U.S. Dept. of Health & Human Services, Office of Civil Rights HIPPA Complaint Form [1]
Submitted by jlpnolan [2] on
Jurisdiction:
- Federal [3]
Area of Law:
- Other [4]
Learn more about HIPPA with this guide and fact sheet:
Form Preview:
Use this form if you believe that your private heath information has been violated or compromised: http://www.hhs.gov/ocr/privacy/hipaa/complaints/hipcomplaint.pdf [7]