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Forms

form bullet [NEW] Authorization for Release of Health Information - Replaces older forms and versions--Updated 7/7/2008.

 [NEW] Security Incident Report Form

 University of Oklahoma Confidentiality Agreement

 Acknowledgement Of Receipt Of Notice Of Privacy Practices - Updated 7/14/2004

 Consent For Treatment - Updated 7/14/2004

 OUHSC HIPAA Privacy and Medical Record Forms
A number of HIPAA related forms for use by the OU Health Sciences Center have been combined into this PDF file.

 OU Physicians HIPAA Privacy and Medical Record Forms
A number of HIPAA related forms for use by the OU Physicians have been combined into this PDF file.

 Medical Record Log Forms

 Athletic Department Authorization Form

These documents are available as PDF files. If you need a PDF reader, you can download one from here.

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The University of Oklahoma Health Sciences Center
 
Office of Compliance - (405) 271-2511
1000 Stanton L. Young Boulevard - Suite 221
Oklahoma City, Oklahoma 73117
Last Updated:July 7, 2008 1:57 PM
    
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