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Health Agency

County of San Luis Obispo

Home » Departments » Health Agency » Compliance and Privacy Program » Forms & Documents » Health Agency HIPAA Support Forms

Health Agency HIPAA Support Forms

  • Confidentiality Agreement No Access to PHI
  • Confidentiality Agreement Access to PHI
  • Email Encryption Instructions
  • Health-Information-Privacy-and-Security-Complaint-Form
  • CalMHSA Connex Consent and FAQ English
  • CalMHSA Connex Consent and FAQ Spanish
  • Connex Patient Access API Considerations
  • Public Health HIE Consent and FAQ English
  • Public Health HIE Consent and FAQ Spanish
  • Request-to-Amend-Protected-Health-Information
  • Behavioral Health Release of Information - English
  • Behavioral Health Release of Information -Spanish
  • Text Messaging, Email Authorization - English
  • Text Messaging, Email Authorization - Spanish

Nicholas Drews

Health Agency Director

Director of Health Agency: Nicholas Drews, Health Agency Director

Take me to:

  • Health Agency Beilenson Hearing Postings May 20, 2025 »
  • Health Agency Notice of Privacy Practices - English and Spanish »
  • Health Agency HIPAA Support Forms »
  • Health Agency Code of Conduct and Professional Ethics »
  • Contractor and Network Provider Policies, Forms and Other Support »
  • Health Agency Organization Chart »
  • SmartCare Go-Live Resources »
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County Government Center

1055 Monterey Street, San Luis Obispo, CA 93408

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County Phone Directory: 805-781-5000

(Toll free: 800-834-4636)

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