HIPAA Compliant Forms

HIPAA Privacy Risk Analysis Checklist

This HIPAA Privacy Risk Analysis Checklist can be used to assess if an organization follows HIPAA’s privacy and security rules by identifying vulnerabilities and weaknesses on the following areas:

• Check-in procedures

• Clinical areas

• Front office and business office

• Medical records

• Methods of conveying PHI

• Personnel policies

• Other general areas

HIPAA Risk Assessment Template

A HIPAA Risk Assessment Template is used for identifying threats and vulnerabilities in the organization that can put Protected Health Information (PHI), sometimes also referred to as Personal Health Information, at risk. This template enables privacy compliance officers to:

• Observe current practices among staff and record how PHI is handled

• Evaluate threats and vulnerabilities discovered during observation by assigning

• Take or attach photo evidence of non-compliance

• Assign actions

• Generate assessment reports

• Identify the next steps to be able to comply with HIPAA regulations

HIPAA Annual Risk Analysis

Use this checklist as a guide for annually evaluating devices in the organization to prevent data breaches. Questions covered in this HIPAA Annual Risk Analysis include:

• Working condition

• Signs of damage

• Password storage & location

• PHI security

Clinical Laboratory HIPAA Privacy Risk Analysis Checklist

This pre-existing template from Thomas Jefferson University Hospitals can be used by organizations as a guide to ensure compliance with HIPAA policies and regulations. One of the main things that this checklist review is the organization’s rules in disposing and retention of protected health information of patients.