HIPAA Authorization forms

• HIPAA Research Authorization form
  • English (pdf)
  • Spanish (pdf) *not currently available
  • Russian (pdf)*not currently available
  • Chinese (pdf)*not currently available
  • Vietnamese (pdf)*not currently available
  • Farsi (pdf)*not currently available
  • Cambodian (pdf)*not currently available
  • Korean (pdf)*not currently available
  • Tagalog (pdf)*not currently available
  • Arabic (pdf)*not currently available
  • Portuguese (pdf)*not currently available
  • Eastern Armenian (pdf)*not currently available
• Authorization for Release of Health Information (pdf)
• Authorization for Release of Health Information - Student Health Services (pdf)