SF Health Network  | Laguna Honda
News & Media |  Donate  |  Contact Us | 
SFDPH Home
Search
 
Frequently
Asked Questions
  
San Francisco Health Network

We're moving to sf.gov, a user-centered, services-first, accessible website.

Knowledge Sharing & Collaboration

San Francisco Department of Public Health Privacy Practices


Privacy Policies


 
TITLE POLICY NUMBER REVISION DATE
COVID-19 Privacy Information
06/04/2020
GENERAL
A.1.0
05/31/2023
*REVISED* HIPAA Compliance – Admin Policies
A.2.0
 10/18/2021
*REVISED* HIPAA Compliance – Patient/Client Resident Rights regarding Protected Health Information (PHI)
A.3.0
 07/12/2023
BREACHES
B.1.0
12/15/2017
*REVISED* Reporting of Unlawful or Unauthorized Access of PHI (Potential Breach)
B.1.1
 09/11/2023
Major Privacy Breach Emergency Quick Reference Response Guide
B.2.0
SHARING POLICIES
C.1.0
10/18/2021
Release of Protected Health Information in a Major Emergency or Multi-Casualty Incident
C.2.0
 06/01/2019
*REVISED* DPH Privacy Policy Matrix - Sharing Protected Health Information for Treatment
C.3.0
 06/01/2022
*REVISED* Use of Protected Health Information in Disciplinary Investigations and Proceedings
C.4.0
 11/16/2022
*REVISED* Reporting Individuals with Lapse of Consciousness to DMV
C.8.0
 12/28/2022
*REVISED* HIPAA Compliance: Social Media Policy
C.12.0
 09/11/2023
Patients, Visitors and Staff Photo/Audio/Video Recording (Clinical and Operations Purposes)
C.13.1
 08/03/2019
*REVISED* FORM: Consent to Record/Authorization for Publication
C.14.1
 11/01/2021
SFDPH Business Associates Agreement (BAA) Contract Exhibit E
C.16.0
 04/12/2018
SFDPH Privacy and Security Agreement (PSA) Contract Exhibit E
C.17.0
 06/21/2017
FORM: Data Sharing Request Form
C.18.4
 1/23/2019
STORING AND DELIVERING PHI
D.1.0
11/01/2021
*REVISED* FORM: Secure Delivery of PHI - Cover sheet for fax or mailing
D.1.1
 11/01/2021
*REVISED* Sending Electronic Messages to Adult Patients            
D.1.2
 11/01/2021
RESEARCH/EVALUATION
E.1.0
12/14/2021
FORM: DPH Research Proposal Approval
E.3.0
 05/11/2011
*REVISED* Research Misconduct: Definitions and Procedures
E.4.0
 12/28/2022
FORM: DPH Health Information Data Use Agreement Form
E.5.1
 04/21/2011
AGREEMENTS
F.1.0
03/19/2015
FORM: SFDPH User Agreement for Confidentiality, Data Security and Electronic Signature
F.2.0
 01/25/2023
RETENTION & STORAGE OF PHI
G.1.0
11/01/2021
FORMS - UNIVERSAL SUD AUTHORIZATION FORM
Universal SUD Authorization Form
English
K.1.0
 10/25/2022
Spanish
K.2.0
 10/25/2022
Chinese
K.3.0
 10/25/2022
Russian
K.4.0
 10/25/2022
Tagalog
K.5.0
 10/25/2022
FORMS - AUTHORIZATION FOR USE OR DISCLOSURE PHI
Authorization for Use or Disclosure PHI
English
G.4.0
 04/01/2019
Spanish
G.5.0
 04/01/2019
Chinese
G.6.0
 04/01/2019
FORMS - HIPAA PRIVACY RIGHTS
Summary Notice of HIPAA Privacy Practices Poster Kit
English
H.1.1
 11/02/2022
Spanish
H.1.2
 05/19/2015
Chinese
H.1.3
 05/19/2015
Russian
H.1.4
 05/19/2015
Tagalog
H.1.5
 05/19/2015
Vietnamese
H.1.6
 05/19/2015
Summary Notice of HIPAA Privacy Practices and Acknowledgement of Receipt Forms
English
H.2.1
 11/02/2022
Spanish
H.2.2
 05/19/2015
Chinese
H.2.3
 05/19/2015
Russian
H.2.4
 05/19/2015
Tagalog
H.2.5
 05/19/2015
Vietnamese
H.2.6
 05/19/2015
Full Notice of HIPAA Privacy Rights
English
H.3.1
 07/01/2020
Spanish
H.3.2
 05/19/2015
Chinese
H.3.3
 05/19/2015
Russian
H.3.4
 05/19/2015
Tagalog
H.3.5
 05/19/2015
Vietnamese
H.3.6
 05/19/2015
ALL STAFF MEMOS REGARDING PRIVACY
New DPH Hotline Posters – please place in prominent area at your site
I.1.0
 02/19/2016
Authorized Use of Third-Party Dialers
I.2.0
 12/16/2020
Privacy Pulse eNewsletters
Topics: Break the Glass    
J 7.0       
9/1/2019
Topics: Special Edition - Handling PHI Documents    
J 8.0       
11/1/2019
Topics: Winter Topics: Audits, Passwords    
J 9.0       
2/1/2020
Topics: Top 3 Privacy Breaches & Corrective Action    
J 10.0       
8/1/2021
Topics: Encryption, Secure Emailing, Phishing    
J 11.0       
11/1/2021
Topics: How to Prevent a Privacy Breach   
J 12.0       
2/1/2022