San Francisco Department of Public Health Privacy Practices

Privacy Policies

DPH Privacy Policy, adopted March, 2003, revised April, 2006

Authorization for Use & Disclosure of Protected Health Information, adopted April, 2003, revised February, 2010

DPH Privacy Policy Matrix – Sharing Protected Health Information for Treatment Purposes

User Confidentiality, Security and Electronic Signature Agreement, adopted January 16, 2007, updated September 24, 2009

Form: User Confidentiality, Security and Electronic Signature Agreement

Conduct of Research Policy, updated May, 2011

Form: DPH Research Proposal Approval

Consent for Minors: Urgent, Primary Care and Behavioral Health Services; Confidentiality Obligations, updated December, 2005

Patients Rights Policy, adopted April, 2003

Also refer to:

Summary - SFDPH Notice of Privacy Practices

Detail - SFDPH Notice of Privacy Practices

Policy: Secured Delivery of PHI Interoffice, Mail, Fax, adopted May 13, 2010

Word Version of Secured Delivery of PHI Interoffice, Mail, Fax

Cover sheet to accompany every fax or mailing

Policy: Reporting of Unlawful or Unauthorized Access of Protected Health Information

Form to Report Unlawful or Unauthorized Access of Protected Health Information

Law Enforcement Request for Immediate Entry to DPH Community-Based Programs, adopted March 23, 2009