Privacy Notices

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• Notice of Privacy Practices, HCF 13040

  • Hmong
  • Laotian (PDF, 368 KB)
  • Russian
  • Spanish
• Wisconsin Medicaid Privacy Notices
  • HIPAA Privacy Authorization for Use or Disclosure, HCF 13145 (PDF, 94 KB)
  • HIPAA Privacy Revocation of Authorization, HCF 13146 (PDF, 91 KB)
  • HIPAA Privacy Restriction Request, HCF 13147 (PDF, 84 KB)
  • HIPAA Privacy Access Request, HCF 13148 (PDF, 90 KB)
  • HIPAA Privacy Accounting Request, HCF 13149 (PDF, 83 KB)
  • HIPAA Privacy Alternate Communication Request, HCF 13150 (PDF, 88 KB)
  • HIPAA Privacy Amendment Request, HCF 13151 (PDF, 84 KB)
  • HIPAA Privacy Complaint, HCF 13152 (PDF, 87 KB)

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Wisconsin Department of Health and Family Services
Protecting and promoting the health and safety of the people of Wisconsin