Privacy Practices

We are committed to maintaining and protecting the confidentiality of employees’ personal information, in compliance with state laws and regulations, as well as the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This Notice of Privacy Practices applies to Employee Assistance Program (EAP) and Work-Life Services. EAP and Work-Life are required to provide you with this notice about its policies, safeguards, and practices. Included below are request and compliance forms pertaining to the disclosure of personal health information. 

Forms

• Notice of Privacy
• Privacy Complaint Form
• Request for Accounting of Disclosures
• Request for Alternate Communications
• Request for Amendment of Protected Health Information
• Request for Restriction of Protected Health Information
• Request for Restriction Termination
• Request to Access Protected Health Information (PHI)
• EAP Statement of Understanding