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Health Department Health Insurance Portability and Accountability Act (HIPAA) forms
Health Department Health Insurance Portability and Accountability Act (HIPAA) forms
Authorization for Release of Protected Health Information (PDF)
Contract Addendum Business Associate Contract (PDF)
Letter Denying Request to Amend (PDF)
Letter to Accept Request to Amend Accounting of Disclosures (PDF)
Notice of Privacy Practices - Health Insurance Portability and Accountability Act (HIPAA) (PDF)
Notice of Privacy Practices - Health Insurance Portability and Accountability Act (HIPAA) Spanish (PDF)
Notice of Privacy Practices Acknowledgment Form (PDF)
Notice of Privacy Practices Acknowledgment Form Spanish (PDF)
Request to Amend Records (PDF)
Response to Request for Records (PDF)
Women, Infants and Children (WIC) Income guidelines - Lasalle County Illinois (PDF)
Women, Infants and Children (WIC) Nondiscrimination Statement (PDF)
Breastfeeding
Family Health Programs (FCM/WIC)
Health Department Health Insurance Portability and Accountability Act (HIPAA) forms
Health Department Health Insurance Portability and Accountability Act (HIPAA) Policy
Women, Infants and Children (WIC) Clinic
Women, Infants and Children (WIC) Income Guidelines (PDF)
Women, Infants, and Children (WIC) Nondiscrimination Statement (PDF)
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