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HIPAA
(Health Insurance Portability and Accountability Act of 1996)

1. Authorization to Release Protected Health Information (PHI)
2. Business Associate Agreement
3. Counseling Center Authorization for Release of Health Information
4. FERPA Form For Release of Student Athlete PHI To The Media And Parent/Guardian (Authorization for Release of Health Information)
5. FERPA Form for Release of Student Athlete PHI to Pro Sports Teams (Authorization to Release Information)
6. FERPA Form For Release of Student Athlete PHI to Selected Athletics Personnel (Authorization for Release of Health Information)
7. FERPA Form for Sharing of Student PHI Among NCSU Covered Health Care Components (Consent for Release of Health Information)
8. General Consent For Treatment And Consent To Use And Disclose Health And Medical Information For Treatment, Payment And Health Care Operations (Counseling Center)
9. General Consent For Treatment And Consent To Use And Disclose Health And Medical Information For Treatment, Payment And Health Care Operations (Student Athletes)
10. Health Care Components Notice of Privacy Practices
11. HIPAA Compliant Form for Use to Obtain Student Athlete PHI From Third Party Providers Or Health Care Plans (Authorization For Release of Health Information )
12. Occupational Medicine Exam Request Form and Authorization for Release of Medical Information
13. Patient Authorization Form - To Permit Use And Disclosure Of Health Information (Form to Obtain PHI from Health Care Provider)