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The following forms are available for reference and use (in an appropriately modified format) by each UNC Health member or affiliate. Each affiliate may also develop and utilize its own forms.

Investigations, Sanctions, Breach Reporting and Whistleblower Protections

  • UNC Health Sanctions Matrix (please contact the UNC Health Privacy Office at 984.974.1069 for further information about discipline)

Health Information, Patient Rights and Medical Records

Accounting of Disclosures

Authorization for Release of Medical Information

Patient Rights

Uses and Disclosures of PHI