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HIPAA

Name Type
Authorization to Release Information PDF
Authorization to Disclose Health Information - Revocation PDF
Business Associate Agreement | Updated 01/22/18 PDF
General Confidentiality Agreement - School PDF
General Confidentiality Agreement - State PDF
Health Insurance Representative Agreement PDF
HIPAA 101 PDF
HIPAA Disclosure Reporting Form PDF
HIPAA in the Workplace PDF
HIPAA - Points for Supervisor Training PDF
Notice of Privacy Practices PDF
System Confidentiality Agreement PDF

DTSS

ARBenefits is provided by the Employee Benefits Division of the Department of Transformation & Shared Services

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ARBenefits
Employee Benefits Division
501 Woodlane St., Suite 500
Little Rock, AR 72201
(877) 815-1017 [Toll Free]
501-682-9656
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