Stored at HHS are nearly 52,000 public comments on the proposed medical privacy rule.

1) Health and Medical Data Privacy Declaration Form (PDF File) View HTML file

RE: Health care services and medical record information, government databases.

Detailed Background Information and Contacts

2) Medical/Financial Privacy Declaration Form (PDF File) View HTML file

RE: Medical and financial information held by financial institutions and health and life insurers, and mergers of financial and insurance functions within these corporations.

Detailed Background Information and Contacts

3) Medical/Home Privacy Declaration Form (PDF File) View HTML file

RE: Federal data collection on homes and families through the provision of home health services; state and federal "citizen dossier" databases.

Detailed Background Information and Contacts

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Note: Each declaration form has two (2) pages:

Page 1: Explanation, Legal citations, Examples
Page 2: Brief form to complete and to give to providers/companies/agencies

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Legal advice provided to CCHC by Linka K. Hopkins, Attorney at Law, Roseville, Minnesota, Intelliware International