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Forms
HIPAA
Authorization to Release Protected Health Information (PHI)
Business Associate Agreement
FERPA Form for Sharing of Student PHI Among NCSU Covered Health Care Components (Consent for Release of Health Information)
Counseling Center Authorization For Release of Health Information
General Consent For Treatment And Consent To Use And Disclose Health And Medical Information For Treatment, Payment And Health Care Operations (Counseling Center)
General Consent For Treatment And Consent To Use And Disclose Health And Medical Information For Treatment, Payment And Health Care Operations
FERPA Form For Release of Student Athlete PHI To The Media And Parent/Guardian
FERPA Form for Release of Student Athlete PHI to Pro Sports Teams
Health Care Components Notice of Privacy Practices
FERPA Form For Release of Student Athlete PHI to Selected Athletics Personnel
HIPAA Compliant Form for Use to Obtain Student Athlete PHI From Third Party Providers Or Health Care Plans (Authorization For Release of Health Information)
Occupational Medicine Exam Request Form and Authorization for Release of Medical Information
Patient Authorization Form - To Permit Use And Disclosure Of Health Information
Facilities Operations
Request For Fire Alarm System Disconnect
Real Estate
NCSU Lease Request For Space - Exhibit 1
PO-27 Form - Exhibit 2
Approval Authority - State Prosperty Transactions - Exhibit 3
Centennial Campus Disposition by Lease Space in Buildings - Exhibit 4
Real Estate Check List for Development Officers - Exhibit 5
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External Forms section are being developed