Have a problem with a medical provider? Getting help and taking action can be difficult. Educate yourself and take action with HIPAA Group’s exclusive Patient Action Pack.

It’s filled with information, forms and advice for dealing with medical providers, controlling your medical records, and enforcing your privacy Rights under HIPAA. The Patient Action Pack includes everything you need to start asserting your new HIPAA Rights and protecting your privacy.


Here’s what's included in the Patient Action Pack...

The latest edition of the "HIPAA Guide for Patients and Consumers" -- This handy resource clearly explains what HIPAA is; how it affects you and your family’s medical care; HIPAA’s impact on your health insurance; your new HIPAA Rights; and much more.

Eight (8) Ready-to-Use HIPAA Forms – Each form is supplied in two versions, a "MODEL" version that shows exactly what to fill in for each blank line, and a "READY" version that’s ready to print and use.

The following forms are included...

1. HIPAA Authorization Form – To permit the release or disclosure of your (or a family member’s) medical records.

2. Medical Power of Attorney (POA) Form – This difficult-to-find form is used to designate someone as having Healthcare Power of Attorney for another person.

3. Privacy Complaint Form – Used to register an official complaint under the HIPAA rules with a medical provider.

4. Request Form – Accounting of PHI Disclosures – Use this form to obtain an accounting of disclosures of your medical records from your medical providers.

5. Request Form – Alternate Means of Communicating PHI – Use this form to assert your HIPAA Right to have confidential communications from your medical providers delivered via alternate means or to an alternate address.

6. Request Form – Amend PHI – This is the form that begins the process of adding an amendment (explanatory note) to your medical records. This is an important new HIPAA Right.

7. Request Form – Restrict PHI Use or Disclosure – This form allows patients to request adding certain restrictions on the use or disclosure of their "PHI" (Protected Health Information) by their medical providers.

8. Request Form – View or Copy PHI – This form is used to obtain copies of, or access to, your medical records or those of a family member.

An explanation of the new Patient Rights that HIPAA created for all patients; and how to use these new Rights to protect you and your family’s medical records and privacy.

A handy, cut-out, Provider Privacy Checklist form. This form provides an excellent way to record and keep track of important privacy-related information for each one of your medical providers. Bring one to every medical appointment to stay on top of your privacy, your medical records, and your HIPAA Rights.

A guide to More Resources for HIPAA Info that shows you the best online resources for learning more about HIPAA and enforcing your new HIPAA Rights.

Be informed and take action on your healthcare privacy and your new HIPAA Rights with the Patient Action Pack, exclusively from HIPAA Group.