HIPAA

EBPA has devoted considerable resources to achieve our goal regarding compliance with the Health Insurance Portability and Accountability Act and is committed to ensuring the protection and privacy of your Protected Health Information (PHI).

Health Insurance Portability and Accountability Act

Please find a list below of our HIPAA compliant documents utilized in the processing of individual requests for rights granted under HIPAA.

Authorization to Release Information

This form is required to be submitted to EBPA in certain circumstances when someone other than the subject of the PHI is requesting a release of information.

Confidential Communications Request

This form is required to be submitted to EBPA by any Individual requesting alternative treatment or communication of their Protected Health Information.

Amendment Request

This form is required to be submitted to EBPA by any Individual requesting an amendment to their Protected Health Information.

Access Request

This form is required to be submitted to EBPA by any Individual requesting access to their Protected Health Information.

Disclosure Accounting Request

This form is required to be submitted to EBPA by any Individual requesting an accounting of disclosures made by or on behalf of EBPA Protected Health Information.