Agencies | Online Services | Policies

Sample documents

You can use the following sample documents as the basis for developing HIPAA-compliant materials. Be sure to modify them to fit your operation.

The documents are in Microsoft Word format. If you click a link but the document doesn't open, download Microsoft Word Viewer free so you can view and print the documents.

  • To view, click the link. The document opens in a new window. To return to this page, close the window.
  • To print, click the link. The document opens in a new window. Use the menu of that window to print (click File, then Print). To return to this page, close the window.
  • To save a copy to your computer, right-click the link and then save the file to your hard disk.

Document

File name

File size

Privacy Policy Statement

privpol.doc

81k