Office of Institutional Compliance

El Paso Forms

Authorization for Release of Patient Information

General
English Spanish

Authorization for Release of Patient Information

Release of Psychotherapy Notes
English Spanish

Business Associate Agreements for Contracts and Purchase Orders

PDF Format

HIPAA Security Amendment

(For all agreements executed before April 21, 2005)

PDF Format Word Format

Confidential Communication Request

English Spanish

Consent to Treatment

English Spanish

Complaint

English Spanish

Request for Accounting

English Spanish

Request to Amend PHI

English Spanish

Release for Media Purposes

English Spanish
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