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Arizona Department of Child Safety
Phone: Child Abuse Hotline 1-888-767-2445
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Download | Number | Form Name | Effective Date | |
---|---|---|---|---|
Download (58.5 KB) | DCS-1048A-S | Request for Suspension of Accounting of Disclosures of Protected Health Information (PHI) (Spanish) | 08/01/2014 | |
Download (16.39 KB) | DCS-1040A | HIPAA Privacy Complaints | 08/01/2014 | |
Download (59 KB) | DCS-1049A | Accounting of Disclosures of Protected Health Information (PHI) | 08/01/2014 | |
Download (16.69 KB) | DCS-1040A-S | HIPAA Privacy Complaints (Spanish) | 08/01/2014 | |
Download (62 KB) | DCS-1049A-S | Accounting of Disclosures of Protected Health Information (PHI) (Spanish) | 08/01/2014 | |
Download (40.5 KB) | DCS-1041A | HIPAA Privacy Complaint Confirmation of Receipt | 08/01/2014 | |
Download (60.5 KB) | DCS-1050A | Accounting Disclosure Tracking | 08/01/2014 | |
Download (43.5 KB) | DCS-1041A-S | HIPAA Privacy Complaint Confirmation of Receipt (Spanish) | 08/01/2014 | |
Download (67 KB) | DCS-1050A-S | Accounting Disclosure Tracking (Spanish) | 08/01/2014 | |
Download (40.5 KB) | DCS-1042A | Response to HIPAA Privacy Complaint | 08/01/2014 |
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