HIPAA-Health Insurance Portability and Accountability Act

Notice of Privacy Practices for the Use and Disclosure of Health Information

Authorization for Use or Disclosure of Protected Heath Information (PHI) (PDF form)

Request for Amendment of Protected Health Information (PHI) (PDF form)

Requested Restriction of the Uses and Disclosures of Protected Health Information (PHI) for Treatment, Payment or Operations (PDF form)

Request of Accounting of Protected Health Information (PHI) Disclosed by Williams College (PDF form)