PDF)
PPP22Use and Disclosure of Protected Health Information to a Personal Representative (PDF)
PPP23Use and Disclosure of Protected Health Information for Health Oversight Activities (PDF)
PPP24Use and Disclosure of Protected Health Information for Public Health Activities (PDF)
PPP25Use and Disclosure of Protected Health Information for Marketing and Fundraising (PDF)
PPP26Use and Disclosure Required by Law (PDF)
PPP26ADisclosures of PHI for Law Enforcement Purposes (PDF)
PPP27Use and Disclosure of Protected Health Information to Avert a Serious Threat to Health or Safety (PDF)

Patient or Client Rights

PPP16Individual Right to Inspect and Copy Protected Health Information (PDF)
PF16Request to Access Protected Health Information (PDF)
PF16AGranting request to access Protected Health Information (PDF)
PF16BDenial of request to access Protected Health Information (PDF)
PPP17Individual Rights to Request Restrictions of Uses and Disclosures Regarding Protected Health Information (PDF)
PF17Request for Special Restriction on Use or Disclosure of Protected Health Information (PDF)
PF17AResponse to Request for Special Restriction on Use or Disclosure of Protected Health Information (PDF)
PF17BTermination of Special Restriction Requests (PDF)
PPP18Right of Individuals to Request Confidential Communications Regarding Protected Health Information (PDF)
PF18Request for Restriction on the Method of Confidential Communications (PDF)
PPP19Individual Right to Request Amendment to Protected Health Information (PDF)
PF19Request to Amend Protected Health Information (PDF)
PF19AResponse to Request to Amend Protected Health Information (PDF)
PPP20Individual Rights for an Accounting of Disclosures (PDF)
PF20Request for an accounting of disclosures (PDF)

Complaints

PPP21Individual Rights to a Complaint Process (PDF)
PF21HIPAA Complaint form (PDF)
PF21-AComplaint Response form (PDF)

Complaint Tracking form (PDF)

Privacy Officer Approval of Departmental Modification of HIPAA related policies (PDF)