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HIPAA Privacy Practices
Effective April 14, 2003, the Hamilton County Department of Education is required
to provide notice to all employees of our practices to maintain the privacy of each
employee’s personal health information as required by Federal legislation under
the Health Insurance Portability and Accountability Act (HIPAA). This notice will
inform you of our legal obligations under HIPAA and will advise you of your rights
concerning your medical coverage information.
Privacy Notice (.pdf)
This legislation also requires that we have an authorization on file, from you,
prior to releasing any protected information to outside parties. You may download
a copy of the authorization below. Send completed form to Benefits Department, Hamilton
County Department of Education, 3074 Hickory Valley Road, Chattanooga, TN 37421.
Authorization Form
(.pdf)
You may also change the parties you have authorized to receive protected information,
or revoke the authorization by downloading the form below. Send completed form to
Benefits Department, Hamilton County Department of Education, 3074 Hickory Valley
Road, Chattanooga, TN 37421.
Amendment Request Form
(.pdf)
Revocation
of Authorization Form (.pdf)
