Skip to Main Content
Loading
Loading
Create a Website Account
- Manage notification subscriptions, save form progress and more.
Website Sign In
Government
Services
Business
Community
How Do I...
You are here:
Home
Government
Departments
Lasata Senior Living Campus
Admissions
Facility Policies & Forms
A
A
Facility Policies & Forms
Lasata Care Center Admission Contract
Resident Handbook
Policies and Forms
Policies
Individuals Right to Obtain an Accounting of Disclosures of Their Protected Health Information Policy
Individual's Right to Obtain Disclosures of Their Protected Health Information Policy
Residents Right to Access Their Protected Health Information Policy
Resident's Right to File a Complaint Regarding Violations of Federal and State Privacy and Security Law and Policies and Procedures Regulating the Use and Disclosure of their protected Health Information Policy
Residents Right to Obtain an Accounting of Disclosures of Their Protected Health Information Policy
Residents Right to Request Amendments to Their Protected Health Information Policy
Residents Right to Request Confidential Communication of Their Protected Health Information Policy
Residents Right to Request Restrictions on the Use and Disclosure of Their Protected Health Information Policy
Forms
Privacy Violation Complaint Form
Request for Access to Inspect Copy or Authorization to Disclose Protected Health Information Form
Request for Accounting of Disclosures Form
Request for Amendment of Protected Health Information Form
Request for Confidential Communication Form
Request for Restrictions on the Use and Disclosure of Protected Health Information Form
Advance Directive Policy
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow