Chapter 12: Your Rights as a Patient

Legal Forms
Note: These forms are usually state-specific and we have included examples from different states
HIPAA Privacy form – An excellent source of state-specific forms is eForms https://eforms.com/release/medical-hipaa/

1.2 Notice of Privacy Practices

1.3 HIPAA-DEPARTMENT OF HEALTH AND HUMAN SERVICES

2.1 Health Care Proxy Designation Form [New York]

3.1 Medical Orders for Scope of Treatment (MOST) [Colorado]

4.1 Advance Directive/Living Will [Maine]

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