HIPAA Compliance Form & Privacy Rules

HIPAA (Health Insurance Portability and Accountability Act) of 1996 mandates data privacy and security for safeguarding patient’s medical information.
Download Updated HIPAA Form 2022

Learn More About HIPAA Compliance Regulations

The Security Rule requires Healthcare facilities to safeguard and maintain confidentiality of all Electronic protected health information.

HIPAA states the following:

1

Ensure complete confidentiality, integrity, and availability of all Electronic protected health information that is created, received or transmitted.

2

Identify and protect against reasonably anticipated threats to the patients information & security.

3

Identify & protect against reasonably anticipated, impermissible uses or disclosures.

4

Ensure complete compliance by your workforce.

General HIPAA Privacy Breaches in Dental Offices

Not properly maintaining confidentiality of patient data via encryption.

Failing to attain patient authorization prior to release of personal information.

Improper discarding of patient data via paper forms.

mConsent provides 100% HIPAA Compliant Online Dental Intake Forms.

Learn how mConsent can help keep your office HIPAA Compliant

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All you wanted to know about Dental HIPAA Release Forms?

HIPAA (Health Insurance Portability and Accountability Act) of 1996 mandates data privacy and security for safeguarding patient’s medical information.
A Dental HIPAA Release form is a legal document that Authorizes release of Information to Indicated parties.
Ensure Accurate & Complete Patient Info Provided
  • Patient’s Full Name
  • Patient’s DOB
  • Other Source of Identification as Needed
Disclosure to Which Entity, Office or Party
  • Another Dental Office
  • Self
  • Other (Indicate)
Method of Delivery
  • Fax
  • Postal Mail
  • Email
  • Pickup
What Information is Being Disclosed
Indicate the type of information
  • Treatment Plans
  • Radiology X-Rays & Images
  • Billing Records
  • Other Info
Option for Specific Instructions
  • Allow option for Patient to Indicate What should not be Disclosed
Expiration Date of Disclosure
  • Clear Indication of dates that Disclosure of information is permitted
  • Ensure that the applicable dates are followed by your office
  • If patient information is shared with a third party outside of the expiration date, you could face legal consequences
Signed Acknowledgement
  • Patient or legal Guardian must sign the form
  • Bypassing a patient’s signature can have legal ramifications
  • Never Disclose patient’s information without their signed consent
  • If patient is under the age of 18 be sure to have a legal guardian sign on their behalf
Download Updated HIPAA Form 2022

Learn More About HIPAA Compliance Regulations

The Security Rule requires Healthcare facilities to safeguard and maintain confidentiality of all Electronic protected health information.

HIPAA states the following:

1

Ensure complete confidentiality, integrity, and availability of all Electronic protected health information that is created, received or transmitted.

2

Identify and protect against reasonably anticipated threats to the patients information & security.

3

Identify & protect against reasonably anticipated, impermissible uses or disclosures.

4

Ensure complete compliance by your workforce.

mConsent

What are the benefits of a HIPAA Release Form?

HIPAA release forms ensure that a patient or their guardian has control over their personal health information. Who has access to their health records, to what extent, and for how long, are all decided by the patient or their guardian. HIPAA release forms safeguard the privacy of health information for patients in accordance with federal regulations. Without the implementation of HIPAA release forms, a patient’s health information may not be securely guarded according to the patient’s (or their guardian’s) wishes. The security and confidentiality of health information is prioritized via HIPAA release forms.

mConsent

What are Patient Rights under HIPAA privacy rules?

n accordance with HIPAA, there are patient rights that must be acknowledged by healthcare providers. The first is that patients have the right to request access to their health information. If a patient requests their personal health records, the provider’s office is obligated to provide an avenue for the patient to receive their records consistent with HIPAA regulations. Patients also have the right to privacy of their health records. A patient or their guardian must provide authorization via a HIPAA form before their health information can be shared with another individual or entity. Patient rights implemented via HIPAA regulations are vital for safeguarding patient information and access to healthcare records.

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Want to Ensure HIPAA Compliance at your Office?

Streamline you Practice with Digital HIPAA Compliant Forms

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FAQs on HIPAA Forms

A HIPAA authorization form is a privacy policy form used to attain patient authorization prior to release of personal information.
HIPAA Privacy rules came about due to a void in the healthcare system regarding privacy of patient health care information, and in giving patients the right to access their own medical records. The policy aims to protect patients, providers, and entities requesting patient information.
Violations of HIPAA privacy rules would include:
*Releasing or sharing patient information without proper authorization
*Exposing, storing, or discarding patient information in a way that is not in accordance with HIPAA
Healthcare practitioners found violating HIPAA regulations may face substantial consequences, such as a fine or criminal penalties.
Scroll back up to the top of the page and click on the button - "Download Updated HIPAA Form."
A Dental HIPAA form is necessary to attain patient authorization prior to release of personal information, in accordance with HIPAA policies.

Client Success Stories

mConsent

Before using mConsent we had to find and pull patients' charts and input data, it takes a lot of time.

Stefanie Daley

mConsent

Before using mConsent I had to print out the router sheet everyday and get the patient's signature, very time consuming.

ADIRA "DEE" BAILEY

mConsent

Efficiency at it's finest. Easy, convenient, user friendly, patient approved... I mean the list goes on. It has drastically changed how our office functions. They have a great support team as well.
Zero complaints.

Ryan Blatchley

mConsent

Before mConsent everything was definitely more labor intensive, lots of time consuming paperwork that we don't have to do now with mConsent.

Grace

mConsent

Before using mConsent we had to find and pull patients' charts and input data, it takes a lot of time.

Stefanie Daley

mConsent

Before using mConsent I had to print out the router sheet everyday and get the patient's signature, very time consuming.

ADIRA "DEE" BAILEY

mConsent

Efficiency at it's finest. Easy, convenient, user friendly, patient approved... I mean the list goes on. It has drastically changed how our office functions. They have a great support team as well.
Zero complaints.

Ryan Blatchley

mConsent

Before mConsent everything was definitely more labor intensive, lots of time consuming paperwork that we don't have to do now with mConsent.

Grace

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