FREE TEMPLATE

HIPAA Privacy Policy Template

Comprehensive HIPAA Privacy Policy template compliant with the Privacy Rule. Designed for covered entities and business associates handling PHI.

What's Included

Notice of Privacy Practices

Required NPP template explaining patient rights and PHI handling practices

Uses and Disclosures

Comprehensive coverage of permitted and required PHI disclosures

Patient Rights Section

Complete documentation of individual rights under HIPAA Privacy Rule

Authorization Forms

HIPAA-compliant authorization templates for PHI release

Minimum Necessary Standard

Policies for limiting PHI access to minimum necessary information

Breach Notification Procedures

Step-by-step process for handling privacy breaches and notifications

Table of Contents

  1. 1.Purpose and Scope
  2. 2.Definitions (PHI, ePHI, Covered Entity, Business Associate)
  3. 3.Notice of Privacy Practices
  4. 4.Uses and Disclosures of PHI
  5. 5.Individual Rights
  6. 6.Authorization Requirements
  7. 7.Minimum Necessary Standard
  8. 8.Administrative Requirements
  9. 9.Privacy Officer Designation
  10. 10.Training Requirements
  11. 11.Breach Notification Procedures
  12. 12.Sanctions and Enforcement

How to Use This Template

1

Download & Review

Download the template and review the entire document. Ensure you understand HIPAA Privacy Rule requirements and how they apply to your organization.

2

Customize for Your Organization

Replace placeholder text with your organization's information. Update entity type, services provided, PHI handling practices, and contact details.

3

Review with Legal & Compliance

Have your legal counsel and HIPAA compliance officer review the policy. Ensure it meets all regulatory requirements for your specific situation.

4

Implement & Train Staff

Get executive approval, formally adopt the policy, and train all workforce members who handle PHI. Document training and maintain records.