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The HIPAA Privacy Rule mandates that health care providers distribute a Notice of Privacy Practices to all patients. This document outlines how protected health information about an individual may be used and disclosed and under what circumstances specific authorization from the individual may not be required. The Notice of Privacy Practices also describes the HIPAA defined patient rights related to use and disclosure of the individual's health information.
Since the Notice must only be provided once, an electronic system has developed to track the delivery of this notice by having the patient sign an Acknowledgement Form that confirms that they received a copy of the Notice of Privacy Practices. This system has been integrated with Epic and Medipac and allows staff checking in patients to identify whether or not that patient checking in would require the Notice and when to document that it has been provided. Any questions about the Notice may be directed to the Privacy Office at (615) 936-3594 or Privacy.Office@vanderbilt.edu.
VUMC and Vanderbilt Affiliated Covered Entity Notice of Privacy Practices and Acknowledgement of Receipt Forms:
NOTICE - NPP
The release of HHS’s Final Rule on January 25, 2013 has mandated that we review and update our Notice of Privacy Practices. We are currently working on the revision and expect to have the new edition available very soon. Please call the Privacy Office with any questions, 936-3594.
Request a copy of your medical record
Authorization to Access Medical Record
Authorize Release of Medical Information (ROI)
Spanish (ROI)
Request an Amendment to Health Information
Contact the Privacy Office at Vanderbilt
Request restrictions or special handling related to communication of your information
This page was last updated April 5, 2013 and is maintained by Linda Campbell