On-Campus Employees and UAMS Students (COM, CON, COP, CHRP, COPH, Grad)
On-Campus Billing Providers, Residents & Fellows
AHEC Billing Providers, Residents & Staff
Off-Campus employees, Kids First & non-UAMS students
Research Faculty & Staff
Volunteers
Department Specific HIPAA Training
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Authorization for Release
of Information FROM UAMS
Authorization for Release of Information To UAMS
UAMS FAX Cover Sheet
HIPAA Photo Release
Authorization
HIPAA Photo
Release Reference Tool
UAMS Office
of Communications HIPAA Authorization to Allow Access to Patients and to
Release Patient Information
UAMS
Substance Abuse Treatment Authorization for Release of Information
UAMS
Authorization to Release Psychotherapy Notes
UAMS
Request to Restrict Use and Disclosure of PHI
UAMS
Request for Accounting of Disclosures of PHI
ON-Demand Forms
Notice of Privacy Practices - English
NPP Acknowledgment - English
Notice of Privacy Practices - Spanish
NPP Acknowledgment - Spanish
An audio
version, in Spanish and English, of the Notice of Privacy Practices and
Acknowledgment may be accessed by dialing (501) 526-7270 or 866-273-3554
(toll free number).
Compliance reporting line 501-614-2187 or toll free 1-888-511-3969
General HIPAA Questions or Comments? E-mail us at HIPAA@UAMS.EDU
Or Call 501-603-1379Our FAX number is 501-526-7958
If you have questions or concerns about a specific area of HIPAA compliance one of our privacy and security officers can assist you:
Vera Chenault, UAMS HIPAA Coordinator (501-603-1379)
Ashley Vestal, Office Manager & Educational Coordinator (501-603-1379)
Bill Dobbins, Informatics Manager & Auditor, (501-526-7436)
Kyla Alexander, Auditor & Educator, (501-614-2098)
Anita Westbrook, UAMS Medical Center Privacy Officer (501-526-6502)
Pamela "Mo" Valentine, UAMS Research Privacy Officer (501-526-7559)
Steve Cochran, UAMS Security Officer (501-603-1336)
Scott Addison, AHEC Compliance Officer, (501-614-2224)
UAMS HIPAA Office
4301 West Markham, Slot 829
Little Rock, AR 72205Website navigation questions? Contact dobbinswilliamn@uams.edu
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All rights reserved.
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