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HIPAA Resources, Forms, & Policies

HIPAA Resources

NASW-National Provides Four New HIPAA Legal Issue of the Month Articles & a New HIPAA Webpage

The NASW Legal Defense Fund provides NASW members with a wealth of information on its webpage about the Health Insurance and Portability and Accountability Act’s (HIPAA) regulations in connection with social work practice and the NASW Code of Ethics. In January 2015, the HIPAA webpage was reorganized to be more user-friendly so that information about specific HIPAA regulations and requirements can be easily researched. Members can access this newly organized and enhanced HIPAA webpage by clicking the button below:
HIPAA Information on

Four separate newly issued Legal Issue of the Month articles (covering July-November 2014 – as we are catching up on issues) are published as separate articles, but are all related to HIPAA. They form a four part series overview of the current HIPAA regulations. Part I reviews the Privacy Rule; Part II addresses the Security Rule; Part III focuses on the Breach Notification and Security Rules; and Part IV includes the NASW HIPAA Toolkit which contains relevant HIPAA forms and policies that can be used by members as examples to be modified for their practices. We trust that the updated HIPAA webpage presentation offers easier access to HIPAA information and legal requirements which will benefit NASW members.
Legal Issue of the Month on

NASW-MA Chapter provides HIPAA Policies & Forms that have been reviewed, edited, and updated to comply with BOTH National AND Massachusetts Privacy Laws. These customizable forms are available below, free of charge, exclusively for NASW-MA members.

For more information on HIPAA contact NASW-National’s Legal Help Line at 800-638-8799 x592 or Jonas Goldenberg at or 617-227-9635 x14.

HIPAA Forms & Policies

The following HIPAA Forms & Policies were specifically created for use in Massachusetts and are compliant with all federal and Massachusetts laws.

Access to these forms is an NASW-MA member benefit. You must be logged in to download these forms.


  1. Accounting of Disclosures

  2. Authorization

  3. Business Associate Agreement

  4. Notice of Privacy Practices

  5. Request for Restrictions


  1. For Using the Notice of Privacy Practices


  1. Accounting of Disclosures Log

  2. Authorization Contact by Telephone/Verbally in Event of Breach of PHI

  3. Breach Notification - HHS and State Authorities

  4. Breach Notification - Patient

  5. Client Request for Restriction on Use or Disclosure of Protected Health Information for Treatment, Payment and Health Care Operations

  6. Notice of Privacy Practices

  7. Receipt and Acknowledgment of Notice of Privacy Practices

  8. Sample Business Associate Agreement

  9. Sample Standard Authorization For Disclosure of Mental Health Treatment Information

  10. Sample Standard Authorization to Disclose Substance Abuse Treatment Information


more Featured Events

Greater Boston Private Practice Meeting

Translating Clinical Skills into Advocacy Strategies: The Political Social Worker - 2 CEUs

National Association of Social Workers - Massachusetts Chapter
11 Beacon Street, Suite 510, Boston MA 02108
tel: (617)227-9635 fax: (617)227-9877 email:
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